Towards optimising local reviews of severe incidents in maternity care: messages from a comparison of local and external reviews
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  • Published on:
    Black box medicine: a structured approach to organisational reflection on major maternal morbidity as a tool for effective organisational learning
    Editor - Professor Knight(1) highlights a serious problem with systems of organisational learning in maternity care that is endemic across a variety of acute care settings in the NHS. I write to share my experience with a trainee based structured case note review method so other organisations and patients may benefit from what I refer to as a black box medicine (BBM) approach to major maternal morbidity. Trainee based mixed expl...
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    Conflict of Interest:
    None declared.