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Patient safety in trauma: maximal impact management errors at a level I trauma center.
Ivatury RR, Guilford K, Malhotra AK, Duane T, Aboutanos M, Martin N. J Trauma. 2008;64:265-272.

In this study, all deaths occurring on a trauma service were reviewed in order to determine the number of preventable deaths and the root causes contributing to the adverse outcomes.
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