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- W2016536768 abstract "The public, healthcare commissioners and regulators rightly seek assurances about delivery of reliable, high-quality surgical care. The Department of health's 'never events' framework 1 specifically lists patient misidentification, wrong-site surgery and retained swabs and instruments as unacceptable occurrences. Professional conversations reveal many seemingly inconsequential daily occurrences that have an impact on patient outcome and ongoing management. Unfortunately, many of these incidents are not reported formally by those involved, which limits the opportunity for professionals and organisations to learn from subsequent analysis." @default.
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- W2016536768 date "2012-05-01" @default.
- W2016536768 modified "2023-10-11" @default.
- W2016536768 title "Making the Operating Theatre a 'High-Reliability' Environment" @default.
- W2016536768 doi "https://doi.org/10.1308/147363512x13311314195574" @default.
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