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de Saint Maurice G, Auroy Y, Vincent C, Amalberti R. Qual Saf Health Care. 2010;19:327-331.
This study tracked adoption of a process-oriented safety rule and found that compliance eroded over time, with a major trigger being lack of compliance by a senior staff member. The authors provide caution about the role of policies to promote safety behaviors, particularly if such policies are not prioritized by staff as important.