Sentinel Events, Serious Reportable Events, and Root Cause Analysis

JAMA Ophthalmol. 2015 Jun;133(6):631-2. doi: 10.1001/jamaophthalmol.2015.0672.

Authors

Teresa C Chen¹, Oliver D Schein², Joan W Miller¹

Affiliations

¹ Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts.
² Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland.

PMID: 25742139
DOI: 10.1001/jamaophthalmol.2015.0672

No abstract available

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Humans
Medical Errors*
Ophthalmology / standards*
Patient Care Team
Quality Assurance, Health Care / standards*
Risk Management
Root Cause Analysis / methods*
Sentinel Surveillance*
Task Performance and Analysis