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Study
Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes.
July 8, 2009
Smits M, Janssen J, de Vet R, et al. Int J Qual Health Care. 2009;21(4):292-300.
Root cause analysis is commonly used to identify underlying system causes of adverse events. However, this study found that interrater agreement on the number and type of root causes was only moderate.
