March 8, 2008 | Mark Paradies

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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