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Patient Safety—Incorporating Drawing Software into Root Cause Analysis Software

Affiliations of the authors: Ms. Grayson, a Computer Specialist at NCPS, leads technical development of Root Cause Analysis software. Ms. Williams, a Computer Specialist at the NCPS, leads implementation of RCA software. Dr. Gosbee is the Director of Patient Safety Information Systems at NCPS and leads human factors engineering activities. VHA National Center for Patient Safety, Ann Arbor, Michigan.

Abstract

Drawing software from Lassalle Technologies¹ (France) designed for Visual Basic is the tool we used to standardize the creation, storage, and retrieval of flow diagrams containing information about adverse events and close calls.

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