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A system analysis of a suboptimal surgical experience
BACKGROUND: System analyses of incidents that occur in the process of health care delivery are rare. A case study of a series of incidents that one of the authors experienced after routine urologic surgery is presented. We interpret the sequence of events as a case of cascading incidents that result...
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| Main Authors: | , , |
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| Formato: | Artigo |
| Idioma: | Inglês |
| Publicado: |
BioMed Central
2009
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| Assuntos: | |
| Acceso en liña: | https://ncbi.nlm.nih.gov/pmc/articles/PMC2628884/ https://ncbi.nlm.nih.gov/pubmed/19126219 https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1186/1754-9493-3-1 |
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