School of Nursing and Midwifery, University of Salford, Salford.
J Health Serv Res Policy. 2010 Jan;15 Suppl 1:52-5. doi: 10.1258/jhsrp.2009.09s106.
The study, first published in 2003, looks at the root causes of adverse events and near misses in obstetrics at seven hospital maternity units by interviewing 93 members of staff, identifying the areas of mismanagement in each case and thematically analysing them.
该研究首次发表于 2003 年，通过访谈 93 名工作人员，对 7 家医院产科病房的不良事件和险些发生的不良事件的根本原因进行了研究，确定了每个案例中管理不善的领域，并对其进行了主题分析。
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