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PSNet: Patient Safety Network
Journal Article

An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions.

Hettinger Z, Fairbanks RJ, Hegde S, et al. Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management. 2013;33:11-20.

The authors reviewed 334 root cause analyses (RCA) using systems science principles to create a toolkit for applying RCA results to make practice changes.