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00 00 2023

00 00 2023

34 1 68 77

1

2012

2

2005 31

243-8

3

2009 2

4

2006 295

324-7

5

2007 33

477-84

6

Institute for Healthcare Improvement

7

2011 39

2218-24

8

9

2006 32

488-96

10

2012 8

74-81

11

2011

12

2014 10

8-13

13

2017 EWMA SPECI EWMA SPECI

14-8

14

2009 9

15

2011 48

1049-57

16

2011 48

1040-8

17

2008 23

136-42

18

2012 27

20-7

19

2016 64

63-71

20

2019 28

S6-S11

21

2015 41

246-56

22

2020 27

1143-53

23

2019 8

24

2018 15

985-92

25

2006 296

974-84

26

2011 37

245-52

27

2012 25 16788 16788

quiz 189-90

28

2013 158 5 Pt 2 5 Pt 2

410-6

29

2017 12

30

2019 16

1087-102

31

2016 17 370 370

e1-e10

32

2015 9

33

2018 12 12 12

34

2018 5 5 5

35

2021 2 2 2

36

2020

37

2020

38

2018 69

467-73

39

2011 41

84-9

40

2011 107

20-3

41

2020 25

S6-10

42

2010 47

1117-25

43

Australian Commission on Safety and Quality in Health Care 2011

44

2014 23

3415-23

45

2016 15

46

2017 14

385-93

47

2017 75

35-42

48

2020 28

154-62

49

2013 109

12-4

50

2014 29

74-82

51

2011 7

157-8

52

2013 Suppl:S32 Suppl:S32

S34-6-8-9

53

2013 22

S4, S6, S8 passim

54

2014 10 Suppl 1 Suppl 1

14-8

55

2015 52

1659-68

56

2017 12