Narrow Results Clear All
Search results for "Commentary"
Journal Article > Commentary
Macrae C. BMJ Qual Saf. 2014;23;440-445.
This commentary examines how minor risks, when propagated and not addressed, may result in organizational disasters, as evidenced in the Francis report. The author advocates for early detection of workarounds and routine investigations into system causes of errors to reveal latent safety hazards in health care.