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8. Complexity — patientsafe

Recently a tragic mix up where oxygen tubing was connected to a urinary catheter resulted in the death of ex-Socceroo Steve Herczeg (see here). ‘How can anyone make this mistake?’ Unfortunately events like this occur regularly – we often only here of them via the media – our error report systems lacking transparency (see here). […]

via 8. Complexity — patientsafe

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