nhs health sri lanka staffing and staff management fft engagement staff work human resources jaffna need assessment training nurses responsiveness dr.d.venoden dimensions of quality service quality quality clinical audit using clinical information & it clinical effectiveness & research education and training risk management patient and public involvement strategic framework medical practitioners medical doctors clinical governance human failure mode effect analysis learning culture open culture just culture reporting culture informed culture patient safety culture learning from the mistake swiss cheese model active failure latent failure near miss adverse event patient safety
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