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Lessons learned from non-medical industries: root cause analysis as culture change at a chemical plant
Root cause analysis was introduced to a chemical plant as a way of enhancing performance and safety, exemplified by the investigation of an explosion. The cultural legacy of the root cause learning intervention was embodied in managers' increased openness to new ideas, individuals' ques...
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| Hauptverfasser: | , , |
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| Format: | Artigo |
| Sprache: | Inglês |
| Veröffentlicht: |
BMJ Group
2002
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| Online Zugang: | https://ncbi.nlm.nih.gov/pmc/articles/PMC1743627/ https://ncbi.nlm.nih.gov/pubmed/12486993 https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1136/qhc.11.3.266 |
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