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PSNet: Patient Safety Network
Journal Article

Using simulation to improve root cause analysis of adverse surgical outcomes.

Slakey DP, Simms ER, Rennie K, et al. International journal for quality in health care : journal of the International Society for Quality in Health Care. 2014;26:144-50.

Comparing the use of case simulation with root cause analysis for investigating adverse surgical outcomes, this study found that simulating the event identified more system errors and focused less on individual errors. This result supports wider implementation of simulation for evaluating adverse events.