Why it is not sufficient to study errors and incidents: Human factors and safety in medical systems

Biomedical Instrumentation and Technology

Volumn 38, Issue 5, 2004, Pages 387-391

  Gopher, Daniel ^a,b,c  

^a TECHNION ISRAEL INSTITUTE OF TECHNOLOGY   (Israel)

^b US Human Factors and Ergonomics Society   (United States)

^c Research Centre for Work Safety and Human Engineering   (Israel)

Author keywords

[No Author keywords available]

Indexed keywords

HEALTH CARE; HUMAN FACTORS RESEARCH; JOB PERFORMANCE; MEDICAL ERROR; MEDICAL INSTRUMENTATION; PATIENT SAFETY; QUALITY CONTROL; REVIEW; ARTICLE; BIOENGINEERING; BIOMEDICAL ENGINEERING; DATA BASE; DOCUMENTATION; HEALTH CARE QUALITY; HEALTH SERVICES RESEARCH; HUMAN; SAFETY; STANDARD; SYSTEM ANALYSIS; UNITED STATES;

BIOMEDICAL ENGINEERING; DATABASES; DOCUMENTATION; HEALTH SERVICES RESEARCH; HUMAN ENGINEERING; HUMANS; MEDICAL ERRORS; PROCESS ASSESSMENT (HEALTH CARE); QUALITY ASSURANCE, HEALTH CARE; SAFETY; SAFETY MANAGEMENT; SYSTEMS ANALYSIS; UNITED STATES;

EID: 16644374542     PISSN: 08998205     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (10)

1. Cooper, J.B., Newbower, R. 7 Kitz, R. (1984) An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. Anesthesiology, 60, 34-42.
2. Leape, L.L., Brennan, T.A., Laird, N.M., Lawthers., (1991). The nature of adverse events in hospitalized patients: Results from the Harvard Medical practice Study II. New England Journal of Medicine, 324, 377-384.
3. Cook, R.I., Woods, D.D., Miller, C. (Eds.), (1998). A Tale of Two Stories: Contrasting Views on Patient Safety. National Health Care Safety Council of the National Patient Safety Foundation at the AMA.
4. Kohn, L.T., Corrigan, J.M., Donaldson, J.C. (Eds.), (2001). To Err is Human: Building a Safer Health System. Washington, D.C.: National Academy Press.
5. Bogner, M.S., (Ed.), (1994). Human Error in Medicine. Hillsdale, NJ, Lawrence Erlbaum Associates.
6. Tversky, A., Kahneman, D., (1981). The framing of decisions and the psychology of choice. Science, 211, 453-458/
7. Donchin, Y; Gopher, D; Olin, M; Badihi, Y; Biesky, M; Sprung, CL; Pizov, R., Cotev, S (1995) A look into the nature and causes of human errors in the intensive care unit. Critical Care Medicine, 23(2): 294-300.
8. Studdert, D.S., Mello, M.M, Brennan, T.R. (2004). Medical Malpractice. New England Journal of Medicine, 350:3, 283-291.
9. Cook R.I., Render M., Woods D., (2000). Gaps in the continuity of care and progress in patient safety. The British Medical Journal, 320 (18) 791-794.
10. Wickens D.C., Hollands, J.G., (2000). Engineering Psychology and Human Performance. Prentice-Hall, NJ