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

Children's Hospital of Wisconsin
Bumrungrad International Hospital
Cincinnati Children's Hospital Medical Center
KK Women's & Children's Hospital, Singapore
National Center for Human Factors in Healthcare
Children's National Medical Center
Pennsylvania Patient Safety Authority and Children's Hospital of Philadelphia
Embry-Riddle Aeronautical University

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 -