Research map: Beyond root cause analysis: a practical systems engineering approach to incident investigation in histopathology

Back to the article

Papers in this map

  1. Work system design for patient safety: the SEIPS model · Pascale Carayon · 2006 · 1791 citations · Cited by this paper
  2. Tumours presenting as sudden death: the Sheffield children’s experience · 2026 · Related
  3. Resilient health care: turning patient safety on its head · Jeffrey Braithwaite · 2015 · 616 citations · Cited by this paper
  4. Developing a national proficiency testing programme for biospecimens: the Thailand Biobank Consortium experience · 2026 · Related
  5. Using Health Care Failure Mode and Effect Analysis™: The VA National Center for Patient Safety’s Prospective Risk Analysis System · Joseph DeRosier · 2002 · 612 citations · Cited by this paper
  6. Mesenchymal neoplasms with RAF/BRAF alterations: eight cases revealing novel fusions, V600E mutation and clonal evolution · 2026 · Related
  7. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses · Stephen Spencer Raab · 2005 · 194 citations · Cited by this paper
  8. A classification criteria-based gating strategy improves anti-neutrophil cytoplasmic antibody (ANCA) testing performance characteristics for the diagnosis of ANCA-associated vasculitis · 2026 · Related
  9. The problem with ‘5 whys’ · Alan J. Card · 2016 · 97 citations · Cited by this paper
  10. Frequent synaptophysin expression in SMARCA4-deficient undifferentiated carcinoma of the oesophagus: a diagnostic pitfall with therapeutic implications · 2026 · Related
  11. Review of diagnostic error in anatomical pathology and the role and value of second opinions in error prevention · Martyn Peck · 2018 · 79 citations · Cited by this paper
  12. Previously unrecognised gene fusions across diverse solid tumours identified by anchored multiplex RNA sequencing · 2026 · Related
  13. Failure mode and effects analysis and fault tree analysis of surface image guided cranial radiosurgery · Ryan P. Manger · 2015 · 77 citations · Cited by this paper
  14. Keratin 7 immunohistochemistry reveals patterns of cell populations in liver biopsies from patients with MASLD · 2026 · Related
  15. Error in Surgical Pathology · David B. Troxel · 2004 · 63 citations · Cited by this paper
  16. Acute myeloid leukaemia (AML) harbouring KMT2A -PTD: should it be considered as a myelodysplasia-related abnormality? · 2026 · Related
  17. Detecting and preventing the occurrence of errors in the practices of laboratory medicine and anatomic pathology: 15 years' experience with the College of American Pathologists' Q-PROBES and Q-TRACKS programs · David A. Novis · 2004 · 57 citations · Cited by this paper
  18. Population-level evaluation of diagnostic categorisation and cost implications on transitioning from total vitamin B12 to active B12 assay · 2026 · Related
  19. Automated identification of extreme-risk events in clinical incident reports · Mei‐Sing Ong · 2012 · 45 citations · Cited by this paper
  20. Polyp-forming Dieulafoy lesion of the rectum · 2026 · Related
  21. Error Reduction in Surgical Pathology · Raouf E. Nakhleh · 2006 · 42 citations · Cited by this paper
  22. Comparison of Disagreement and Error Rates for Three Types of Interdepartmental Consultations · Andrew A. Renshaw · 2005 · 31 citations · Cited by this paper
  23. Quality and safety aspects in histopathology laboratory · Maji Jose · 2013 · 27 citations · Cited by this paper
  24. Systems-based investigation of patient safety incidents · Sean Weaver · 2021 · 27 citations · Cited by this paper
  25. Implementing root cause analysis in Iranian hospitals: challenges and benefits · Zhaleh Abdi · 2016 · 20 citations · Cited by this paper
  26. Remote clinics: a panacea during the pandemic or a promoter of health inequality? · Ashley Mehmi · 2020 · 20 citations · Cited by this paper
  27. Implementing a human factors approach to RCA2: Tools, processes and strategies · Douglas A. Wiegmann · 2020 · 20 citations · Cited by this paper
  28. The Causes of Their Death Appear (Unto Our Shame Perpetual): Why Root Cause Analysis Is Not the Best Model for Error Investigation in Mental Health Services · Lila Petar Vrklevski · 2015 · 19 citations · Cited by this paper
  29. More than meets the eye: the changing face of histopathology · James C E Underwood · 2016 · 16 citations · Cited by this paper
  30. Diagnostic Pitfalls in Surgical Pathology—Discovered by a Review of Malpractice Claims · David B. Troxel · 2001 · 15 citations · Cited by this paper
  31. A review of accident models and incident analysis techniques · Lawrence M. Wong · 2025 · 12 citations · Cited by this paper
  32. Errors in Surgical Pathology Reports: a Study from a Major Center in Pakistan · Zubair Ahmad · 2016 · 11 citations · Cited by this paper
  33. What are the experiences of team members involved in root cause analysis? A qualitative study · Ruth Willis · 2023 · 8 citations · Cited by this paper
  34. Diagnostic Discordance and Error in Breast Pathology: Causes, Classifications, and Medicolegal Implications · Emad A. Rakha · 2025 · 8 citations · Cited by this paper
  35. How Were Patient Safety Incidents Responded to, Investigated, and Learned From Within the English National Health Service Before the Implementation of the Patient Safety Incident Response Framework? A Rapid Review · Gemma Louch · 2025 · 6 citations · Cited by this paper
  36. Human Factors and Prevention of Medical Errors · Mahdi Jalali · 2025 · 4 citations · Cited by this paper
  37. Hospital managers’ experiences of conducting a root cause analysis: a case study following a sentinel event · Silje Liepelt · 2025 · 4 citations · Cited by this paper
  38. Application of the bow-tie analysis to improve patient safety – a lesson learned from clinical practice · Rositsa Dimova · 2024 · 2 citations · Cited by this paper
  39. Tracing Missing Surgical Specimens: A Quality Improvement Strategy for Adverse Events Based on Root Cause Analysis · Li-Li Huang · 2025 · 2 citations · Cited by this paper

Source: OpenAlex (CC0)