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Sidney T. Bogardus, Jr., MD; April 2003
Delirious and coagulopathic patient with subdural hematomas falls out of bedtwice!
Bostock L, Bairstow S, Fish S, Macleod F. London, England: Social Care Institute for Excellence; 2005. ISBN: 1904812279.
This report suggests that a systems approach to child social services in Great Britain would facilitate a fair and open culture and encourage learning from near misses.