A system analysis of a suboptimal surgical experience.

Robert Lee; David L. Cooke; Michael R. Richards

Study

A system analysis of a suboptimal surgical experience.

June 30, 2011

Lee R, Cooke DL, Richards MR. Patient Saf Surg. 2009;3(1):1.

View more articles from the same authors.

A post-surgical complication experienced by one of the authors—himself a patient safety researcher—is examined in detail using root cause analysis.

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A system analysis of a suboptimal surgical experience.

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