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Commentary

Not again!

Berwick DM. Not again!. BMJ. 2001;322(7281):247-8.

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July 20, 2005
Berwick DM. BMJ. 2001;322(7281):247-8.

In this editorial, the author responds to an error involving intrathecal administration of vincristine and emphasizes that a commitment to design change can improve safety.