What's past is prologue: Organizational learning from a serious patient injury

Safety Science

Volumn 49, Issue 1, 2011, Pages 75-82

  Tamuz, Michal ^a   Franchois, Keith E ^b   Thomas, Eric J ^c  

^a SUNY DOWNSTATE MEDICAL CENTER   (United States)

^b UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH   (United States)

^c UNIVERSITY OF TEXAS MEDICAL SCHOOL   (United States)

Author keywords

Adverse drug event; Near miss; Organizational learning; Patient safety; Politics

Indexed keywords

ADVERSE DRUG EVENTS; NEAR MISS; ORGANIZATIONAL LEARNING; PATIENT SAFETY; POLITICS;

DATA REDUCTION; HOSPITALS; INDUSTRIAL MANAGEMENT; KNOWLEDGE MANAGEMENT; NURSING; QUALITY ASSURANCE; RISK ANALYSIS; RISK MANAGEMENT;

QUALITY CONTROL;

ARTICLE; CASE STUDY; DRUG INTOXICATION; HEALTH PRACTITIONER; HOSPITAL PHYSICIAN; LEARNING; MEDICAL DECISION MAKING; MEDICATION ERROR; NURSE; ORGANIZATION; PATIENT SAFETY; PHARMACIST; PRIORITY JOURNAL; PROFESSIONALISM; TEAMWORK;

EID: 77957020700     PISSN: 09257535     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ssci.2010.06.005     Document Type: Article

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