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Building safer systems through critical occurrence reviews: nine years of learning.

Stevens P, Campbell J, Urmson L, et al. Building safer systems through critical occurrence reviews: nine years of learning. Healthc Q. 2010;13 Spec No:74-80.

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November 10, 2010
Stevens P, Campbell J, Urmson L, et al. Healthc Q. 2010;13 Spec No:74-80.

This article describes how a children's hospital used root cause analysis to drive improvements in patient safety.