Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

S. E. Muething; P. H. Conway; E. Kloppenborg; A. Lesko; P. J. Schoettker; M. Seid; U. Kotagal

Study

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

October 30, 2010

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19(5):435-9.

View more articles from the same authors.

In this study, investigators identified possible medication errors using trigger tools, and a multidisciplinary team conducted real-time analyses to identify underlying system flaws contributing to the errors.

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