Sentinel Events, Serious Reportable Events, and Root Cause Analysis.
Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts.
Teresa C
TC
Chen
Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Oliver D
OD
Schein
Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts.
Joan W
JW
Miller
D006801:Humans; D019300:Medical Errors; D009885:Ophthalmology / Q000592:standards*; D010348:Patient Care Team; D011785:Quality Assurance, Health Care / Q000592:standards*; D012308:Risk Management; D060891:Root Cause Analysis / Q000379:methods*; D018571:Sentinel Surveillance; D013647:Task Performance and Analysis