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Results According to majority decision 395 (81.8%) of AINCs were classified Unlikely, 88 (18.2%) were Possible, and none were Probable. The relative proportion of Unlikely AINCs also rose over time. Total numbers and severity of RTNCs dropped in the short-term following transition to an ISO 151892012 QMS, but steadily rose thereafter. Conclusions Our data suggest auditing for conformity with ISO 151892012 standards may be effective in attaining accreditation, but may have diminishing returns in the long-term once the QMS is established
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