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Analisi di processo dell'intervento chirurgico

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Camera operatoria/cabina<br />

pilotaggio<br />

• We need more well-designed stu<strong>di</strong>es to validate<br />

the effectiveness of existing safety programs;<br />

• Errors of omission (for example, forgetting to<br />

provide a polyvalent pneumococcal vaccine after<br />

splenectomy) are more <strong>di</strong>fficult to uncover than<br />

errors of commission;<br />

• Safety programs should be designed to capture<br />

"near-miss" events.<br />

9

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