Managing risk in hazardous conditions: improvisation is not enough.

Amalberti R, Vincent C. BMJ Qual Saf. 2019 Jul 9; [Epub ahead of print].

Health care is considered a high-risk industry due to clinical, administrative, economic, and regulatory stressors. This review explores a range of approaches to managing the safety of patients in this complex environment. The authors suggest that acceptance of the inability to eliminate all risk, focus on known problems, and engagement of all managerial levels is required to improve reliability.

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