From the ∗Clinical Governance, Risk and Legal Division, Metro South Health

†Centre for Health Services Research, Faculty of Medicine, The University of Queensland

‡Metro North Hospital and Health Service

§Community and Oral Health Service

∥Princess Alexandra Hospital, Metro South Health, Brisbane, Queensland, Australia.

Correspondence: Emily J. Steel, PhD, Clinical Governance, Risk and Legal Division, Metro South Health, PO Box 4043, Eight Mile Plains, QLD 4113, Australia (e-mail: [email protected]).

No funding was received for this work.

The authors disclose no conflict of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.journalpatientsafety.com).