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Volumn 30, Issue 1, 2011, Pages 51-56

Understanding mistake-proofing;Comprendre la notion de détrompage

Author keywords

Human error; Mistake proofing; Risk; Safety

Indexed keywords

ANESTHESIOLOGY; AUTOMATION; EQUIPMENT DESIGN; HEALTH CARE QUALITY; MEDICAL ERROR; MEDICAL INSTRUMENTATION; RISK MANAGEMENT; SHORT SURVEY;

EID: 79551632438     PISSN: 07507658     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.annfar.2010.10.014     Document Type: Short Survey
Times cited : (5)

References (31)
  • 1
    • 17844392604 scopus 로고    scopus 로고
    • Five system barriers to achieving ultrasafe health care
    • Amalberti R., Auroy Y., Berwick D., Barach P. Five system barriers to achieving ultrasafe health care. Ann Intern Med 2005, 142:756-764.
    • (2005) Ann Intern Med , vol.142 , pp. 756-764
    • Amalberti, R.1    Auroy, Y.2    Berwick, D.3    Barach, P.4
  • 2
    • 0034681819 scopus 로고    scopus 로고
    • Human error: models and management
    • Reason J. Human error: models and management. BMJ 2000, 320:768-770.
    • (2000) BMJ , vol.320 , pp. 768-770
    • Reason, J.1
  • 3
    • 70449720556 scopus 로고    scopus 로고
    • Erreur d'injection de médicament en anesthésie réanimation: prévention multimodale et contrôle individuel
    • Benhamou D., Auroy Y., Amalberti R. Erreur d'injection de médicament en anesthésie réanimation: prévention multimodale et contrôle individuel. Ann Fr Anesth Reanim 2009, 28:833-835.
    • (2009) Ann Fr Anesth Reanim , vol.28 , pp. 833-835
    • Benhamou, D.1    Auroy, Y.2    Amalberti, R.3
  • 4
    • 0029319485 scopus 로고
    • Understanding adverse events: human factors
    • Reason J. Understanding adverse events: human factors. Qual Health Care 1995, 4:80-89.
    • (1995) Qual Health Care , vol.4 , pp. 80-89
    • Reason, J.1
  • 5
    • 33845734591 scopus 로고    scopus 로고
    • de Saint Maurice G. Violations and migrations in health care: a framework for understanding and management
    • Amalberti R., Vincent C., Auroy Y., de Saint Maurice G. Violations and migrations in health care: a framework for understanding and management. Qual Saf Health Care 2006, 15(Suppl. 1):i66-i71.
    • (2006) Qual Saf Health Care , vol.15 , Issue.SUPPL. 1
    • Amalberti, R.1    Vincent, C.2    Auroy, Y.3
  • 6
    • 0034681762 scopus 로고    scopus 로고
    • On error management: lessons from aviation
    • Helmreich R.L. On error management: lessons from aviation. BMJ 2000, 32:781-785.
    • (2000) BMJ , vol.32 , pp. 781-785
    • Helmreich, R.L.1
  • 7
    • 0001202375 scopus 로고
    • Error detection processes in statistical problem solving
    • Allwood C.M. Error detection processes in statistical problem solving. Cogn Sci 1984, 8:413-437.
    • (1984) Cogn Sci , vol.8 , pp. 413-437
    • Allwood, C.M.1
  • 9
    • 79551618385 scopus 로고    scopus 로고
    • Le risque, les défaillances et les erreurs. Conférences du MAPAR, Communications scientifiques 2003, MAPAR Éditions, Le Kremlin Bicêtre.
    • Amalberti R. Le risque, les défaillances et les erreurs. Conférences du MAPAR, Communications scientifiques 2003, MAPAR Éditions, Le Kremlin Bicêtre, 2003:277-82.
    • (2003) , pp. 277-82
    • Amalberti, R.1
  • 10
    • 79551638222 scopus 로고    scopus 로고
    • Analysis of factors contributing to 480 pilot error experiences in operating aircraft controls. 1947, Report TSEAA 694-12: Wight Paterson AFB.
    • Fitts P, Jones R. Analysis of factors contributing to 480 pilot error experiences in operating aircraft controls. 1947, Report TSEAA 694-12: Wight Paterson AFB.
    • Fitts, P.1    Jones, R.2
  • 13
    • 79551647311 scopus 로고    scopus 로고
    • Mistake-proofing the design of health care processes. (Prepared under an IPA with Berry College). ARQH, editor. 2007, Agency for Health Care Research and Quality: Rockville.
    • Grout J. Mistake-proofing the design of health care processes. (Prepared under an IPA with Berry College). ARQH, editor. 2007, Agency for Health Care Research and Quality: Rockville. http://www.ahrq.gov/qual/mistakeproof/.
    • Grout, J.1
  • 14
    • 0142240230 scopus 로고    scopus 로고
    • Make no mistake-errors can be controlled
    • Hinckley C.M. Make no mistake-errors can be controlled. Qual Saf Health Care 2003, 12:359-365.
    • (2003) Qual Saf Health Care , vol.12 , pp. 359-365
    • Hinckley, C.M.1
  • 17
    • 33845756726 scopus 로고    scopus 로고
    • Mistake-proofing: changing designs to reduce error
    • Grout J.R. Mistake-proofing: changing designs to reduce error. Qual Saf Health Care 2006, 15(Suppl. 1):i44-i49.
    • (2006) Qual Saf Health Care , vol.15 , Issue.SUPPL. 1
    • Grout, J.R.1
  • 18
    • 36148952551 scopus 로고    scopus 로고
    • Mistake-proofing in health care: lessons for ongoing patient safety improvements
    • Clancy C.M. Mistake-proofing in health care: lessons for ongoing patient safety improvements. Am J Med Qual 2007, 22:463-465.
    • (2007) Am J Med Qual , vol.22 , pp. 463-465
    • Clancy, C.M.1
  • 19
    • 32044467263 scopus 로고    scopus 로고
    • Toyota assembly line inspires improvements at hospital
    • Connoly C. Toyota assembly line inspires improvements at hospital. Washington Post 2005, A6.
    • (2005) Washington Post , vol.6
    • Connoly, C.1
  • 20
    • 0041305871 scopus 로고    scopus 로고
    • Preventing medical errors by designing benign failures
    • Grout J.R. Preventing medical errors by designing benign failures. Jt Comm J Qual Saf 2003, 29:354-362.
    • (2003) Jt Comm J Qual Saf , vol.29 , pp. 354-362
    • Grout, J.R.1
  • 21
    • 78149337241 scopus 로고    scopus 로고
    • Adverse events in medicine: easy to count, complicated to understand, and complex to prevent
    • [Jul 15. Epub ahead of print]
    • Amalberti R., Benhamou D., Auroy Y., Degos L. Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. J Biomed Inform 2009, [Jul 15. Epub ahead of print].
    • (2009) J Biomed Inform
    • Amalberti, R.1    Benhamou, D.2    Auroy, Y.3    Degos, L.4
  • 22
    • 0034681753 scopus 로고    scopus 로고
    • How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and risk management protocol
    • Vincent C., Taylor-Adams S., Chapman E.J., Hewett D., Prior S., Strange P., et al. How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and risk management protocol. BMJ 2000, 320:777-781.
    • (2000) BMJ , vol.320 , pp. 777-781
    • Vincent, C.1    Taylor-Adams, S.2    Chapman, E.J.3    Hewett, D.4    Prior, S.5    Strange, P.6
  • 23
    • 79551620005 scopus 로고    scopus 로고
    • Comment réduire les erreurs en anesthésie ? Journées d'enseignement post-universitaires en anesthésie réanimation, Editions JEPU, 2001, Paris. In: Jepu, editor. 2001: Paris.
    • Garnerin P. Comment réduire les erreurs en anesthésie ? Journées d'enseignement post-universitaires en anesthésie réanimation, Editions JEPU, 2001, Paris. In: Jepu, editor. 2001: Paris.
    • Garnerin, P.1
  • 24
    • 1642541820 scopus 로고    scopus 로고
    • Grand mal convulsion after an accidental intravenous injection of ropivacaine
    • Dernedde M., Furlan D., Verbesselt R., Gepts E., Boogaerts J.G. Grand mal convulsion after an accidental intravenous injection of ropivacaine. Anesth Analg 2004, 98:521-523.
    • (2004) Anesth Analg , vol.98 , pp. 521-523
    • Dernedde, M.1    Furlan, D.2    Verbesselt, R.3    Gepts, E.4    Boogaerts, J.G.5
  • 25
    • 0035174064 scopus 로고    scopus 로고
    • Grand mal convulsion and plasma concentrations after intravascular injection of ropivacaine for axillary brachial plexus blockade
    • Müller M., Litz R.J., Hüler M., Albrecht D.M. Grand mal convulsion and plasma concentrations after intravascular injection of ropivacaine for axillary brachial plexus blockade. Br J Anaesth 2001, 87:784-787.
    • (2001) Br J Anaesth , vol.87 , pp. 784-787
    • Müller, M.1    Litz, R.J.2    Hüler, M.3    Albrecht, D.M.4
  • 26
    • 0034992369 scopus 로고    scopus 로고
    • The time has come for non-interchangeability of spinal and epidural equipment with intravascular access ports
    • Laws D. The time has come for non-interchangeability of spinal and epidural equipment with intravascular access ports. Br J Anaesth 2001, 86:903.
    • (2001) Br J Anaesth , vol.86 , pp. 903
    • Laws, D.1
  • 27
    • 0036072587 scopus 로고    scopus 로고
    • Safer epidural and spinal connectors
    • Lanigan C.J. Safer epidural and spinal connectors. Anaesthesia 2002, 57:567-571.
    • (2002) Anaesthesia , vol.57 , pp. 567-571
    • Lanigan, C.J.1
  • 28
    • 76949109839 scopus 로고
    • A Luer slip with a rotating lock
    • Ravin A. A Luer slip with a rotating lock. J Lab Clin Med 1952, 39:168.
    • (1952) J Lab Clin Med , vol.39 , pp. 168
    • Ravin, A.1
  • 29
    • 79551615409 scopus 로고    scopus 로고
    • National Patient Safety Agency (National Health Service). Safer spinal (intrathecal), epidural and regional devices - Part A, B, and C. London.
    • National Patient Safety Agency (National Health Service). Safer spinal (intrathecal), epidural and regional devices - Part A, B, and C. London, 2009. http://www.nrls.npsa.nhs.uk/alerts.
    • (2009)
  • 30
    • 34548297512 scopus 로고    scopus 로고
    • Analyse systémique de deux incidents d'anesthésie consécutifs selon la méthode ALARM
    • Raux M., Dupont M., Devys J.M. Analyse systémique de deux incidents d'anesthésie consécutifs selon la méthode ALARM. Ann Fr Anesth Reanim 2007, 26:805-809.
    • (2007) Ann Fr Anesth Reanim , vol.26 , pp. 805-809
    • Raux, M.1    Dupont, M.2    Devys, J.M.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.