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PSNet: Patient Safety Network
Journal Article

Applying root cause analysis to improve patient safety: decreasing falls in postpartum women.

Chen K-H, Chen L-R, Su S. Quality & safety in health care. 2010;19:138-43.

This Taiwanese study used root cause analysis to identify causal factors for falls in postpartum women, and used the findings to design a quality improvement intervention that significantly reduced the fall rate over a 6-month period.