viernes, 1 de mayo de 2015

AHRQ Patient Safety Network ► The Report of the Morecambe Bay Investigation.

AHRQ Patient Safety Network

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The Report of the Morecambe Bay Investigation.

Kirkup B. London, UK: The Stationery Office; 2015. ISBN: 9780108561306.

Sharing information about large-scale investigations into failures can provide insights on factors that contribute to adverse clinical incidents. This report discusses an analysis of care delivered in the maternity unit of a National Health Service Trust between 2004 and 2013 which uncovered problems that were perpetuated due to failure to look into the initial event.

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