Background
It was reported by the British Medical Journal that medical error was the third biggest cause of death, after heart disease and stroke. And WHO data showed that communication errors caused almost 70% of adverse events in hospitals. Issues were often caused and exacerbated by the fact that medical staff worked in multiple hospitals with many different colleagues, so they didn't know or remember each other's names.
When communication in operating theatres was not clear and immediate, mistakes were made and seconds lost.
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