Defining and classifying medical error: lessons for patient safety reporting systems
نویسندگان
چکیده
منابع مشابه
Defining and classifying medical error: lessons for patient safety reporting systems.
BACKGROUND It is important for healthcare providers to report safety related events, but little attention has been paid to how the definition and classification of events affects a hospital's ability to learn from its experience. OBJECTIVES To examine how the definition and classification of safety related events influences key organizational routines for gathering information, allocating inc...
متن کاملDefining and classifying medical error: lessons for learning.
T he categories used by organizations to classify and sort events are not trivial; they channel attention, shape interpretations, and serve as springboards for action. One example is the way in which organizations categorize small failures. Some organizations classify mistakes that have been caught and corrected with no untoward consequences—such as a near collision in aviation—as a ‘‘near miss...
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Contributors and acknowledgements: Xuan Hao Chan, International Pharmaceutical Federation; Jane Sutton, University of Bath, United Kingdom; International Pharmaceutical Federation (FIP); FIP Patient Safety Working Group; World Health Organization World Alliance for Patient Safety; Finnish Cultural Foundation; Finnish Pharmacists’ Association; Faculty of Pharmacy, University of Helsinki; Pharmac...
متن کاملError Reporting and Injury Compensation: Advancing Patient Safety Through a State Patient Safety Organization
For a number of years, reducing the incidence of medical errors has been a major driver of U.S. health policy. Some states have created voluntary reporting systems to facilitate identification and analysis of medical errors and to support development of patient safety initiatives. In addition, the federal government has passed laws to encourage the development of voluntary reporting initiatives...
متن کاملReporting and preventing medical mishaps: lessons from non-medical near miss reporting systems.
Reducing mishaps from medical management is central to efforts to improve quality and lower costs in health care. Nearly 100 000 patients are estimated to die preventable deaths annually in hospitals in the United States, with many more incurring injuries at an annual cost of $9 billion. Underreporting of adverse events is estimated to range from 50%–96% annually. This annual toll exceeds the c...
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ژورنال
عنوان ژورنال: Quality and Safety in Health Care
سال: 2004
ISSN: 1475-3898,1475-3901
DOI: 10.1136/qhc.13.1.13