Soundings Soundings

Critical event audit

BMJ 2001; 323 doi: (Published 17 November 2001) Cite this as: BMJ 2001;323:1195
  1. Trisha Greenhalgh, professor of primary health care
  1. University College London

    I noticed the previous evening that she wasn't her usual lively self, but it was still a shock to discover her curled up, stiff and cold, the next morning. The children immediately attempted post hoc resuscitation by generously refilling her food tray. But to an experienced eye, there was no denying the clinical reality. Smokey Bin Hamster was no more.

    Their next reaction was to stage a cover up. Don't tell the cleaner, they insisted. Their ill formed plan was to leave the …

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