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The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg Health Sciences Center in 1994.
March 6, 2005
Inquest, Manitoba Pediatric Cardiac Surgery. Winnepeg, Manitoba: Provincial Court of Manitoba; 1999. ISBN 0771115164.
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A 3-year review investigating a series of deaths from a pediatric cardiac unit revealed flaws in the recruitment process, quality assurance mechanisms, treatment of nurses, staffing, and lines of authority. The report offers recommendations for necessary quality improvements.
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