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First, do no harm. / [Part 1, A case study of systems failure]

Author: Partnership for Patient Safety.; Fred and Ted Entertainment.; Risk Management Foundation.; CRM Learning (Firm)
Publisher: Carlsbad, CA : CRM Learning, [2003]
Edition/Format:   DVD video : VHS tape : EnglishView all editions and formats
Database:WorldCat
Summary:
Dramatically illustrates how small medical failures build on each other. It helps organizations foster an increased understanding about a systems approach to patient safety. Engenders discussion about a systems-based approach to safety in health care and the ways in which small systems failures can combine to produce serious, adverse patient events.
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Material Type: Videorecording
Document Type: Visual material
All Authors / Contributors: Partnership for Patient Safety.; Fred and Ted Entertainment.; Risk Management Foundation.; CRM Learning (Firm)
OCLC Number: 52988509
Notes: Copyright date on credit frame: 2001; copyright date on DVD, in guide: 2003.
"Risk Management Foundation, Harvard Medical Institutions"--Container.
Target Audience: Health care providers.
Description: 1 videocassette (68 min., 53 sec.) : sd., col. ; 1/2 in. + 1 facilitator's guide (21 p.) + 1 DVD (4 3/4 in.) + 25 graduation certificates.
Details: VHS.
Other Titles: Case study of systems failure
Responsibility: [presented by] Partnership for Patient Safety ; a production of Fred and Ted Entertainment, Inc.

Abstract:

Dramatically illustrates how small medical failures build on each other. It helps organizations foster an increased understanding about a systems approach to patient safety. Engenders discussion about a systems-based approach to safety in health care and the ways in which small systems failures can combine to produce serious, adverse patient events.

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