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Volume 13, Issue 4
Analysis of clinical incidents: a window on the system not a search for root causes
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Incident analysis
Analysis of clinical incidents: a window on the system not a search for root causes
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Online download statistics by month:
Online download statistics by month: July 2004 to March 2024
Abstract
Full
Pdf
Jul 2004
0
1
0
Aug 2004
0
598
191
Sep 2004
0
386
55
Oct 2004
50
154
45
Nov 2004
26
136
35
Dec 2004
18
95
19
Jan 2005
22
70
17
Feb 2005
29
73
32
Mar 2005
22
87
18
Apr 2005
19
66
23
May 2005
16
63
29
Jun 2005
26
53
18
Jul 2005
14
45
17
Aug 2005
11
40
37
Sep 2005
11
54
52
Oct 2005
15
58
52
Nov 2005
21
51
41
Dec 2005
11
48
46
Jan 2006
4
52
33
Feb 2006
6
54
37
Mar 2006
11
70
47
Apr 2006
11
51
37
May 2006
13
59
41
Jun 2006
7
57
29
Jul 2006
8
27
31
Aug 2006
6
36
26
Sep 2006
13
48
38
Oct 2006
13
66
42
Nov 2006
16
59
44
Dec 2006
18
45
37
Jan 2007
15
86
31
Feb 2007
18
52
30
Mar 2007
26
72
42
Apr 2007
37
18
22
May 2007
34
38
31
Jun 2007
11
24
10
Jul 2007
14
41
30
Aug 2007
13
33
24
Sep 2007
17
21
15
Oct 2007
36
31
33
Nov 2007
24
36
28
Dec 2007
12
25
14
Jan 2008
17
35
23
Feb 2008
22
24
23
Mar 2008
26
22
17
Apr 2008
22
24
17
May 2008
16
35
22
Jun 2008
17
24
14
Jul 2008
10
26
14
Aug 2008
10
26
16
Sep 2008
18
27
17
Oct 2008
18
20
20
Nov 2008
10
20
15
Dec 2008
10
13
13
Jan 2009
21
24
19
Feb 2009
30
32
22
Mar 2009
34
38
25
Apr 2009
38
25
16
May 2009
48
31
18
Jun 2009
37
22
21
Jul 2009
30
28
13
Aug 2009
32
28
16
Sep 2009
39
43
27
Oct 2009
37
37
25
Nov 2009
20
17
8
Dec 2009
8
6
5
Jan 2010
39
25
19
Feb 2010
31
24
20
Mar 2010
25
47
27
Apr 2010
32
14
19
May 2010
50
23
24
Jun 2010
43
11
9
Jul 2010
20
8
7
Aug 2010
33
18
13
Sep 2010
25
14
11
Oct 2010
78
32
16
Nov 2010
45
18
15
Dec 2010
26
9
7
Jan 2011
24
28
18
Feb 2011
26
11
16
Mar 2011
42
32
35
Apr 2011
25
25
22
May 2011
45
28
32
Jun 2011
50
15
21
Jul 2011
55
16
12
Aug 2011
24
17
23
Sep 2011
26
16
15
Oct 2011
24
14
17
Nov 2011
36
23
12
Dec 2011
30
55
22
Jan 2012
20
70
26
Feb 2012
27
56
14
Mar 2012
17
62
24
Apr 2012
39
62
36
May 2012
39
78
31
Jun 2012
27
91
42
Jul 2012
33
69
43
Aug 2012
26
57
33
Sep 2012
33
63
29
Oct 2012
57
68
26
Nov 2012
0
52
28
Dec 2012
0
66
25
Jan 2013
0
84
33
Feb 2013
0
78
36
Mar 2013
0
101
33
Apr 2013
0
79
45
May 2013
0
73
41
Jun 2013
39
41
34
Jul 2013
35
33
28
Aug 2013
39
39
14
Sep 2013
88
32
22
Oct 2013
45
37
35
Nov 2013
58
34
33
Dec 2013
37
34
30
Jan 2014
87
49
54
Feb 2014
52
40
35
Mar 2014
63
46
39
Apr 2014
54
44
36
May 2014
47
53
30
Jun 2014
36
33
22
Jul 2014
37
67
24
Aug 2014
26
56
15
Sep 2014
36
23
25
Oct 2014
39
34
26
Nov 2014
56
35
33
Dec 2014
36
25
17
Jan 2015
64
40
27
Feb 2015
49
44
29
Mar 2015
52
41
35
Apr 2015
49
33
20
May 2015
61
63
49
Jun 2015
44
56
26
Jul 2015
37
37
13
Aug 2015
34
41
22
Sep 2015
49
32
25
Oct 2015
27
18
6
Nov 2015
45
23
27
Dec 2015
66
22
19
Jan 2016
50
34
24
Feb 2016
41
34
21
Mar 2016
40
18
30
Apr 2016
56
57
38
May 2016
38
21
19
Jun 2016
32
13
15
Jul 2016
31
15
26
Aug 2016
76
32
27
Sep 2016
53
45
26
Oct 2016
74
39
25
Nov 2016
50
47
23
Dec 2016
49
21
25
Jan 2017
41
23
19
Feb 2017
22
22
8
Mar 2017
17
44
13
Apr 2017
15
46
5
May 2017
18
67
7
Jun 2017
36
66
30
Jul 2017
96
48
23
Aug 2017
139
82
30
Sep 2017
130
60
31
Oct 2017
133
63
46
Nov 2017
115
53
38
Dec 2017
93
51
14
Jan 2018
116
74
65
Feb 2018
176
129
35
Mar 2018
199
127
46
Apr 2018
161
110
40
May 2018
198
141
53
Jun 2018
120
78
35
Jul 2018
118
74
36
Aug 2018
128
82
36
Sep 2018
152
98
46
Oct 2018
175
112
47
Nov 2018
167
125
30
Dec 2018
160
130
37
Jan 2019
199
133
55
Feb 2019
163
132
25
Mar 2019
166
117
49
Apr 2019
181
117
45
May 2019
167
130
46
Jun 2019
139
92
27
Jul 2019
161
111
46
Aug 2019
72
59
34
Sep 2019
103
68
23
Oct 2019
131
80
43
Nov 2019
106
52
30
Dec 2019
102
42
26
Jan 2020
77
41
20
Feb 2020
120
80
25
Mar 2020
73
54
26
Apr 2020
75
37
15
May 2020
73
48
17
Jun 2020
60
44
21
Jul 2020
42
30
24
Aug 2020
70
40
31
Sep 2020
108
81
16
Oct 2020
95
56
24
Nov 2020
113
66
37
Dec 2020
64
41
17
Jan 2021
76
52
35
Feb 2021
94
53
25
Mar 2021
126
68
56
Apr 2021
103
50
43
May 2021
89
67
28
Jun 2021
50
50
28
Jul 2021
43
43
14
Aug 2021
36
35
21
Sep 2021
67
67
19
Oct 2021
123
99
60
Nov 2021
119
75
57
Dec 2021
85
60
26
Jan 2022
67
55
15
Feb 2022
50
34
18
Mar 2022
87
67
22
Apr 2022
108
73
33
May 2022
100
76
37
Jun 2022
79
61
18
Jul 2022
68
44
11
Aug 2022
75
66
13
Sep 2022
144
116
27
Oct 2022
157
101
61
Nov 2022
92
75
21
Dec 2022
63
48
10
Jan 2023
86
73
20
Feb 2023
137
107
17
Mar 2023
133
120
16
Apr 2023
87
71
50
May 2023
132
104
22
Jun 2023
91
71
17
Jul 2023
81
53
17
Aug 2023
103
77
16
Sep 2023
67
54
14
Oct 2023
103
88
29
Nov 2023
129
116
18
Dec 2023
182
171
15
Jan 2024
111
97
14
Feb 2024
126
107
17
Mar 2024
152
135
231
Total
13719
13754
6734
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