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Study
Preventing wrong site, procedure, and patient events using a common cause analysis.
January 4, 2012
Mallett R, Conroy M, Saslaw LZ, et al. Am J Med Qual. 2012;27(1):21-9.
After several episodes of incorrect surgical procedures, a medical center conducted individual root cause analyses and summarized the findings to identify common causes of each individual error. These findings were used to implement systematic prevention measures.
