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Browsing University of Hertfordshire by Author "Doyle, Y."
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The anatomy, physiology and pathogenesis of a significant untoward incident
Offredy, M.; Rhodes, M.; Doyle, Y. (2009)This paper provides a structured chronology of an investigation into a significant untoward incident in an elderly care ward. Using Reason's Swiss Cheese Model, which has become one of the dominant paradigms for analysing ...