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Investigating the Causes of Adverse Events

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Presentation on theme: "Investigating the Causes of Adverse Events"— Presentation transcript:

1 Investigating the Causes of Adverse Events
Juan A. Sanchez, MD, Kevin W. Lobdell, MD, Susan D. Moffatt-Bruce, MD, PhD, James I. Fann, MD  The Annals of Thoracic Surgery  Volume 103, Issue 6, Pages (June 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 The cause-and-effect (or Ishikawa) diagram is one of several basic tools that can be used in a root cause analysis to show causal relationships and contributory factors leading to an adverse event [10, 15, 21]. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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