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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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Bibliografski detalji
Glavni autori: Lee, Robert C, Cooke, David L, Richards, Michael
Format: Artigo
Jezik:Inglês
Izdano: BioMed Central 2009
Teme:
Online pristup: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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