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AI-first, expert-verified: validating generative AI for HFACS-based coding of healthcare RCA transcripts with governance considerations.

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Title: AI-first, expert-verified: validating generative AI for HFACS-based coding of healthcare RCA transcripts with governance considerations.
Authors: Lee JY; Center for Quality Management, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan., Huang CH; Division of Infectious Disease, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.; College of Medicine, Fu Jen Catholic University, New Taipei, Taiwan., Hsieh CH; Department of General Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.; College of Science and Engineering, Fu Jen Catholic University, New Taipei City, Taiwan., Lin CS; Department of Information Technology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.; Department of Human Resources, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan., Yang PC; Nursing Department, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan., Lai YL; Department of Information Technology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan., Yeh CA; Center for Quality Management, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan., Tien CJ; Legal Affairs Office, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan., Chang JT; Center for Quality Management, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.; College of Medicine, Fu Jen Catholic University, New Taipei, Taiwan.; Division of Nephrology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Source: International journal for quality in health care : journal of the International Society for Quality in Health Care [Int J Qual Health Care] 2026 Apr 13; Vol. 38 (2).
Publication Type: Journal Article; Validation Study
Journal Info: Publisher: Oxford University Press Country of Publication: England NLM ID: 9434628 Publication Model: Print Cited Medium: Internet ISSN: 1464-3677 (Electronic) Linking ISSN: 13534505 NLM ISO Abbreviation: Int J Qual Health Care Subsets: MEDLINE
Database: MEDLINE Ultimate
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  Data: <searchLink fieldCode="AU" term="%22Lee+JY%22">Lee JY</searchLink>; Center for Quality Management, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.<br /><searchLink fieldCode="AU" term="%22Huang+CH%22">Huang CH</searchLink>; Division of Infectious Disease, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.; College of Medicine, Fu Jen Catholic University, New Taipei, Taiwan.<br /><searchLink fieldCode="AU" term="%22Hsieh+CH%22">Hsieh CH</searchLink>; Department of General Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.; College of Science and Engineering, Fu Jen Catholic University, New Taipei City, Taiwan.<br /><searchLink fieldCode="AU" term="%22Lin+CS%22">Lin CS</searchLink>; Department of Information Technology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.; Department of Human Resources, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.<br /><searchLink fieldCode="AU" term="%22Yang+PC%22">Yang PC</searchLink>; Nursing Department, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.<br /><searchLink fieldCode="AU" term="%22Lai+YL%22">Lai YL</searchLink>; Department of Information Technology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.<br /><searchLink fieldCode="AU" term="%22Yeh+CA%22">Yeh CA</searchLink>; Center for Quality Management, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.<br /><searchLink fieldCode="AU" term="%22Tien+CJ%22">Tien CJ</searchLink>; Legal Affairs Office, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.<br /><searchLink fieldCode="AU" term="%22Chang+JT%22">Chang JT</searchLink>; Center for Quality Management, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.; College of Medicine, Fu Jen Catholic University, New Taipei, Taiwan.; Division of Nephrology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Oxford+University+Press%22">Oxford University Press </searchLink><i>Country of Publication: </i>England <i>NLM ID: </i>9434628 <i>Publication Model: </i>Print <i>Cited Medium: </i>Internet <i>ISSN: </i>1464-3677 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2213534505%22">13534505 </searchLink><i>NLM ISO Abbreviation: </i>Int J Qual Health Care <i>Subsets: </i>MEDLINE
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        Value: 10.1093/intqhc/mzag045
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      – Code: eng
        Text: English
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      – TitleFull: AI-first, expert-verified: validating generative AI for HFACS-based coding of healthcare RCA transcripts with governance considerations.
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            – D: 13
              M: 04
              Text: 2026 Apr 13
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              Y: 2026
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