What the Garnetts are enduring is not a tragic anomaly but represents failures that exist throughout the system – namely, flawed commissioning that means there are not enough specialist beds or local services.
Three Mile Island, Bhopal, Chernobyl and the Challenger disaster are events that represent failures of organisations and technology at the interfaces of people, equipment and work-related processes.
Rarely, however, are patients asked about the safety of their care or their care environment and to date most studies have asked patients to report on outcomes (patient safety incidents, eg, The National Danish Survey of Patient Experiences 14) rather than on the factors that might represent failures in structures and processes (ie, systems of care).
Small increases in stimulation intensity typically resulted in a decrease in failure rate without a change in EPSC amplitude (see Fig. 4 B), demonstrating that failures represent failures of axon stimulation.
However, large outbreaks often represent system failures that have resulted in smaller, undetected outbreaks; investigation may determine the source for illnesses that otherwise might have been considered sporadic.
Among those women who have cervical cancer and have been screened, 14%to33%3% of the cases represent failure to detect abnormalities that existed at the time of screening.
At least 20% of episodes are notable for complex erratic viral trajectories, including re-expansion phases that represent failure of the immune system to contain replication (Schiffer et al., 2011).
But that will represent failure rather than success.Until then, what Mr Netanyahu calls a bad deal looks quite a bit better than any of the alternatives.
For surgical procedures, safety has traditionally been approached as a matter of individual performance; that is, complications represent failure by the surgeon, thus enhancing the risk of under-reporting (Wachter 2008).
It makes it clear that the department has a shared responsibility for the trainees – that students who do not get the training they deserve, who are harassed or discriminated against, represent a failure that rests with the whole department.
This "vicious circle" represents market failure that could be avoided by intervention either from government or from non-government organisations such as landowner associations.
