Learning from Mistakes is Easier Said than Done

Author:

Edmondson Amy C.1

Affiliation:

1. Harvard University

Abstract

This research explores how group- and organizational-level factors affect errors in administering drugs to hospitalized patients. Findings from patient care groups in two hospitals show systematic differences not just in the frequency of errors, but also in the likelihood that errors will be detected and learned from by group members. Implications for learning in and by work teams in general are discussed.

Publisher

SAGE Publications

Subject

Applied Psychology

Reference16 articles.

1. Barker, K. N. & McConnell, W. E. (1962). Detecting errors in hospitals. American Journal of Hospital Pharmacy, 19, 361-369.

2. Relationship between medication errors and adverse drug events

3. Incidence and preventability of adverse drug events in hospitalized adults

4. Computerized Surveillance of Adverse Drug Events in Hospital Patients

5. Cohen, M. R. (1977). Medication error reports. American Journal of Hospital Pharmacy, 12(1), 42-44.

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