Journal Article

Characteristics of patient care management problems identified in emergency department morbidity and mortality investigations during 15 years.

Cosby KS; Roberts R; Palivos L; Ross C; Schaider J; Sherman S; Nasr I; Couture E; Lee M; Schabowski S; Ahmad I; Scott RD II.

This study describes a framework for conducting retrospective case analyses and points out the most common contributing factors to patient problems, including management of clinical tasks and poor teamwork.