Author:
Higham Helen,Vincent Charles
Abstract
AbstractThis chapter introduces the topic of error as an essential foundation for an understanding of patient safety. We introduce psychological classifications of error and then, using clinical examples, show how we can use these ideas to understand how errors occur and how chains of small errors can combine to cause harm to patients. We outline a practical approach to conducting investigations into healthcare incidents. Finally, we offer some reflections on how doctors experience errors and how best to support yourself or your colleagues when things do not go as well as intended.
Publisher
Springer International Publishing
Reference22 articles.
1. Woods DD, Cook RI. Nine steps to move forward from error. Cogn Technol Work. 2002;4(2):137–44.
2. Hollnagel E. Cognitive reliability and error analysis method: CREAM. Oxford: Elsevier; 1998.
3. Human error: cause, prediction, and reduction;JW Senders,1991
4. Reason JT. Human error. Cambridge: Cambridge University Press; 1990.
5. Reason JT. Managing the risks of organizational accidents. Aldershot: Ashgate; 1997.
Cited by
4 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献