Journal Article

An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system.

Hagley GW, Mills PD, Shiner B, et al. Physical therapy. 2018;98:223-230.

This analysis of the Veterans Health Administration root cause analysis database identified adverse events that occurred during rehabilitation services, such as physical therapy, occupational therapy, or speech and language therapy. Rehabilitation-related adverse events were extremely rare. The most common incidents were falls and delayed response to clinical deterioration.