Accidents waiting to happen: The contribution of latent conditions to patient safety

Quality and Safety in Health Care

Volumn 15, Issue SUPPL. 1, 2006, Pages

  Lowe, C M ^a  

^a NATIONAL PATIENT SAFETY AGENCY   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ACCIDENT; AWARENESS; HEALTH CARE DELIVERY; HEALTH CARE MANAGEMENT; HEALTH CARE POLICY; HEALTH CARE SYSTEM; LATENT PERIOD; MEDICAL ERROR; MEDICAL PRACTICE; PATIENT SAFETY; RELIABILITY; REVIEW; STANDARDIZATION;

ACCIDENT PREVENTION; DELIVERY OF HEALTH CARE; GREAT BRITAIN; HUMANS; MEDICAL ERRORS; MODELS, ORGANIZATIONAL; ORGANIZATIONAL INNOVATION; QUALITY OF HEALTH CARE; SAFETY; SAFETY MANAGEMENT; SYSTEMS ANALYSIS;

EID: 33845786491     PISSN: 14753898     EISSN: None     Source Type: Journal    
DOI: 10.1136/qshc.2006.016071     Document Type: Review

References (17)

1. De Bono E. Simplicity. UK: Penguin Group, 1998.
2. Robens Centre for Health Ergonomics at the University of Surrey, Helen Hamlyn Research Centre at the Royal College of Art, and Cambridge Engineering Design Centre at the University of Cambridge. Designing for patient safety. UK: Department of Health, 2002.
3. US Food and Drug Administration. Design control inspection results: June 1 1997 to June 1 1998. Rockville, MD: Food and Drug Administration, 1999.
4. Leape LL. Striving for perfection. Clin Chem 2002;48:1871-2.
5. Grandjean E. Fitting the task to the man. London and Philadelphia: Taylor and Francis, 1980.
6. Reason J. Human error: models and management. BMJ 2000;320:768-70.
7. National Patient Safety Agency. Standardising and centralising infusion devices: a project to develop safety solutions for NHS trusts. Executive Summary, 2004.
8. Sawyer D. Do it by design. Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, 1996.
9. Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. BMJ 2001;322:517-9.
10. Department of Health. An organisation with a memory. London: Department of Health, 2000.
11. Department of Health. Building a safer NHS for patients. London: Department of Health, 2001.
12. Cambridge Consultants and University of Cambridge. Good design practice for medical devices and equipment: a framework 2001.
13. Cambridge Consultants and University of Cambridge. Good design practice for medical devices and equipment: requirements capture 2002.
14. Cambridge Consultants and University of Cambridge. Good design practice for medical devices and equipment: design verification 2002.
15. Norman D. The design of everyday things. New York: Basic Books, 1988.
16. Leape L. Error in medicine. JAMA 1994;272:1851-7.
17. Rozich JD, Howard RJ, Justeson JM, et al. Standardization as a mechanism to improve safety in health care. Jt Comm J Qual Saf 2004;30:5-14.