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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...
| Autores principales: | , , |
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| Formato: | Texto |
| Lenguaje: | English |
| Publicado: |
BioMed Central
2009
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| Materias: | |
| Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2628884/ https://www.ncbi.nlm.nih.gov/pubmed/19126219 http://dx.doi.org/10.1186/1754-9493-3-1 |