One of the things that's really frustrating me about the reporting of this study is the language The study looked at "potentially preventable harm". That is NOT the same as "medical mistakes"pic.twitter.com/DJ3QjnZAJP
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Also, the fact that you can make a modification to prevent something doesn't mean that it was preventable AT THE TIME
So what? For instance, failure to ask about potential drug interactions before infusing for radio imagery...would potentially be a system error. BTW, hundreds a year die from this. Sweep it under the rug? Not a chance.
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