title: Manage sentinel events by fixing root causes.
authors.forename: P
authors.initials: P
authors.lastname: Spath
mesh_terms: D003219:Confidentiality; D003363:Cost Control; D006801:Humans; D007591:Joint Commission on Accreditation of Healthcare Organizations; D019300:Medical Errors; D011785:Quality Assurance, Health Care; D012308:Risk Management / Q000592:standards*; D014481:United States