title: Keep digging to uncover root causes. What do you do when your RCA hits dead end?
authors.affiliation: Brown-Spath & Associates, Forest Grove, OR, USA.
authors.forename: Patrice
authors.initials: P
authors.lastname: Spath
mesh_terms: D015984:Causality; D006801:Humans; D011340:Problem Solving; D017751:Safety Management / Q000379:methods*; D018571:Sentinel Surveillance; D017749:Total Quality Management / Q000458:organization & administration