Educational Material

Categorizing intervention strength

Full, robust investigation of incidents has several important stages, such as using the WHO conceptual framework, setting up a specialist team, quality tools used in root cause analysis, among others.
However, every investigative process results in one, very important stage, which is identifying and implementing actions to eliminate or control the system dangers or vulnerabilities identified based on the
contributing factors.
Therefore, investigation teams should make every effort to identify actions to prevent the recurrence of the event or, if this is not possible, to reduce the severity or consequences, should it happen again.

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