Fatal Hospital Sentinel Event in Australia Caused By Combination of Errors and Failures
This short newspaper article starts to provide the information needed to draw a SnapCharT® that would have many Causal Factors. Read the story and then try drawing a SnapCharT®.
Link to story:
http://www.news.com.au/heraldsun/story/0,21985,23323474-29277,00.html
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This entry was posted
on Saturday, March 8th, 2008 at 5:26 am and is filed under Accidents, Current Events, Investigations, Medical/Healthcare, Root Causes.
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