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Disease Model: a Simplified Approach for Analysis and Management of Human Error: A Quality Improvement Study
During 6 weeks, we had 4 incidents of echocardiography machine malfunction. There were 3 in the operating room, which were damaged due to intravenous (IV) fluid spillage over the keyboard of the machine leading to burning of the keyboard electric connection, and 1 in the cardiology department, which...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Wolters Kluwer Health
2015
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4602510/ https://www.ncbi.nlm.nih.gov/pubmed/25881848 http://dx.doi.org/10.1097/MD.0000000000000711 |