medicine had never been error free. medical society has responsibility to reduce the rate of medical errors and should respect to people and patients rights in the case of error occurrence to maintain their trust. waiver of cause of medical errors, what is of importance is recognizing the ethical duty of physician toward her patient in the case of error commitment. in this paper at the first, t...

the formal study of human error is relatively recent, especially in medical domain, and is tied closely to a several other relatively new fields. organizational root cause of human error is less considered. despite growing social, industrial and scientific interest in the organizational causes of incidents, the concept of organizational failure and related tools are still less considered in man...

background: medical liability systems play an important role on doctors’ everyday practices and their relationship with patients. they can be established in two ways, fault-based and non-fault. basing medical liability upon the element of fault links it to various issues of medical ethics.  in this paper, we have studied the possible ways each system, could affect the applicability of values an...

background: drug utilization evaluation (due) is an effective process in order to identifying variability in drug use and subsequent application of effective interventions for improving  patient outcomes. in this study, appropriate uses of drugs were evaluated by pharmacy service. methods : a prospective, interventional study was designed for determining frequency and type of clinical pharmacis...

background: medication errors due to different reasons may alter the outcome of all patients, especially patients with drug poisoning. we introduce one of the most common type of medication error in the present article. case: a 48 year old woman with suspected organophosphate poisoning was died due to lethal medication error. unfortunately these types of errors are not rare and had some prevent...

introduction the use of an umbilical catheterization is a usual practice in neonatal units. the insertion of the catheter has potential complications. case presentation here, we report on our observation of a seven-day-old female newborn admitted for an abdominal distention and vomiting bile. initially, diagnosis was midgut volvulus, for which an operation was performed. during the surgery, no ...

medical errors are unintentional acts that take place due to the negligence or lead to undesirable consequences in medical practice. the purpose of this study was to design a conceptual model for medical error reporting system. this applied descriptive cross-sectional research employed delphi method carried out from 2012 to 2013. the study population was medical and paramedical personnel of hea...

conclusions finally, in order to prevent the occurrence and reduce the consequences of identified errors the following suggestions were proposed : appropriate training courses, applying work guidelines and monitoring their implementation, increasing the number of work shifts, hiring professional workforce, equipping work space with appropriate facilities and equipment. background although healt...