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Do patient safety incident investigations align with systems thinking? An analysis of contributing factors and recommendations.

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Title: Do patient safety incident investigations align with systems thinking? An analysis of contributing factors and recommendations.
Authors: Bowditch L; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia., Molloy C; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia.; IIMPACT in Health, Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia., King B; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia.; University of the Sunshine Coast Centre for Human Factors and Sociotechnical Systems, Sippy Downs, Queensland, Australia., Abedi M; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia.; University of the Sunshine Coast Centre for Human Factors and Sociotechnical Systems, Sippy Downs, Queensland, Australia., Jackson S; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia.; University of the Sunshine Coast Centre for Human Factors and Sociotechnical Systems, Sippy Downs, Queensland, Australia., Bierbaum M; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia., Yu Y; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia., Raggett L; Nomic Research, North Turramurra, Sydney, New South Wales, Australia., Salmon P; University of the Sunshine Coast Centre for Human Factors and Sociotechnical Systems, Sippy Downs, Queensland, Australia., Braithwaite J; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia., Westbrook JI; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia., Clay-Williams R; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia., Lingam R; UNSW School of Clinical Medicine, Sydney, New South Wales, Australia., Middleton S; Nursing Research Institute - St Vincent's Health Network Sydney & St Vincent's Hospital, Melbourne, Victoria, Australia.; Australian Catholic University School of Nursing Midwifery and Paramedicine Melbourne Campus, Sydney, New South Wales, Australia., Magrabi F; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia., Mumford V; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia., Hibbert P; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia peter.hibbert@mq.edu.au.; IIMPACT in Health, Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.
Source: BMJ quality & safety [BMJ Qual Saf] 2026 Jun 18; Vol. 35 (7), pp. 443-455. Date of Electronic Publication: 2026 Jun 18.
Publication Type: Journal Article
Journal Info: Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 101546984 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-5423 (Electronic) Linking ISSN: 20445415 NLM ISO Abbreviation: BMJ Qual Saf Subsets: MEDLINE
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  Data: Do patient safety incident investigations align with systems thinking? An analysis of contributing factors and recommendations.
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  Data: <searchLink fieldCode="AU" term="%22Bowditch+L%22">Bowditch L</searchLink>; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia.<br /><searchLink fieldCode="AU" term="%22Molloy+C%22">Molloy C</searchLink>; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia.; IIMPACT in Health, Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.<br /><searchLink fieldCode="AU" term="%22King+B%22">King B</searchLink>; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia.; University of the Sunshine Coast Centre for Human Factors and Sociotechnical Systems, Sippy Downs, Queensland, Australia.<br /><searchLink fieldCode="AU" term="%22Abedi+M%22">Abedi M</searchLink>; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia.; University of the Sunshine Coast Centre for Human Factors and Sociotechnical Systems, Sippy Downs, Queensland, Australia.<br /><searchLink fieldCode="AU" term="%22Jackson+S%22">Jackson S</searchLink>; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia.; University of the Sunshine Coast Centre for Human Factors and Sociotechnical Systems, Sippy Downs, Queensland, Australia.<br /><searchLink fieldCode="AU" term="%22Bierbaum+M%22">Bierbaum M</searchLink>; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia.<br /><searchLink fieldCode="AU" term="%22Yu+Y%22">Yu Y</searchLink>; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia.<br /><searchLink fieldCode="AU" term="%22Raggett+L%22">Raggett L</searchLink>; Nomic Research, North Turramurra, Sydney, New South Wales, Australia.<br /><searchLink fieldCode="AU" term="%22Salmon+P%22">Salmon P</searchLink>; University of the Sunshine Coast Centre for Human Factors and Sociotechnical Systems, Sippy Downs, Queensland, Australia.<br /><searchLink fieldCode="AU" term="%22Braithwaite+J%22">Braithwaite J</searchLink>; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia.<br /><searchLink fieldCode="AU" term="%22Westbrook+JI%22">Westbrook JI</searchLink>; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia.<br /><searchLink fieldCode="AU" term="%22Clay-Williams+R%22">Clay-Williams R</searchLink>; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia.<br /><searchLink fieldCode="AU" term="%22Lingam+R%22">Lingam R</searchLink>; UNSW School of Clinical Medicine, Sydney, New South Wales, Australia.<br /><searchLink fieldCode="AU" term="%22Middleton+S%22">Middleton S</searchLink>; Nursing Research Institute - St Vincent's Health Network Sydney & St Vincent's Hospital, Melbourne, Victoria, Australia.; Australian Catholic University School of Nursing Midwifery and Paramedicine Melbourne Campus, Sydney, New South Wales, Australia.<br /><searchLink fieldCode="AU" term="%22Magrabi+F%22">Magrabi F</searchLink>; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia.<br /><searchLink fieldCode="AU" term="%22Mumford+V%22">Mumford V</searchLink>; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia.<br /><searchLink fieldCode="AU" term="%22Hibbert+P%22">Hibbert P</searchLink>; Macquarie University Australian Institute of Health Innovation, Sydney, New South Wales, Australia peter.hibbert@mq.edu.au.; IIMPACT in Health, Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.
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