Journal Article

Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit.

Nast PA, Avidan M, Harris CB, et al. The Journal of thoracic and cardiovascular surgery. 2005;130:1137.

The authors describe the successful implementation of an AHRQ-supported voluntary reporting system. They conclude that classification of causal factors promotes patient safety improvement.