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Study
Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit.
October 26, 2005
Nast PA, Avidan M, Harris CB, et al. J Thorac Cardiovasc Surg. 2005;130(4):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.
