2Worster A,Femandes CMB,Malcolmson C,et al.Identification of root causes for emergency diagnostic imaging delays atthree Canadian hospitals[J].J Emerg Nurs,2006,32(4):276-280.
3Eagle CJ,Davies JM,Reason J.Accident analysis of large-scale technological disasters applied to an anaesthetic complication[J].Can J Anaesth,1992,39:118 -122.
4Rex JH.Turnbull JE,Allen SJ.Vande Voorde K,Luther K.Systematic root cause analysis of adverse drug events in a tertiary referal hospital[J].Jt Comm J QualImprov,2000,26:563-575.
5Runciman WB,Sellen A,Webb RK,Williamson JA,Currie M,Morgan C,et al.The Australian Incident Monitoring Study,Errors,incidents and accidents in anaesthetic practice[J].Aanesth Intensive Care,1993,21:506-519.
6Leape LL.Error in medicine[J].JAMA,1994,272:1851-1857.
7Berman S.Identifying and addressing sentinel events:an interview with Richard Croteau[J].Jt Comm J QuaI Improv,1998,24:426-434.
8National Patient Safety Agency.RCA training and RCA toolkit[J/OL].Availableathttp://www.npsa.nhs.uk/health/re-sources/root_cause_analysis.Accessed November,23,2006.
9Boyer MM.Root cause analysis in patient care:health care profes sionals creating safer health caresystem[J].J Perinat Neonatal Nurs,2001,15(1):40-54.
10Perkins JD,Levy AE,Duncan JB,et al.Using root cause analysis to improve survivalin a livertransplant program[J].J Surg Res,2005,129:6-16.
