A systems approach to errors

Surgery

Volumn 145, Issue 6, 2009, Pages 689-690

  Nagpal, Kamal ^a   Vats, Amit ^a   Vincent, Charles ^a   Moorthy, Krishna ^a  

^a IMPERIAL COLLEGE LONDON   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ANALYTICAL ERROR; HEALTH CARE; LETTER; PATIENT SAFETY; PRIORITY JOURNAL; RELIABILITY; SURGICAL ERROR;

DIAGNOSTIC ERRORS; HUMANS; MEDICAL ERRORS; OUTCOME ASSESSMENT (HEALTH CARE); POSTOPERATIVE COMPLICATIONS; REPRODUCIBILITY OF RESULTS; RESEARCH DESIGN; SURGICAL PROCEDURES, OPERATIVE; SYSTEMS ANALYSIS;

EID: 67349117038     PISSN: 00396060     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.surg.2008.12.015     Document Type: Letter

References (7)

1. Fabri P.J., and Zavas-Castro J.L. Human error, not communication and systems, underlies surgical complications. Surgery 144 (2008) 557-565
2. Reason J. Human error: models and management. West J Med 172 (2000) 393-396
3. Reason J. Combating omission errors through task analysis and good reminders. Qual Saf Health Care 11 (2002) 40-44
4. Calland J.F., Guerlain S., Adams R.B., Tribble C.G., Foley E., and Chekan E.G. A systems approach to surgical safety. Surg Endosc 16 (2002) 1005-1014
5. Vincent C., Moorthy K., Sarker S.K., Chang A., and Darzi A.W. Systems approaches to surgical quality and safety: from concept to measurement. Ann Surg 239 (2004) 475-482
6. Gawande A.A., Zinner M.J., Studdert D.M., and Brennan T.A. Analysis of errors reported by surgeons at three teaching hospitals. Surgery 133 (2003) 614-621
7. Undre S., Sevdalis N., Healey A.N., Darzi S.A., and Vincent C.A. Teamwork in the operating theatre: cohesion or confusion?. J Eval Clin Pract 12 (2006) 182-189