Root Cause Analysis: The HFE Practitioner's Journey From Individual Blame to System Fixes

A. Joy Rivera; Adjhaporn Klunlertkit; Andrea Cooks; Shanqing Yin; Jessica L. Howe; Kathryn M. Kellogg; Mary Patterson; Ellen S. Deutsch; Joseph Keebler; Elizabeth Lazzara; Elizabeth Blickensderfer

Root Cause Analysis: The HFE Practitioner's Journey From Individual Blame to System Fixes

A. Joy Rivera, Adjhaporn Klunlertkit, Andrea Cooks, Shanqing Yin, Jessica L. Howe, Kathryn M. Kellogg, Mary Patterson, Ellen S. Deutsch, Joseph Keebler, Elizabeth Lazzara, Elizabeth Blickensderfer

Research output: Contribution to conference › Presentation

Abstract

Panel discussion during the Patient Safety Research and Initiatives Track. Joy Rivera chaired the discussion.

Original language	American English
State	Published - Mar 27 2018
Event	International Symposium on Human Factors and Ergonomics in Health Care - Boston, MA Duration: Mar 27 2018 → …

Conference

Conference	International Symposium on Human Factors and Ergonomics in Health Care
Period	3/27/18 → …

Keywords

patient safety
human factors
medical care

Disciplines

Medicine and Health Sciences
Human Factors Psychology

Cite this

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title = "Root Cause Analysis: The HFE Practitioner's Journey From Individual Blame to System Fixes",

abstract = " Panel discussion during the Patient Safety Research and Initiatives Track. Joy Rivera chaired the discussion.",

keywords = "patient safety, human factors, medical care",

author = "Rivera, {A. Joy} and Adjhaporn Klunlertkit and Andrea Cooks and Shanqing Yin and Howe, {Jessica L.} and Kellogg, {Kathryn M.} and Mary Patterson and Deutsch, {Ellen S.} and Joseph Keebler and Elizabeth Lazzara and Elizabeth Blickensderfer",

year = "2018",

month = mar,

day = "27",

language = "American English",

note = "International Symposium on Human Factors and Ergonomics in Health Care ; Conference date: 27-03-2018",

}

TY - CONF

T1 - Root Cause Analysis: The HFE Practitioner's Journey From Individual Blame to System Fixes

AU - Rivera, A. Joy

AU - Klunlertkit, Adjhaporn

AU - Cooks, Andrea

AU - Yin, Shanqing

AU - Howe, Jessica L.

AU - Kellogg, Kathryn M.

AU - Patterson, Mary

AU - Deutsch, Ellen S.

AU - Keebler, Joseph

AU - Lazzara, Elizabeth

AU - Blickensderfer, Elizabeth

PY - 2018/3/27

Y1 - 2018/3/27

N2 - Panel discussion during the Patient Safety Research and Initiatives Track. Joy Rivera chaired the discussion.

AB - Panel discussion during the Patient Safety Research and Initiatives Track. Joy Rivera chaired the discussion.

KW - patient safety

KW - human factors

KW - medical care

M3 - Presentation

T2 - International Symposium on Human Factors and Ergonomics in Health Care

Y2 - 27 March 2018

ER -