Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis.
Freundlich RE, Grondin L, Tremper KK, et al. Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis. BMJ Qual Saf. 2012;21(10):850-4.
This case report describes root cause analysis of a sentinel event and interventions that were implemented as a result, notably a laboratory reminder system.