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Caution is recommended when diagnosing severely psychotic patients independent of their acute or chronic condition. © Copyright 2020 Physicians Postgraduate Press, Inc.Understanding the reliability of hazardous organizations and their protective systems is central to understanding the risk they produce. Work on "high reliability organization" has done much to illuminate the conditions in which social organization becomes reliable in highly demanding conditions. But risk depends just as much on how relying entities do their r

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