Making Sense Of Root Cause Analysis Investigations Of Surgery-Related Adverse Events

W B Saunders Co-Elsevier Inc
Publication Type:
Journal Article
Surgical Clinics of North America, 2012, 92 (1), pp. 101 - 115
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This article discusses the limitations of root cause analysis (RCA) for surgical adverse events. Making sense of adverse events involves an appreciation of the unique features in a problematic situation, which resist generalization to other contexts. The
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