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PSNet: Patient Safety Network
Journal Article

Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia.

Tjia I, Rampersad S, Varughese A, et al. Anesth Analg. 2014;119(1):122-136.

This commentary provides an overview of root cause analysis methods and describes an initiative that educated its participants in these principles to enhance understanding of serious adverse events reported among collaborating institutions. The authors suggest that utilizing this approach can help proactively inform improvement activities.