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London, UK: Parliamentary and Health Service Ombudsman; July 18, 2016. ISBN: 9781474135764.
The National Health Service (NHS) has a history of sharing analyses of problems in its system. Summarizing an NHS investigation into the death of a 3-year-old boy, this report highlights the need to improve organizational culture, complaint follow-up, and transparency to reduce opportunities for similar incidents.
Journal Article > Study
Bourmaud A, Pacaut C, Melis A, et al. Ann Oncol. 2014;25:500-504.
Very high rates of adverse drug events have been reported in patients receiving outpatient oral chemotherapy. This survey of French oncologists found that few of them routinely used safety procedures such as education about potential adverse effects, standardized monitoring, or electronic prescribing. A 2013 Institute of Medicine report called attention to this and other persistent safety problems in cancer care, referring to it as "a system in crisis."