Understanding adverse events: human factors.
نویسندگان
چکیده
منابع مشابه
Understanding adverse events: human factors.
(1) Human rather than technical failures now represent the greatest threat to complex and potentially hazardous systems. This includes healthcare systems. (2) Managing the human risks will never be 100% effective. Human fallibility can be moderated, but it cannot be eliminated. (3) Different error types have different underlying mechanisms, occur in different parts of the organisation, and requ...
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In addition to putting the spotlight on the staggering numbers of Americans that die each year as a result of preventable medical error, the Institute of Medicine’s (IOM’s) seminal report, To Err is Human: Building a Safer Health System, repeatedly underscored the message that the majority of the factors that give rise to preventable adverse events are systemic; that is, they are not the result...
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Adverse drug events (ADEs) may cause serious injuries including death. Spontaneous reporting of ADEs plays a great role in detection and prevention of them, however, underreporting always exists. Although several interventions have been utilized to solve this problem, they are mainly based on experience and the rationale for choosing them has no theoretical base. The vast variety of behavioral ...
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Adverse drug events (ADEs) may cause serious injuries including death. Spontaneous reporting of ADEs plays a great role in detection and prevention of them, however, underreporting always exists. Although several interventions have been utilized to solve this problem, they are mainly based on experience and the rationale for choosing them has no theoretical base. The vast variety of behavioral ...
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Hospitals and health care professionals aim to provide the safest care possible. However, things may go wrong, harm can be done, and patients can inadvertently be hurt as a consequence of inpatient care. Such adverse events have become important markers of quality of care and are included in clinical performance indicators. By identifying and studying adverse events, we can learn lessons and ch...
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ژورنال
عنوان ژورنال: Quality and Safety in Health Care
سال: 1995
ISSN: 1475-3898,1475-3901
DOI: 10.1136/qshc.4.2.80