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Grech, Carol Margaret Dept. of Public Health 2004 http://hdl.handle.net/2440/22153 "October 2004" Includes bibliographical references (leaves 313-337) x, 337 leaves : ill. (col.), maps (col.) ; 30 cm. Thesis (Ph.D.)--University of Adelaide, Dept. of Public Health, 2004 49387 bytes application/pdf en Hospital care South Australia Quality control. Hospital care South Australia Evaluation. Medical care South Australia Quality control. Medical errors South Australia Prevention. Medicine Practice South Australia Evaluation. Surgery Complications Evaluation. Death Causes South Australia Mortality South Australia Coronial inquiries into fatal adverse events in South Australian hospitals : from inquest to practice / Carol Grech. Thesis This electronic version is made publicly available by the University of Adelaide in accordance with its open access policy for student theses. Copyright in this thesis remains with the author. This thesis may incorporate third party material which has been used by the author pursuant to Fair Dealing exception. If you are the author of this thesis and do not wish it to be made publicly available or If you are the owner of any included third party copyright material you wish to be removed from this electronic version, please complete the take down form located at: http://www.adelaide.edu.au/legalsopen.access