Event Reporting Root Cause Analysis Problem Solving Knowledge Creation

Identification and elimination of system vulnerabilities by focusing on prevention, applying human factor analysis, and the safety research. From the US Dept. of Veteran Affairs.

• Safety and Health Topics - Accident Investigation - Information on investigation of industrial safety accidents from root cause analysis the Occupational Safety and Health Administration (OSHA) of root cause analysis the US Dept. of Labor.
• Root Causes of Biodiversity Loss - Analytical approach and user\\'s guide for investigating the problem solving socioeconomic causes of biodiversity loss. From the World problem solving Wildlife Federation (WWF).
• Failure Analysis Articles - A collection of articles on Failure Analysis, from the Plant event reporting Maintenance Resource Center.
• U.S. Chemical Safety and Hazard Investigation Board - News, investigation reports, incident reporting, other chemical safety problem solving information. event reporting Special multimedia section with incident-related images.
• Sentinel Event Alert - Healthcare operating experience and lessons-learned information from the U.S. Joint problem solving Committee on Accreditation of Healthcare Organizations (JCAHO).
• Major Transportation Incident Investigations - Reports on major incidents investigated by the U.S. root cause analysis National Transportation Safety Board (NTSB), links to other root cause analysis reports, press releases, and investigation process.
• Medical Event Reporting System - Transfusion Medicine - Information on the MERS-TM event reporting system. Aimed at improving root cause analysis blood product safety through systematic collection, analysis, and interpretation of root cause analysis event information from transfusion medicine sites.
• VA National Center for Patient Safety - Identification and elimination of system vulnerabilities by focusing on prevention, applying human factor analysis, and the safety research. From the US Dept. of Veteran Affairs.
• Operating Experience Summaries - Operating experience summaries from the US Department of Energy (DOE), event reporting published bi-weekly to promote safety within DOE by encouraging the event reporting exchange of lessons-learned information.

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