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Beyond the organisational accident: the need for "error wisdom" on the frontline
Complex, well defended, high technology systems are subject to rare but usually catastrophic organisational accidents in which a variety of contributing factors combine to breach the many barriers and safeguards. To the extent that healthcare institutions share these properties, they too are subject...
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| Formato: | Artigo |
| Idioma: | Inglês |
| Publicado em: |
BMJ Group
2004
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| Acesso em linha: | https://ncbi.nlm.nih.gov/pmc/articles/PMC1765802/ https://ncbi.nlm.nih.gov/pubmed/15576688 https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1136/qshc.2003.009548 |
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