2Neal LA,Watson D,Hicks T, et al.Root cause analysis applied to the investigation of serious untoward incidents in mental health services. Psychiatr Bull,2004(28):75-77.
3Choksi VR,Marn C,Piotrowski MM,et al. Illustrating the rootpcause-analysis process:creation of a safety for the notification of critical findings in diagnostic imaging.J Am Coil Radiol,2005(2):768-776.
4Perkin JD,Levy AE,Duncan JB,et al.Using root cause analysis to improve survival in a liver transplant program.J Surg Res,2005(129):6-16.
5财团法人医院评鉴暨医疗品质策进会.根本原因分析法影片手册教材,2006—12-31.
6Joint Commission on Accreditation of Healthcare Organizations.Root cause analysis in health care. Oakbrook Terrace:Joint Commission on Accreditation of Healthcare Organizations,2005.
7Reason J.Human Error:models and management. BMJ,2000(320):768 -770.
8Bagian JP, Lee C,Gosbee J, et al.Developing and deploying a patient safety program in a large health care delivery system:You can't fix what you don't know about. Joint Commission Journal of Quality and Patient Safety,2005,27(10):522-532.
