LEADER 00868cam0-2200313---450- 001 990005566720403321 005 20150424131311.0 010 $a0-691-06483-0 035 $a000556672 035 $aFED01000556672 035 $a(Aleph)000556672FED01 035 $a000556672 100 $a19990604d1981----km-y0itay50------ba 101 0 $aeng 102 $aUS 105 $a--------001yy 200 1 $aMetamorphic verse$ethe elizabethan minor epic$fClark Hulse 210 $aPrinceton$cPrinceton University press$d1981 215 $a296 p.$d21 cm 610 0 $aPoesia inglese$aSec.16.-17 676 $a821.309$v22$zita 700 1$aHulse,$bClark$0214743 801 0$aIT$bUNINA$gRICA$2UNIMARC 901 $aBK 912 $a990005566720403321 952 $a821.309 HUL 1$bBibl.57304$fFLFBC 959 $aFLFBC 996 $aMetamorphic verse$9606979 997 $aUNINA LEADER 02061oam 2200457I 450 001 9910154883303321 005 20230809233545.0 010 $a1-315-38090-0 010 $a1-4987-8117-9 024 7 $a10.1201/9781315380902 035 $a(CKB)4340000000018641 035 $a(MiAaPQ)EBC4751229 035 $a(OCoLC)964697910 035 $a(EXLCZ)994340000000018641 100 $a20180706h20172017 uy 0 101 0 $aeng 135 $aurcnu|||||||| 181 $2rdacontent 182 $2rdamedia 183 $2rdacarrier 200 10$aPatient safety $einvestigating and reporting serious clinical incidents /$fRussell Kelsey, MB.BS MRCGP General Practitioner. Worcestershire, UK 210 1$aBoca Raton :$cCRC Press,$d[2017] 210 4$d©2017 215 $a1 online resource (225 pages) $ccolor illustrations 300 $aIncludes index. 311 $a1-4987-8116-0 327 $aIntroduction : why do we still miss appendicitis? -- RCA : background and context -- How do we recognise serious clinical incidents? -- Recognising serious incidents using the SIRT : case studies -- A culture of complaint : openness, candour, and blame -- Root cause analysis : what happened? : the evidence -- Root cause analysis : what happened? : care and service delivery problems -- Root cause analysis : understanding why -- Understanding why : system factors -- Human factors part 1 : the key to enhanced learning -- Human factors part 2 : situational awareness and high pressure environments -- Root cause -- Learning and recommendations -- Solutions design and changing cultures -- Writing reports. 606 $aMedical errors$xPrevention 606 $aRoot cause analysis 606 $aSafety regulations 615 0$aMedical errors$xPrevention. 615 0$aRoot cause analysis. 615 0$aSafety regulations. 676 $a610.28/9 700 $aKelsey$b Russell$01241394 801 0$bFlBoTFG 801 1$bFlBoTFG 906 $aBOOK 912 $a9910154883303321 996 $aPatient safety$92879774 997 $aUNINA LEADER 01283nam0 22002891i 450 001 UON00215202 005 20231205103351.17 100 $a20030730d1924 |0itac50 ba 101 $aspa 102 $aES 105 $a||||0 ||||| 200 1 $aExpedición de los catalanes y aragoneses contra turcos y griegos$fFrancisco de Moncada$gprólogo y notas de Samuel Gili y Gaya 210 $aMadrid$cEdiciones de "La lectura"$d1924 215 $a368 p.$d20 cm 410 1$1001UON00175003$12001 $a Clásicos Castellanos$1210 $aMadrid$cEdiciones de "La Lectura".$v54 606 $aAragona (Regno)$xStoria$xGiacomo II 1291-1327$3UONC045281$2FI 620 $aES$dMadrid$3UONL000218 676 $a946$cStoria della Spagna$v21 700 1$aMONCADA$bFrancisco de$3UONV130089$0683781 702 1$aGILI Y GAYA$bSamuel$3UONV116016 712 $aEdiciones de "La lectura"$3UONV268212$4650 801 $aIT$bSOL$c20250530$gRICA 899 $aSIBA - SISTEMA BIBLIOTECARIO DI ATENEO$2UONSI 912 $aUON00215202 950 $aSIBA - SISTEMA BIBLIOTECARIO DI ATENEO$dSI SPA STO 145 $eSI MR 387/1 7 145 996 $aExpedición de los catalanes y aragoneses contra turcos y griegos$91264211 997 $aUNIOR