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Clinical errors

Clinical errors are usually the end of a chain that has, in origin, a system or organizational failure that favors (and sometimes determines) that a frontline professional in the care of a patient commits a mistake that sometimes causes harm (adverse event).

Adverse events associated with an unwanted and avoidable outcome, such as those occurring in the case of chronic course processes, are clearly the most difficult to identify and prevent. Organizations that share an organizational culture that includes recognizing and talking about their failures and mistakes are the ones that manage to avoid them in the future. And this means creating an appropriate framework for doing so.

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