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Introduction
The Continuing Issues of Patient Safety: Data on the Nature and Persistence of Harm, Limitation of Current Approaches
Proactive Search for Risk: Lessons From Other Safety Critical Industries
Human Factors
Human Error and Beyond, Performance Influencing Factors, Systems Thinking, High Reliability Organisations
Patient Safety Culture
Measurement and Implications
The Safer Clinical Systems Programme
The 5 steps of the Safer Clinical Systems approach
Improving the Safety of Handover and Communication
Next steps towards a proactive, risk based approach to improving patient safety in the health sector.

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