HIGHLIGHTS
SUMMARY
A sub-optimal medical decision or a system defect can generate a minor imbalance or may trigger tragic outcomes. The precise incidence of medical human/system errors (regardless of their causality) and their real impact on the final results are unknown. To efficiently combat medical errors, it is of great importance to capture, track, and analyze as many medical errors as possible at the institutional level. Three cases are to illustrate how human error, the limits of the system, and the particularities of the patient`s condition (severity of the disease), alone or in . . .
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