The Problem with Traditional Accident Models to Investigate Patient Safety Incidents in Healthcare

Kaya, Gulsum Kubra; Canbaz, Halime Tuba

doi:10.1007/978-3-030-03317-0_39

Cited by 2 publications

(1 citation statement)

References 29 publications

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“…With the changes in the technology and industries, the domino model and so the methods built on them were criticized for being inadequate to investigate accidents in complex systems [7][8][9][10][11][12]. Thus, different accident models were proposed to understand accidents such as the Swiss Cheese Model [13].…”

Section: Introductionmentioning

confidence: 99%

Tenerife Accident Analysis: a comparison of Fault Tree Analysis, Failure Mode and Effects Analysis and Causal Analysis based on System Theory

Öztürk

Sakalli

TAK

et al. 2023

Gazi University Journal of Science

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Air transport is considered to be the safest means of transport. However, if an accident occurs, it often ends in catastrophe. Thus, significant efforts have been paid to sustain successful operations in aviation. Several studies have been carried out to understand the underlying reasons for accidents. This study used Fault Tree Analysis (FTA), Failure Mode and Effects Analysis (FMEA) and Causal Analysis based on Systems Theory (CAST) methods to analyse Tenerife aircraft accident and to compare the findings of different methods. The findings showed that while all three methods provided some overlapping findings, the CAST method led to the identification of all causes that were identified by other methods. Considering the nature of the causal factors, FMEA provided more causal factors that are related to organisation and technology than FTA. This study indicates that CAST has a significant value to identify all causes that can be identified by the use of traditional methods.

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