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Abstract
Medical error is a leading cause of death in the United States. The root cause analysis (RCA) process provides the framework for analysis of sentinel events and other medical errors. A thorough understanding of this process is a key component in promoting safety within the health care setting. Risk reduction strategies are presented to make this process meaningful and efficient while promoting the ultimate goal of safer health care systems.
PMID 12095006 12095006 DOI 10.1097/00005237-200106000-00006 10.1097/00005237-200106000-00006 Boyer et al. 2001, Boyer 2001