Dreams of patient safety

+Opinion

Dreams of patient safety

Jim Vause 2015

Jim Vause

mistake, computer, error, stress CR Elise Ventur / Unsplash
Two cases involving a failure to manage test results have recently been through the Office of the Health and Disability Commissioner [image: Elise Ventur / Unsplash]
“If [the college] can refer to the famed Gruyère cheese-quality error analogy in its own analysis of the syphilis case failings, can it not reflect on