Patient safety in trauma: maximal impact management errors at a level I trauma center.
Ivatury RR, Guilford K, Malhotra AK, et al. Patient safety in trauma: maximal impact management errors at a level I trauma center. J Trauma. 2008;64(2):265-270; discussion 270-272. doi:10.1097/TA.0b013e318163359d.
In this study, all deaths occurring on a trauma service were reviewed in order to determine the number of preventable deaths and the root causes contributing to the adverse outcomes.