메뉴 건너뛰기




Volumn 144, Issue 4, 2008, Pages 557-565

Human error, not communication and systems, underlies surgical complications

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; DEATH; DISABILITY; HUMAN; HUMAN FACTORS RESEARCH; INTERPERSONAL COMMUNICATION; LENGTH OF STAY; MEDICAL DECISION MAKING; MEDICAL ERROR; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; STATISTICAL ANALYSIS; SURGICAL TECHNIQUE;

EID: 51449083357     PISSN: 00396060     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.surg.2008.06.011     Document Type: Article
Times cited : (113)

References (19)
  • 1
    • 0026022279 scopus 로고
    • The nature of adverse effects in hospitalized patients: results of the Harvard Medical Practice Study II
    • Leape L., Brennan A., Laird N., Lawthers A.G., Localio A.R., Barnes B.A., et al. The nature of adverse effects in hospitalized patients: results of the Harvard Medical Practice Study II. New Eng J Med 324 (1991) 377-384
    • (1991) New Eng J Med , vol.324 , pp. 377-384
    • Leape, L.1    Brennan, A.2    Laird, N.3    Lawthers, A.G.4    Localio, A.R.5    Barnes, B.A.6
  • 4
    • 33646797002 scopus 로고    scopus 로고
    • The Patient Safety and Quality Improvement Act of 2005
    • Fassett W.E. The Patient Safety and Quality Improvement Act of 2005. Ann Pharmacother 40 (2006) 917-924
    • (2006) Ann Pharmacother , vol.40 , pp. 917-924
    • Fassett, W.E.1
  • 5
    • 16844378215 scopus 로고    scopus 로고
    • The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events
    • Chang A., Schyve P.M., Croteau R.J., O'Learly D.S., and Loeb J.M. The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. Int J Qual Health Care 17 (2005) 95-105
    • (2005) Int J Qual Health Care , vol.17 , pp. 95-105
    • Chang, A.1    Schyve, P.M.2    Croteau, R.J.3    O'Learly, D.S.4    Loeb, J.M.5
  • 6
    • 33646891555 scopus 로고    scopus 로고
    • Making patient safety the centerpiece of medical liability reform
    • Clinton H.R., and Obama B. Making patient safety the centerpiece of medical liability reform. N Engl J Med 354 (2006) 2205-2208
    • (2006) N Engl J Med , vol.354 , pp. 2205-2208
    • Clinton, H.R.1    Obama, B.2
  • 7
    • 0004223940 scopus 로고
    • Cambridge University Press, Cambridge, UK
    • Reason J. Human Error (1990), Cambridge University Press, Cambridge, UK
    • (1990) Human Error
    • Reason, J.1
  • 8
    • 0348216551 scopus 로고    scopus 로고
    • Classifying and identifying errors
    • Avery A.J. Classifying and identifying errors. Qual Saf Health Care 12 (2003) 404
    • (2003) Qual Saf Health Care , vol.12 , pp. 404
    • Avery, A.J.1
  • 9
    • 27144527398 scopus 로고    scopus 로고
    • Systems approach to reduce errors in surgery
    • Dankelman J., and Grimbergen C.A. Systems approach to reduce errors in surgery. Surg Endosc 19 (2005) 1017-1021
    • (2005) Surg Endosc , vol.19 , pp. 1017-1021
    • Dankelman, J.1    Grimbergen, C.A.2
  • 10
    • 33750197674 scopus 로고    scopus 로고
    • Classifying and interpreting threats to patient safety in hospitals: insights from aviation
    • Tamuz M., and Thomas E.J. Classifying and interpreting threats to patient safety in hospitals: insights from aviation. J Organiz Behav 27 (2006) 919-940
    • (2006) J Organiz Behav , vol.27 , pp. 919-940
    • Tamuz, M.1    Thomas, E.J.2
  • 11
    • 1242284318 scopus 로고    scopus 로고
    • Defining and classifying medical error: lessons for patient safety reporting systems
    • Tamuz M., Thomas E.J., and Franchois K.E. Defining and classifying medical error: lessons for patient safety reporting systems. Qual Saf Health Care 13 (2004) 13-20
    • (2004) Qual Saf Health Care , vol.13 , pp. 13-20
    • Tamuz, M.1    Thomas, E.J.2    Franchois, K.E.3
  • 13
    • 34247134966 scopus 로고    scopus 로고
    • Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive and system factors
    • Kostopoulou O., and Delaney B. Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive and system factors. Qual Saf Health Care 16 (2007) 95-100
    • (2007) Qual Saf Health Care , vol.16 , pp. 95-100
    • Kostopoulou, O.1    Delaney, B.2
  • 14
    • 0003765434 scopus 로고
    • Bogner M.S. (Ed), Lawrence Erlbaum Associates, Hillsdale, NJ
    • In: Bogner M.S. (Ed). Human Error in Medicine (1994), Lawrence Erlbaum Associates, Hillsdale, NJ
    • (1994) Human Error in Medicine
  • 16
    • 51449110836 scopus 로고    scopus 로고
    • Fabri PJ. The validation of a methodology for assessing the impact of hybrid simulation training in the minimization of adverse surgery. Dissertation, University of South Florida, 2007. Available from: http://purl.fcla.edu/usf/dc/et/SFE0002085.
    • Fabri PJ. The validation of a methodology for assessing the impact of hybrid simulation training in the minimization of adverse surgery. Dissertation, University of South Florida, 2007. Available from: http://purl.fcla.edu/usf/dc/et/SFE0002085.
  • 17
    • 0032807457 scopus 로고    scopus 로고
    • The incidence and nature of surgical adverse events in Colorado and Utah in 1992
    • Gawande A.A., Thomas E.J., Zinner M.J., and Brennan T.A. The incidence and nature of surgical adverse events in Colorado and Utah in 1992. Surgery 126 (1999) 66-75
    • (1999) Surgery , vol.126 , pp. 66-75
    • Gawande, A.A.1    Thomas, E.J.2    Zinner, M.J.3    Brennan, T.A.4
  • 18
    • 0023053111 scopus 로고
    • The cascade effect in the clinical care of patients
    • Mold J.W., and Stein H.F. The cascade effect in the clinical care of patients. N Engl J Med 314 (1986) 512-514
    • (1986) N Engl J Med , vol.314 , pp. 512-514
    • Mold, J.W.1    Stein, H.F.2
  • 19
    • 4243112808 scopus 로고    scopus 로고
    • A string of mistakes: the importance of cascade analysis in describing, counting, and preventing medical errors
    • Woolf S.H., Kuzel A.J., Dovey S.M., and Phillips R.L. A string of mistakes: the importance of cascade analysis in describing, counting, and preventing medical errors. Ann Fam Med 2 (2004) 317-326
    • (2004) Ann Fam Med , vol.2 , pp. 317-326
    • Woolf, S.H.1    Kuzel, A.J.2    Dovey, S.M.3    Phillips, R.L.4


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.