Defining and classifying medical error: lessons for learning
نویسندگان
چکیده
منابع مشابه
Defining and classifying medical error: lessons for learning.
T he categories used by organizations to classify and sort events are not trivial; they channel attention, shape interpretations, and serve as springboards for action. One example is the way in which organizations categorize small failures. Some organizations classify mistakes that have been caught and corrected with no untoward consequences—such as a near collision in aviation—as a ‘‘near miss...
متن کاملDefining and classifying medical error: lessons for patient safety reporting systems.
BACKGROUND It is important for healthcare providers to report safety related events, but little attention has been paid to how the definition and classification of events affects a hospital's ability to learn from its experience. OBJECTIVES To examine how the definition and classification of safety related events influences key organizational routines for gathering information, allocating inc...
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Medical errors represent a serious public health problem and pose a threat to patient safety. As health care institutions establish "error" as a clinical and research priority, the answer to perhaps the most fundamental question remains elusive: What is a medical error? To reduce medical error, accurate measurements of its incidence, based on clear and consistent definitions, are essential prer...
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The syndrome of acute renal failure (ARF) is a common complication of critical illness. Like every other syndrome in the intensive care unit, it requires a consensus definition to progress with a research agenda that is dedicated to preventing and treating it. A consensus definition has been proposed and is being validated. ARF also requires quantification of severity because severity of functi...
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Article history: Received 10 May 2007 Received in revised form 20 September 2008 Accepted 23 September 2008 Available online 28 October 2008 The concept of ecosystems services has become an important model for linking the functioning of ecosystems to human welfare. Understanding this link is critical for a widerange of decision-making contexts.While there have been several attempts to come upwi...
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ژورنال
عنوان ژورنال: Quality and Safety in Health Care
سال: 2004
ISSN: 1475-3898,1475-3901
DOI: 10.1136/qshc.2003.008987