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By John Fowles

ISBN-10: 0316254983

ISBN-13: 9780316254984

In his prologue, John Fowles tells us that "A Maggot" begun as a imaginative and prescient he had of 5 travelers using with mysterious goal via distant geographical region. This snapshot offers strategy to one other - a dangling corpse with violets filled in its mouth - which leads us right into a maze of beguiling paths and unsuitable turnings, disappearances and revelations, unaccountable explanations and cryptic deeds, as this compelling secret swerves in the direction of a starling imaginative and prescient at its centre.

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Given the complexities of modern health care, it must be accepted that it will not always be feasible to develop a rule to prescribe the correct course of action ahead of time. It is also important to acknowledge that conditions at the patient interface may make it difficult or impossible to access and apply the relevant protocol appropriately. The implementation of a safety management system that incorporates the use of rules to manage behaviour requires careful management if compliance levels are to be improved.

Cambridge University Press, Cambridge, 1990. 26 Claridge T, Parker D, Cook G. Pathways to patient safety: the use of rules in healthcare. In: Walshe K, Boaden R, eds. Patient Safety: Research into Practice. Open University Press, Milton Keynes, 2006; 198–208. 27 Ashcroft D, Morecroft C, Parker D, Noyce P. Likelihood of reporting adverse events in community pharmacy: an experimental study. Quality and Safety in Health Care 2006; 15: 48–52. 28 Lawton RL, Parker D. Judgements of rule-related behaviour in health care professionals: an experimental study.

Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study. New England Journal of Medicine 1991; 324: 370–6. 3 Institute of Medicine (1999) To Err Is Human: Building a Safer Health System. National Academies Press, Washington. 4 Sox H Jr, Woloshin S. How many deaths are due to medical error? Getting the number right. Effective Clinical Practice 2000. htm) 5 HealthGrades Quality Study: Patient Safety in American Hospitals. pdf+healthgrades,com&hl=en&ct=clnk&cd=2&gl=uk.

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A Maggot by John Fowles


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