The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental health services.
Vrklevski LP, McKechnie L, OʼConnor N. The Causes of Their Death Appear (Unto Our Shame Perpetual): Why Root Cause Analysis Is Not the Best Model for Error Investigation in Mental Health Services. J Patient Saf. 2018;14(1):41-48. doi:10.1097/PTS.0000000000000169.