An Analysis of Adverse Events in the Rehabilitation Department: Using the Veterans Affairs Root Cause Analysis System

Author:

Hagley Gregory W1,Mills Peter D2,Shiner Brian3,Hemphill Robin R4

Affiliation:

1. White River Junction VA Medical Center, White River Junction, Vermont, and Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire

2. National Center for Patient Safety, White River Junction Field Office, White River Junction, Vermont, and Geisel School of Medicine at Dartmouth, Hanover, New Hampshire

3. White River Junction VA Medical Center and Geisel School of Medicine at Dartmouth

4. Quality and Safety, VCU Health, and School of Medicine, Virginia Commonwealth University, Richmond, Virginia

Publisher

Oxford University Press (OUP)

Subject

Physical Therapy, Sports Therapy and Rehabilitation

Reference45 articles.

1. Medical error-the third leading cause of death in the US;Makary;BMJ,2016

2. The organizational costs of preventable medical errors;Weeks;Jt Comm J Qual Improv,2001

3. Standardization of adverse event terminology and reporting in orthopaedic physical therapy: application to the cervical spine;Carlesso;J Orthop Sports Phys Ther,2010

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