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This study describes the short-term impacts of an on-site team of practising clinicians (Clinical Liaison Service, CLS), in enhancing the Coroner’s investigation for the prevention of healthcare-related deaths.An internal observational program evaluation was conducted where objective and externally verifiable achievements of CLS over a six-year period were provided in relation to definable program...
Patients suffer preventable harm from their medical treatment. The traditional approaches to investigating medical treatment related deaths are the ‘hospital mortality audit’ and legal or coroners investigation.The aim is to describe how the patient safety movement in the late 1990s is changing traditional approaches to the investigation.The prevention of medical treatment related death involves an...
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