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Level 1 – the basic level (What is going on? Collecting information)

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We are prone to errors even at this level: the risk is that what is seen or heard is what is expected to be seen or heard, rather than what is actually occurring. Figure 4.2 shows the similar package design of two different medications, making errors more likely. It is important to really concentrate on seeing what is actually there.

Figure 4.2 Similar package design of two different medications

Managing Medical and Obstetric Emergencies and Trauma

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