Skip Navigation
The Collection >
Building safer systems through critical occurrence reviews: nine years of learning.
Stevens P, Campbell J, Urmson L, Damignani R. Healthc Q. 2010;13:74-80.

This article describes how a children's hospital used root cause analysis to drive improvements in patient safety.
PubMed citation icon indicating hyperlink to external website
Free full text icon indicating hyperlink to external website
white box
Related Resources
STUDY
Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.
Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.
STUDY
Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.
Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.
STUDY
Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.
Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.
STUDY
Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions.
van Walraven C, Jennings A, Taljaard M, et al. CMAJ. 2011;183:E1067-E1072.
View all related resources...
white box
Download: Adobe Reader   email icon Email
tan box
white box