منابع مشابه
Disturbing the Doxa of Patient Safety; Comment on “False Dawns and New Horizons in Patient Safety Research and Practice”
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...
متن کاملThe Rise of Patient Safety-II: Should We Give Up Hope on Safety-I and Extracting Value From Patient Safety Incidents?; Comment on “False Dawns and New Horizons in Patient Safety Research and Practice”
Who could disagree with the seemingly common-sense reasoning that: “We must learn from the things that go wrong.”? Despite major investments to improve patient safety, relatively few evaluations demonstrate convincing reductions in risk, harm, serious error or death. This disappointing trajectory of improvement from learning from errors or Safety-I as it is sometimes known has led some research...
متن کاملNew world of patient safety: 23rd Annual Samuel Jason Mixter lecture.
M ost physicians think of progress in surgery—medical progress in general—as scientific progress. The great flowering of medicine in the last half of the 20th century was one of the greatest triumphs of science of all time. We developed progressively— and impressively—better treatments, medical and surgical, because we continually expanded our understanding of diseases, and we were incredibly i...
متن کاملValidating the Danish adaptation of the World Health Organization's International Classification for Patient Safety classification of patient safety incident types
OBJECTIVE Validation of a Danish patient safety incident classification adapted from the World Health Organizaton's International Classification for Patient Safety (ICPS-WHO). DESIGN Thirty-three hospital safety management experts classified 58 safety incident cases selected to represent all types and subtypes of the Danish adaptation of the ICPS (ICPS-DK). OUTCOME MEASURES Two measures of ...
متن کاملFalse Dawns and New Horizons in Patient Safety Research and Practice
In response to a weight of evidence that patients are frequently harmed as a result of their care, there have been concerted efforts to make healthcare safer, with health systems across the globe investing significant resources in policies and programmes designed to reduce adverse events. Yet, despite extensive efforts, improvements in safety have proved difficult to sustain and spread, with st...
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ژورنال
عنوان ژورنال: Archives of Surgery
سال: 2009
ISSN: 0004-0010
DOI: 10.1001/archsurg.2009.78