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An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
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Related Experiment Video

Updated: May 12, 2026

Setup and Execution Of the Blindfolded Code Training Exercise
05:25

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Published on: March 29, 2019

Systemic accident analysis: examining the gap between research and practice.

Peter Underwood1, Patrick Waterson

  • 1Loughborough Design School, Loughborough University, Loughborough, Leicestershire, LE11 3TU, UK. p.j.underwood@lboro.ac.uk

Accident; Analysis and Prevention
|April 2, 2013
PubMed
Summary
This summary is machine-generated.

Systemic accident analysis (SAA) methods are underutilized due to a research-practice gap. Bridging this gap requires aligning SAA techniques with practitioner needs and enhancing communication of research findings.

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Area of Science:

  • Safety Science
  • Accident Analysis
  • Human Factors Engineering

Background:

  • The systems approach is a dominant concept in accident analysis research.
  • Systemic accident analysis (SAA) models offer improved descriptions of accident causation.
  • A significant research-practice gap exists, with SAA techniques underutilized in real-world applications.

Purpose of the Study:

  • To explore barriers hindering the awareness, adoption, and usage of SAA in practice.
  • To identify factors contributing to the research-practice gap in accident analysis.
  • To provide recommendations for closing the identified gap.

Main Methods:

  • Conducted semi-structured interviews with 42 safety experts.
  • Included experts from diverse industries (rail, aviation, maritime) and ten countries.
  • Qualitative data analysis to identify themes related to SAA adoption.

Main Results:

  • Identified key issues hindering the practical application of SAA.
  • Confirmed the existence and nature of the research-practice gap in accident analysis.
  • Highlighted the need for SAA methods to better meet practitioner requirements.

Conclusions:

  • The research-practice gap in SAA needs to be actively closed.
  • Efforts should focus on tailoring systemic methods to practitioner needs.
  • Improved communication of SAA research is crucial for wider adoption.