This, unbelievably, is not a 'never event' as only a factor of 5 not 10. Mind Boggling.https://twitter.com/suziemay08/status/682503228697763840 …
@k_d85 So for it to qualify as a Never Event, the dose has to be wrong by a factor of 10 or more? Really?? That's astonishing, if so.
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@C7RKY remarkably it is even more narrowly drawn than that. Terrifying.pic.twitter.com/QITytALngU
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@k_d85 Jees... and I thought accurately identifying wrong-site surgery Never Events was problematic.
End of conversation
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