title: Using aggregate root cause analysis to improve patient safety.
abstract: The authors describe use of aggregate root cause analysis, which provides a systematic process for analyzing high-priority, frequent events.
authors.affiliation: Veterans Health Administration (VHA) National Center for Patient Safety (NCPS), White River Junction VA Medical Center (VAMC), White River Junction, Vermont, USA.
authors.forename: Julia
authors.initials: J
authors.lastname: Neily
authors.forename: Greg
authors.initials: G
authors.lastname: Ogrinc
authors.forename: Peter
authors.initials: P
authors.lastname: Mills
authors.forename: Rodney
authors.initials: R
authors.lastname: Williams
authors.forename: Erik
authors.initials: E
authors.lastname: Stalhandske
authors.forename: James
authors.initials: J
authors.lastname: Bagian
authors.forename: William B
authors.initials: WB
authors.lastname: Weeks
mesh_terms: D006787:Hospitals, Veterans / Q000592:standards*; D006801:Humans; D010934:Planning Techniques; D017064:Process Assessment, Health Care / Q000379:methods*; D012308:Risk Management / Q000379:methods; D017751:Safety Management / Q000379:methods*; D012985:Software Design; D013597:Systems Analysis; D014481:United States; D014493:United States Department of Veterans Affairs