Safer healthcare at home: Detecting, correcting and learning from incidents involving infusion devices

Learning from Incidents

Many disasters have occurred because organizations have ignored the warning signs of pre-cursor incidents or have failed to learn from the lessons of the past. Risk is inherent in many high technology systems, but society views the benefits of continuing to operate these systems as outweighing the cost of the occasional disaster. Must we continue to live with disasters? Normal accident theory s...

Learning from critical incidents

Ian Clarke is a consultant in general adult psychiatry in the west of Glasgow (Arndale Resource Centre, 80–90 Kinfauns Drive, Drumchapel, Glasgow, G15 7TS, UK. Email: [email protected]). He is clinical lead for the Greater Glasgow and Clyde Patient Safety Group. He obtained a Masters in Business Administration in 2004 and is lead clinician for the west of Glasgow. Critical incidents in...

Detecting and Correcting Errors of Omission After Explanation-Based Learning

In this paper, we address an issue that arises when the background knowledge used by explanationbased learning is incorrect. In particular, we consider the problems that can be caused by a domain theory that may be overly specific. Under this condition, generalizations formed by explanation-based learning will make errors of omission when they are relied upon to make predictions or explanations...

From Detecting Errors to Automatically Correcting Them

Faced with the problem of annotation errors in part-of-speech (POS) annotated corpora, we develop a method for automatically correcting such errors. Building on top of a successful error detection method, we first try correcting a corpus using two off-the-shelf POS taggers, based on the idea that they enforce consistency; with this, we find some improvement. After some discussion of the tagging...

Self-infusion with immunoglobulin at home.