Human error, not communication and systems, underlies surgical complications

Author:

Fabri Peter J.,Zayas-Castro José L.

Publisher

Elsevier BV

Subject

Surgery

Reference19 articles.

1. The nature of adverse effects in hospitalized patients: results of the Harvard Medical Practice Study II;Leape;New Eng J Med,1991

2. Human Error in Dynamic Medical Domains;Gaba,1994

3. Committee on Quality of Health Care in America Institute of Medicine. To Err is Human, Building a Better Health System,2002

4. The Patient Safety and Quality Improvement Act of 2005;Fassett;Ann Pharmacother,2006

5. The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events;Chang;Int J Qual Health Care,2005

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