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Learning from adverse events and near misses.
Greenberg CC. J Gastrointest Surg. 2008;13:3-5.
This commentary explains how identifying
latent conditions
and system vulnerabilities in the operating room can help prevent future errors.
PubMed citation
Available at
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Resource Type
Commentary
Setting of Care
Operating Room
Target Audience
Health Care Providers
Quality and Safety Professionals
Clinical Area
Surgery
Safety Target
Surgical Complications
Error Types
Epidemiology of Errors and Adverse Events
Latent Errors
Near Miss
Approach to Improving Safety
Error Reporting and Analysis
Origin/Sponsor
United States of America