Investigating the causes of adverse events. | AHRQ Patient Safety Network

Investigating the causes of adverse events. | AHRQ Patient Safety Network

• Commentary
 
• Published May 2017

Investigating the causes of adverse events.

Sanchez JA, Lobdell KW, Moffatt-Bruce SD, Fann JI. Ann Thorac Surg. 2017;103:1693-1699.

Incident analysis enables learning from errors. This commentary explores elements of successful event investigation such as determining causal factors, describes root cause analysis, and reviews biases that can influence such investigations.

PubMed citationAvailable at

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