What do family physicians consider an error? A comparison of definitions and physician perception

NC Elder, H Pallerla, S Regan - BMC family Practice, 2006 - Springer
Background Physicians are being asked to report errors from primary care, but little is known
about how they apply the term" error." This study qualitatively assesses the relationship …

The Swiss cheese model of safety incidents: are there holes in the metaphor?

TV Perneger - BMC health services research, 2005 - Springer
Abstract Background Reason's Swiss cheese model has become the dominant paradigm for
analysing medical errors and patient safety incidents. The aim of this study was to determine …

Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan

JG Murphy, LA Stee, MT McEvoy, J Oshiro - Chest, 2007 - Elsevier
Medical errors may result from lapses in judgment or lack of prudent care by individual
physicians, from system errors inherent in the medical-care delivery model or, more …

[图书][B] Improving health care safety and quality: reluctant regulators

J Healy - 2016 - taylorfrancis.com
Responding to the public concern caused by recent hospital scandals and accounts of
unintended harm to patients, this author draws on her experience of analysing the health …

[图书][B] Talking with patients and families about medical error: a guide for education and practice

RD Truog, DM Browning, JA Johnson, TH Gallagher - 2011 - books.google.com
More than a million patient safety incidents occur every year, and medical error is the third
leading cause of death in the United States. Illuminating the experiences of those affected by …

'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety

R Amalberti, J Brami - BMJ Quality & Safety, 2012 - qualitysafety.bmj.com
Background The role of time management in safe and efficient medicine is important but
poorly incorporated into the taxonomies of error in primary care. This paper addresses the …

Kartlegging av begrepet pasientsikkerhet

IS Saunes, PO Svendsby, K Mølstad, J Thesen - 2010 - fhi.brage.unit.no
NORSK: Nasjonalt kunnskapssenter for helsetjenesten, ved Nasjonal enhet for
pasientsikkerhet tok på rundebordskonferansen i november 2007 initiativ til å danne en …

[PDF][PDF] Categorizing errors and adverse events for learning: a provider perspective

LR Ginsburg, YT Chuang, J Richardson, PG Norton… - Healthc q, 2009 - researchgate.net
There is little agreement in the literature as to what types of patient safety events (PSEs)
should be the focus for learning, change and improvement, and we lack clear and …

Hidden danger, obvious opportunity: error and risk in the management of cancer

AJ Munro - The British journal of radiology, 2007 - academic.oup.com
In March 1896, Alan Archibald Campbell Swinton claimed that, according to his
experiments, X-rays did no harm. A few weeks later, Elihu Thompson proved him wrong …

Registered nurses' judgments of the classification and risk level of patient care errors

E Chipps, CE Wills, R Tanda… - Journal of Nursing …, 2011 - journals.lww.com
As frontline clinicians, nurses play a critical role in mitigating patient harm, recovery from
health care errors, and overall improvement of patient safety. This cross-sectional study …