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Applying root cause analysis to improve patient safety: decreasing falls in postpartum women.
Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.1136/qshc.2008.028787.
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March 23, 2011
Chen K-H, Chen L-R, Su S. Qual Saf Health Care. 2010;19(2):138-43.
This Taiwanese study used root cause analysis to identify causal factors for falls in postpartum women, and used the findings to design a quality improvement intervention that significantly reduced the fall rate over a 6-month period.
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