Patient safety: The need for a national strategy;Patient safety: A necessidade de uma estratégia nacional

Acta Medica Portuguesa

Volumn 19, Issue 4, 2006, Pages 309-318

  Sousa, Paulo ^a  

^a UNIVERSIDADE NOVA DE LISBOA   (Portugal)

Author keywords

Adverse events; Health care strategy; Patient safety; Quality improvement

Indexed keywords

ARTICLE; DISTRESS SYNDROME; HARM REDUCTION; HEALTH CARE DELIVERY; HEALTH CARE SYSTEM; HUMAN; PATIENT SAFETY; PUBLIC HEALTH; QUALITY OF LIFE; RISK MANAGEMENT; SAFETY; HEALTH CARE QUALITY; MEDICAL ERROR; PATIENT; PORTUGAL; STANDARD; STATISTICS;

HUMANS; MEDICAL ERRORS; PATIENTS; PORTUGAL; QUALITY OF HEALTH CARE; SAFETY MANAGEMENT;

EID: 33847707895     PISSN: None     EISSN: 16460758     Source Type: Journal    
DOI: None     Document Type: Article

References (37)

1. BATALDEN PB, STOLTZ PK: A framework for the continnual improvement of health care. Jt Comm J Qual Improv 1993;19:424-47
2. World Health Organization Patient Safety Study: Rapid assessment methods for estimating hazards. Report of a WHO working group meeting. Geneve 2002
3. WEARS WR: Organization and safety in health care. Qual Saf Health Care 2004; 13 (suppl II):10-11
4. ARAH OA, KLAZINGA NS: How safe is the safety paradigm? Qual Saf Health Care 2004;13:226-32
5. REASON J: Human Error. Cambridge University Press 2002
6. RUCIMAN RB, HELPS SC, SEXTON EJ et al: A classification for incidents and accidents in the healt-care system. J Qual Clin Practice 1998;18:199-211
7. BRENNAN TA, LEAP LL, LAIRD NM et al: Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N Engl J Med 1991;324:370-7
8. DONABEDIAN A: La calidad de la atención médica. México DF: La Prensa Mexicana 1984
9. VINCENT C: How to investigate and analyse clinical incidents: Clinical Risk Unit and Association of Litigation and Risk Management protocol. BMJ, 2000;320:777-81
10. FRAGATA J, MARTINS L: O Erro em Medicina. Editora Almedina 2005
11. REASON J: Diagnosing vulnerable system syndrome: an essential prerequesite to effective risk management. Qual Saf Health Care 2001;10:21-25
12. THOMAS JS, BRENNAN TA: Incidence and types of preventable adverse events in elderly patients: population based review of medical records. BMJ 2000;320:741-4
13. LEAP LL, BRENNAN TA, LAIRD NM et al: The nature of adverse events in hospitalized patients. Results of the Harvard medical practice study II. N Engl J Med 1991;324:377-84
14. KOHN LT, CORRIGAN JM, DONALDSON MS editors: To err is human: building a safer health system Washington: National Academy Press, 2000.
15. Observatório Português dos Sistemas de Saúde - Relatório da Primavera - Saúde que rupturas?. Lisboa: ENSP, 2003
16. BARR DP: Hazard of modern diagnosis and therapy - the price we pay. JAMA 1956;159:1178-81
17. st century. Washington DC: National Academy Press 2000
18. World Health Organization. Quality of care: patient safety. Fifty-Fifth World Health Assembly Provisional agenda item 13.9, March 2002
19. Department of Health. Building a safer NHS for patients. London: Department of Health 2001
20. Department of Health: An organization with memory: Report of an expert group on learning from adverse events in the NHS. London: Department of Health 2000
21. LEAPE LL: Reporting of adverse events. N Eng J Med. 2002;347 (20): 1633-8
22. VINCENT C, NEALE G, WOLOSHYNOWYCH M: Adverse events in British hospitals: preliminary retrospective record review. BMJ 2001;322:517-9
23. Schioler T, Lipczak H, Pedersen BL et al: Incidence of adverse events in hospitals: A retrospective study of medical records - Danish study of adverse events. Scand J Public Health 2000;32(4):275-82
24. RUCIMAN WB: Lessons from Australian Patient Safety Foundation: setting up a national patient safety surveillance system - is this the right model? Qual Saf Health Care 2002;11:246-51
25. National Health Care Quality Registries in Sweden. Landsting Forbundet and Socialstyrelsen. 1999
26. OVRETVEIT J: What are the best strategies for ensuring quality in hospitals? WHO Regional Office for Europe's Health Evidence Network (HEN) report, WHO, Geneve, November 2003
27. Overall quality indicators in health care and medical services. Socialstyrelsen, National Board of Health and Welfare 2001
28. VINCENT C, COULTER A: Patient Safety: What about the patient? Qual Saf Health Care 2002;11:76-80
29. National strategy for quality improvement in health and social affairs 2005-2015: National Directorate for Health and Social Affairs. 2005
30. DONALDSON L: Patient safety global momentum builds. PATIENT SAFETY: A NECESSIDADE DE UMA ESTRATÉGIA NACIONAL Qual Saf Health Care 2004;13:80-6
31. LEWIS RQ, FLETCHER M: Implementing a national strategy for patient safety: lessons from the National Health Service in England. Qual Saf Health Care 2005;14:135-9
32. National Patient Safety Agency: Seven steps to patient safety - a guide for NHS staff. London. 2004
33. WOODWARD SJ: Will the future continue to repeat the past. Qual Saf Health Care 2005;14:74-5
34. AASLAND OG, FORDE R: Impact of feeling responsible for adverse events on doctor's personal and professional lives: the importance of being open to criticism from colleagues. Qual Saf Health Care 2005;14:13-17
35. EDMONDSON AC: Learning from failure in health care: frequent opportunities, pervasive barriers. Qual Saf Health Care 2004;13 (suppl III) 3-9
36. REASON J: Beyond the organizational accident: the need for error wisdom on the frontline. Qual Saf Health Care 2004;13 (suppl II):27-32
37. LEAPE LL, BERWICK DM, BATES DW: What practices will most improve safety? Evidence-based medicine meets patient safety. JAMA 2002;288 (4):501-7