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What If Every Hospital Learned From Every Other Hospital’s Safety Incidents?
On Thursday, I wrote about the death of Donald Gough at the University Hospital of Wales in Cardiff. He received insulin during liver surgery even though he was not diabetic and had no clinical reason to be given it. That post was about one hospital. This one is about learning from patient safety incidents everywhere else. The hospital made changes after the inquest. Insulin is no longer kept in the fridges in the anesthetists' room. […] The post What If Every Hospital Learned From Every Other Hospital’s Safety Incidents? by Mark Graban appeared first at Lean Blog by Mark Graban.
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