title: Special report on sentinel events. Hermann Hospital: using root cause analysis.
authors.affiliation: Hermann Hospital, Houston, TX, USA.
authors.forename: J E
authors.initials: JE
authors.lastname: Turnbull
mesh_terms: D000056:Accident Prevention; D002423:Cause of Death; D062787:Drug Overdose; D006786:Hospitals, Urban / Q000592:standards*; D006801:Humans; D007231:Infant, Newborn; D007591:Joint Commission on Accreditation of Healthcare Organizations; D008508:Medication Errors; D019982:Organizational Case Studies; D011340:Problem Solving; D012308:Risk Management / Q000379:methods*; D018571:Sentinel Surveillance; D013781:Texas