Chris Johnson, Index

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Incident Reporting:
Problems of Data Analysis (A&E)

• Accident and Emergency study:
  - North West of England (1998).
  
  
• Analysis stages:
  1. interview person submitting report;
  2. analyst builds up a causal model;
  3. another interview checks analysis;
  4. feedback to the department.
  
  
• 19 incident descriptions:
  - 93 root causes (4.9 ave);
  - 45% organisational causes;
  - 41% (direct) human causes.

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