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Patrick Craig-Mcfeely

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  1. E12e9eb7365e8d93158051e893c5fcb5

    Just a cup of tea – An introduction to the SEIPS framework (21 March 2023)

    Patrick Craig-Mcfeely commented on Patient-Safety-Learning's article in Investigations, risk management and legal issues
    45 years ago at a major hospital a cleaner couldn't find a free plug for her vacuum cleaner - so took one out, plugged in, did her job and then plugged the original one back in. Would have been fine if it hadn't been the ventilator. The kettle / fridge exchange reminded me of this and that disconnecting plugs that need to be on the whole time was a periodically recurring event during my working career (as was turning off switches to save electricity without realising that some things do need to stay switched on - like the main server).
Registered address: Patient Safety Learning, China Works SB203, 100 Black Prince Road Vauxhall, London, SE1 7SJ

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