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Perfecting Detection: Understanding the Source of Harm.

Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association; 2017.

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February 21, 2018
Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association; 2017.

This annual publication provides common cause analyses of incidents submitted to a pediatric patient safety organization and highlights the successful outcomes of the collaborative's activities, such as safe table meetings and a policy revision to guide retained surgical item reduction efforts.

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Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association; 2017.

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