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Learning from every death (March 2014)

by Patient Safety Learning

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Summary

This commentary describes how design and implementation of an institutional mortality review system evolved over 10 years. The reporting program offers insights about how to promote and enhance organizational learning.

Learning from every death (March 2014) https://journals.lww.com/journalpatientsafety/citation/2014/03000/learning_from_every_death.2.aspx
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