Patient Safety Review Guidebook

Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews

This guidebook is designed to help healthcare providers, administrators, and regulators conduct retrospective reviews of healthcare, providing a practical approach for the investigation of adverse events or close calls in healthcare.

Through previous reviews, we’ve learned that a system-based approach to a patient safety review allows the reviewer to look beyond the contribution of the individuals and consider how complex, interacting elements of the entire healthcare system can influence care.

This publication is part of a larger initiative to educate healthcare students, providers, and managers about this unique, theory-based approach to patient safety reviews.

Copies are available upon request. Contact us to learn more.


A guide to assist healthcare professionals when conducting retrospective reviews of care More →