7Vincent C. Understanding and responding to adverse events[J]. New England Journal of Medicine,2003,348(11) : 1051 - 1056.
8Committee on quality health care in America. Institute of Medi- cine. To err is human: Building a safer health system[M]. Wash- ington DC: National Academy Press, 1999:1.
9Keepnews D,Mitchell P. Health systems aecountability for patient safety[J]. Online Journal of Issues in Nursing, 2003,8 (3) : 2.
10Dattilo E, Constantino RE. Root cause analysis and nursing man- agement responsibilities in wrong - site surgery[J]. Dimensions of Critical Care Nursing, 2006,25 (5) : 221 - 225.