Chwat, C., M. Seisdedos, P. Cingolani, F. Iudica, and G. Lemme. “‘Never Event’ in Surgery: Root-Cause Analysis”. Revista Argentina De Cirugía, vol. 115, no. 1, Feb. 2023, pp. 52-64, https://revista.aac.org.ar/index.php/RevArgentCirug/article/view/587.