Investigating the causes of adverse events.

Juan A. Sanchez; Kevin W. Lobdell; Susan D. Moffatt-Bruce; James Fann

Commentary

Investigating the causes of adverse events.

June 7, 2017

Sanchez JA, Lobdell KW, Moffatt-Bruce SD, et al. Ann Thorac Surg. 2017;103(6):1693-1699.

View more articles from the same authors.

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.

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Epidemiology of Errors and Adverse Events

Root Cause Analysis

Investigating the causes of adverse events.

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