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Using aggregate root cause analysis to improve patient safety
Julia Neily1, Greg Ogrinc, Peter Mills
1Veterans Health Administration (VHA) National Center for Patient Safety (NCPS), White River Junction VA Medical Center (VAMC), White River Junction, Vermont, USA.
Joint Commission Journal on Quality and Safety
|September 5, 2003
Abstract:
The authors describe use of aggregate root cause analysis, which provides a systematic process for analyzing high-priority, frequent events.