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A system analysis of a suboptimal surgical experience.

Lee RC, Cooke DL, Richards M. A system analysis of a suboptimal surgical experience. Patient Saf Surg. 2009;3(1):1. doi:10.1186/1754-9493-3-1.

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February 4, 2009
Lee RC, Cooke DL, Richards M. Patient Saf Surg. 2009;3(1):1.

A post-surgical complication experienced by one of the authors—himself a patient safety researcher—is examined in detail using root cause analysis.

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Lee RC, Cooke DL, Richards M. A system analysis of a suboptimal surgical experience. Patient Saf Surg. 2009;3(1):1. doi:10.1186/1754-9493-3-1.

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