Incidence and causes of critical incidents in emergency departments: a comparison and root cause analysis.
Thomas M, Mackway-Jones K. Incidence and causes of critical incidents in emergency departments: a comparison and root cause analysis. Emerg Med J. 2008;25(6):346-50. doi:10.1136/emj.2007.054528.
This observational study used root cause analysis to analyze system and human factors that contributed to critical incidents in which emergency department patients experienced preventable harm.