P M Longstaff

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A survey of three London hospitals found that approximately 0.45 patients per thousand new attenders die in the accident and emergency department and that there is evidence of poor management in about 10% of these deaths. The commonest faults were excessive delay before starting appropriate treatment and neglect of the basic principles of emergency(More)
This paper argues that since many modern networked industries have begun to exhibit the attributes of complex adaptive systems, and therefore they must learn to operate under conditions of high uncertainty. In environments with high uncertainty strategies for resilience allow for recovery from ¿surprises.¿ The attributes of resilient systems are helpful in(More)
Analysis of discrete time schemes for milling forces control under fractional order holds. Users may access full items free of charge; copies of full text items generally can be reproduced, displayed or performed and given to third parties in any format or medium for personal research or study, educational or not-for-profit purposes without prior permission(More)
OBJECTIVE To carry out an audit of cases of litigation relating to accident and emergency departments to determine the outcome and costs to the hospitals involved. METHODS The experience of four similar hospitals was examined over a three year period. All cases which required at least an exchange of solicitors' letters were included. RESULTS In total 32(More)
This is a case of a rare cause of back pain that presented to several clinicians before the diagnosis became obvious and the correct management was initiated. Lemierre's syndrome was confirmed at post mortem examination. We conclude that thoracic back pain should not be assumed to have a simple mechanical cause and that efforts should be made to discover(More)
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