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Tech in Surgery Prep / Unit 27   TSC 667 short lesson, about 20 seconds

Learning From Complications

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The idea

Facilities review complications and safety events to find system causes and prevent them recurring.

In practice

Reviews focus on processes and systems rather than blaming individuals, and the lessons and changes are shared with the staff involved.

Where people slip

Every complication report is a chance for the next patient to be safer.

Your place on the trail

Every lesson rests on earlier ones and opens later ones. Tap any to jump.

Unlocks

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