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- W2594754487 abstract "The purpose of this study is to evaluate the performance of data analysis in Taiwan Patient-safety Reporting system (TPR). The TPR system is evaluated by comparing the results of the Root Cause Analysis (RCA) and the collecting data from TPR system. We used 18 medication errors and recruited 30 nurses to report those errors to the TPR system. With systematical approach, Human Factors Analysis and Classification System model (HFACS) were applied to analyze the results. The study showed that the sum of the causal factors and the number of causal factors in all layers in HFACS model from the TPR system are less than the results from the RCA. It implied that the TPR system cannot offer useful and effective information for causal analysis and would need some further analysis and improvement." @default.
- W2594754487 created "2017-03-16" @default.
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- W2594754487 date "2017-01-01" @default.
- W2594754487 modified "2023-09-27" @default.
- W2594754487 title "Application of RCA to the Data Analysis in Medication Errors of the TPR System" @default.
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- W2594754487 doi "https://doi.org/10.2991/978-94-6239-255-7_9" @default.
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