title: Sentinel events, root cause analysis and the trustee.
authors.affiliation: Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Ill., USA.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Croteau
mesh_terms: D006801:Humans; D007591:Joint Commission on Accreditation of Healthcare Organizations; D019300:Medical Errors / Q000517:prevention & control*; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D018571:Sentinel Surveillance; D013597:Systems Analysis; D014341:Trustees; D014481:United States