Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids

BACKGROUND: Catastrophic errors in healthcare are rare, yet the consequences are so serious that where possible, special procedures are put in place to prevent them. As systems become safer, it becomes progressively more difficult to detect the remaining vulnerabilities. Using inadvertent intratheca...

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Detaylı Bibliyografya
Asıl Yazarlar: Franklin, Bryony Dean, Panesar, Sukhmeet S, Vincent, Charles, Donaldson, Liam J
Materyal Türü: Artigo
Dil:Inglês
Baskı/Yayın Bilgisi: BMJ Publishing Group 2014
Konular:
Original Research
Online Erişim:https://ncbi.nlm.nih.gov/pmc/articles/PMC4145437/
https://ncbi.nlm.nih.gov/pubmed/24643293
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1136/bmjqs-2013-002572
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