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. 2014 Nov;107(11):439-43.
doi: 10.1177/0141076814555939. Epub 2014 Oct 30.

Learning from failure: the need for independent safety investigation in healthcare

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Learning from failure: the need for independent safety investigation in healthcare

Carl Macrae et al. J R Soc Med. 2014 Nov.
No abstract available

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Comment in

  • The demise of gatekeeping in primary care.
    Abbasi K. Abbasi K. J R Soc Med. 2014 Nov;107(11):427. doi: 10.1177/0141076814557606. J R Soc Med. 2014. PMID: 25377733 Free PMC article. No abstract available.
  • Independent safety investigation.
    Buttolph M. Buttolph M. J R Soc Med. 2015 Apr;108(4):122. doi: 10.1177/0141076815569152. J R Soc Med. 2015. PMID: 25899021 Free PMC article. No abstract available.

References

    1. Department of Health. An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer, London: Department of Health, 2000.
    1. National Advisory Group on the Safety of Patients in England. A Promise to Learn – A Commitment to Act, London: Department of Health, 2013.
    1. Toft B. External Inquiry into the Adverse Incident that Occurred at Queen's Medical Centre, Nottingham, 4th January 2001, London: Department of Health, 2001.
    1. Healthcare Commission. Investigation into Mid Staffordshire NHS Foundation Trust, London: Healthcare Commission, 2009.
    1. Francis R. Independent Inquiry into Care Provided by Mid Staffordshire NHS Foundation Trust January 2005–March 2009, London: The Stationery Office, 2010.

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