Clinical
A case of syphilis, computer errors, and missed swabs
Health and Disability Commissioner (HDC) reports are important documents to read as they often set new benchmarks for standards of care. Having said that, they can be rather long and very detailed. When you set out on the journey make sure that you are comfortable and well hydrated. This case involves a classic ‘Swiss cheese’ effect whereby it wasn’t just one error but a whole series by several agencies that contributed to near disaster.
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