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An Organisation with a Memory [Department of Health (2000)] indicates that there is a lot of repetition in failure within the healthcare delivery in the U.K. with detrimental effect to those involved. Can lessons be learnt and the cycle of repetition be broken (ibid) by the use of Reason's Br Med J (2000) 768 system approach? This paper presents an example of a Radiographic incident, which demonstrates...
The Acute Life-threatening Events-Recognition and Treatment (ALERT ) course is a one-day multidisciplinary course originally designed to give newly qualified doctors and nurses greater confidence and ability in the recognition and management of adult patients who have impending or established critical illness. It may also be suitable for many other groups of health service workers. ALERT was developed...
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