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Home Case Studies B-Level Case B4: Acute Hemolysis During Surgery Case Study B4 - Case Discussion - Answer (Question 6)
Wednesday, 20 June 2018

Case Study B4 - Case Discussion - Answer (Question 6)

How are human errors handled in a quality system?

When errors are made in a facility with a quality system, the goal is to discover why the system or process failed, not to assign blame. The problem with emphasizing blame is that all thinking tends to stop and improvement is hindered.

In a quality system, blame-free error detection and reporting systems are used. Conducting a root cause analysis that focuses on why not who is the process used to investigate why errors occur and to prevent them in future.

Last modified on Tuesday, 25 October 2016 14:21