Journal Article
Commentary

Investigating the causes of adverse events.

Sanchez JA, Lobdell KW, Moffatt-Bruce SD, et al. The Annals of thoracic surgery. 2017;103:1693-1699.

Incident analysis enables learning from errors. This commentary explores elements of successful event investigation such as determining causal factors, describes root cause analysis, and reviews biases that can influence such investigations.