Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems
Methods Our analysis comes from three main sources: a literature search to identify incident
reporting systems and related research; a compilation of nomenclature and classification of …
reporting systems and related research; a compilation of nomenclature and classification of …
[HTML][HTML] Making health care safer: a critical analysis of patient safety practices.
Objectives Patient safety has received increased attention in recent years, but mostly with a
focus on the epidemiology of errors and adverse events, rather than on practices that reduce …
focus on the epidemiology of errors and adverse events, rather than on practices that reduce …
The quality in Australian health care study
RML Wilson, WB Runciman… - Medical journal of …, 1995 - Wiley Online Library
A review of the medical records of over 14 000 admissions to 28 hospitals in New South
Wales and South Australia revealed that 16.6% of these admissions were associated with …
Wales and South Australia revealed that 16.6% of these admissions were associated with …
Understanding adverse events: human factors.
J Reason - BMJ Quality & Safety, 1995 - qualitysafety.bmj.com
(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 …
potentially hazardous systems. This includes healthcare systems.(2) Managing the human …
Medication errors: definitions and classification
JK Aronson - British journal of clinical pharmacology, 2009 - Wiley Online Library
1. To understand medication errors and to identify preventive strategies, we need to classify
them and define the terms that describe them. 2. The four main approaches to defining …
them and define the terms that describe them. 2. The four main approaches to defining …
Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review
Objective The aim of this systematic review was to develop a 'contributory factors
framework'from a synthesis of empirical work which summarises factors contributing to …
framework'from a synthesis of empirical work which summarises factors contributing to …
Adverse events in surgical patients in Australia
AK Kable, RW Gibberd… - International Journal for …, 2002 - academic.oup.com
Objective. To determine the adverse event (AE) rate for surgical patients in Australia.
Design. A two-stage retrospective medical record review was conducted to determine the …
Design. A two-stage retrospective medical record review was conducted to determine the …
Effects of critical care nurses' work hours on vigilance and patients' safety
• Background To minimize the occurrence of adverse events among patients, critical care
nurses must be alert to subtle changes in patients' conditions, perform accurate clinical …
nurses must be alert to subtle changes in patients' conditions, perform accurate clinical …
Anaesthesiology as a model for patient safety in health care
DM Gaba - Bmj, 2000 - bmj.com
Although anaesthesiologists make up only about 5% of physicians in the United States,
anaesthesiology is acknowledged as the leading medical specialty in addressing issues of …
anaesthesiology is acknowledged as the leading medical specialty in addressing issues of …
Systems approaches to surgical quality and safety: from concept to measurement
C Vincent, K Moorthy, SK Sarker, A Chang… - Annals of …, 2004 - journals.lww.com
Objective: This approach provides the basis of our research program, which aims to expand
operative assessment beyond patient factors and the technical skills of the surgeon; to …
operative assessment beyond patient factors and the technical skills of the surgeon; to …