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Volume 19, Issue 6
System-wide learning from root cause analysis: a report from the New South Wales Root Cause Analysis Review Committee
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System-wide learning from root cause analysis: a report from the New South Wales Root Cause Analysis Review Committee
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Abstract
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Pdf
Jul 2010
18
1
5
Aug 2010
122
19
46
Sep 2010
70
5
18
Oct 2010
131
4
16
Nov 2010
127
7
22
Dec 2010
14
8
8
Jan 2011
5
4
5
Feb 2011
7
5
7
Mar 2011
10
19
16
Apr 2011
5
3
4
May 2011
4
2
1
Jun 2011
13
6
5
Jul 2011
5
3
4
Aug 2011
4
4
5
Sep 2011
2
4
1
Oct 2011
1
3
5
Nov 2011
2
10
6
Dec 2011
6
3
1
Feb 2012
4
3
5
Mar 2012
1
5
3
Apr 2012
8
4
2
May 2012
7
8
4
Jun 2012
5
15
3
Jul 2012
5
8
2
Aug 2012
18
8
7
Sep 2012
19
17
7
Oct 2012
44
16
18
Nov 2012
39
31
17
Dec 2012
13
5
15
Jan 2013
35
14
21
Feb 2013
24
14
13
Mar 2013
32
17
23
Apr 2013
68
27
34
May 2013
42
17
30
Jun 2013
22
10
12
Jul 2013
47
28
22
Aug 2013
68
20
20
Sep 2013
39
13
27
Oct 2013
48
10
19
Nov 2013
53
8
21
Dec 2013
42
13
5
Jan 2014
30
10
33
Feb 2014
29
4
10
Mar 2014
71
20
26
Apr 2014
39
9
17
May 2014
41
18
15
Jun 2014
25
11
19
Jul 2014
24
7
8
Aug 2014
37
9
10
Sep 2014
24
10
16
Oct 2014
34
15
14
Nov 2014
38
26
19
Dec 2014
16
7
10
Jan 2015
17
5
14
Feb 2015
31
8
16
Mar 2015
43
5
25
Apr 2015
32
9
24
May 2015
31
9
13
Jun 2015
20
4
19
Jul 2015
30
10
22
Aug 2015
21
4
13
Sep 2015
47
17
33
Oct 2015
41
8
21
Nov 2015
17
10
13
Dec 2015
19
6
28
Jan 2016
22
4
18
Feb 2016
16
5
6
Mar 2016
36
5
16
Apr 2016
47
10
11
May 2016
36
11
13
Jun 2016
42
10
31
Jul 2016
18
2
36
Aug 2016
41
15
31
Sep 2016
54
11
20
Oct 2016
42
11
8
Nov 2016
49
5
15
Dec 2016
31
7
11
Jan 2017
37
10
19
Feb 2017
24
10
14
Mar 2017
10
20
9
Apr 2017
19
33
12
May 2017
12
61
19
Jun 2017
22
30
8
Jul 2017
37
27
13
Aug 2017
59
39
17
Sep 2017
49
25
19
Oct 2017
46
29
16
Nov 2017
43
26
9
Dec 2017
45
28
14
Jan 2018
21
15
1
Feb 2018
32
27
6
Mar 2018
43
31
3
Apr 2018
58
22
7
May 2018
54
41
21
Jun 2018
66
32
16
Jul 2018
39
15
6
Aug 2018
51
27
7
Sep 2018
49
31
19
Oct 2018
57
30
13
Nov 2018
73
55
13
Dec 2018
80
66
5
Jan 2019
115
92
9
Feb 2019
95
75
17
Mar 2019
62
31
13
Apr 2019
56
30
22
May 2019
53
19
19
Jun 2019
31
15
25
Jul 2019
45
28
11
Aug 2019
38
16
19
Sep 2019
35
13
10
Oct 2019
88
36
16
Nov 2019
74
28
17
Dec 2019
58
34
22
Jan 2020
39
31
11
Feb 2020
54
35
14
Mar 2020
29
17
14
Apr 2020
61
29
8
May 2020
49
33
12
Jun 2020
46
18
14
Jul 2020
37
21
9
Aug 2020
38
11
16
Sep 2020
76
57
12
Oct 2020
96
52
25
Nov 2020
95
42
28
Dec 2020
45
19
14
Jan 2021
58
26
9
Feb 2021
42
16
14
Mar 2021
130
38
40
Apr 2021
79
38
19
May 2021
61
36
15
Jun 2021
19
19
13
Jul 2021
27
25
16
Aug 2021
25
25
19
Sep 2021
34
33
15
Oct 2021
115
62
54
Nov 2021
112
61
45
Dec 2021
52
19
10
Jan 2022
67
35
27
Feb 2022
68
43
23
Mar 2022
74
32
30
Apr 2022
100
48
21
May 2022
98
46
35
Jun 2022
88
47
15
Jul 2022
71
42
15
Aug 2022
90
46
22
Sep 2022
82
43
28
Oct 2022
146
73
47
Nov 2022
146
52
30
Dec 2022
59
35
22
Jan 2023
69
24
11
Feb 2023
98
68
14
Mar 2023
71
32
24
Apr 2023
93
30
27
May 2023
125
35
28
Jun 2023
73
28
16
Jul 2023
42
25
13
Aug 2023
64
27
17
Sep 2023
47
27
10
Oct 2023
59
35
11
Nov 2023
75
34
10
Dec 2023
69
53
11
Jan 2024
54
52
20
Feb 2024
92
87
34
Mar 2024
78
41
100
Total
7813
3808
2752
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