Balancing drug availability and patient safety
نویسندگان
چکیده
منابع مشابه
Balancing “No Blame” with Accountability in Patient Safety
This year marks the 10th anniversary of the Institute of Medicine’s report To Err Is Human,1 the document that launched the modern patient-safety movement. Although the movement has spawned myriad initiatives, its main theme, drawn from studies of other high-risk industries that have impressive safety records, boils down to this: Most errors are committed by good, hardworking people trying to d...
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n engl j med 362;3 nejm.org january 21, 2010 275 To the Editor: Wachter and Pronovost (Oct. 1 issue)1 question the “no-blame” paradigm in patient-safety improvement and suggest the adoption of explicit punitive approaches to poorly performing physicians. We counsel caution. In a longitudinal study over a 2-year period in a large facility,2 we found that penalties did not deter undesirable behav...
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The current standard method for adverse symptom monitoring in clinical trials is staff reporting [1, 2]. This is generally conducted via a complex process of data transfer, during which clinicians interview patients and then document impressions in medical charts ad hoc; study personnel abstract these charts and convert reported symptoms to a standard lexicon such as the Common Terminology Crit...
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The emphasis in database privacy should fall on a balance between confidentiality, integrity and availability of personal data, rather than on confidentiality alone. This balance should not necessarily be a trade-off, but should take into account the sensitive nature of the data being stored and attempt to increase all three dimensions to the highest level possible. To achieve such a balance, t...
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In a recent edition of this journal, Mannion and Braithwaite provide a succinct analysis of the emergence, and ultimately limited impact, of what they term the current ‘Safety I’ movement in healthcare. They describe the arc of this field from denial, through engagement via mechanisms and approaches imported from other industries, to the current situation where, despite ‘best efforts,’ error ra...
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ژورنال
عنوان ژورنال: Nature Clinical Practice Nephrology
سال: 2007
ISSN: 1745-8323,1745-8331
DOI: 10.1038/ncpgasthep0762x