Effectiveness of a tool for structuring action plan after analysis of adverse event

Proceedings of the Human Factors and Ergonomics Society

Volumn , Issue , 2011, Pages 1631-1634

  Vacher, Anthony ^a   El Mhamdi, Sana ^b   Izotte, Marion ^c   Michel, Philippe ^c   Quenon, Jean Luc ^c   D'Hollander, Alain ^d   Auroy, Yves ^e  

^a INSTITUT DE RECHERCHE BIOMÉDICALE DES ARMÉES   (France)

^b UNIVERSITY OF MONASTIR   (Tunisia)

^c Clinical Evaluation and Quality in Aquitaine ^*  (France)

^d GENEVA UNIVERSITY HOSPITALS   (Switzerland)

^e University of Paris Descartes   (France)

Author keywords

[No Author keywords available]

Indexed keywords

ERGONOMICS; GRAPHICAL USER INTERFACES; HOSPITALS; MANAGERS; RISK MANAGEMENT;

ADVERSE DRUG EVENTS; ADVERSE EVENTS; HEALTHCARE ORGANIZATIONS; LINEAR MIXED-EFFECTS MODEL; LONGITUDINAL DATA; RANDOMIZATION PROCEDURE; REFERENCE GROUP; RISK MANAGER;

RISK ASSESSMENT;

EID: 81855211993     PISSN: 10711813     EISSN: None     Source Type: Conference Proceeding    
DOI: 10.1177/1071181311551340     Document Type: Conference Paper

References (6)

1. Donaldson, L. (2000). An organisation with a memory: Report of an expert group on learning from adverse events in the NHS. Norwich, United Kingdom: Stationery Office.
2. Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (2000). To err is human: building a safer health system. A report of the Committee on Quality of Health Care in America, Institute of Medicine: Washington, DC: National Academy Press.
3. Perrow, C. (1999). Normal accidents: Living with high-risk technologies (2nd ed.): Princeton University Press.
4. Pham, J. C., Kim, G. R., Natterman, J. P., Cover, R. M., Goeschel, C. A., Wu, A. W., & Pronovost, P. J. (2010). ReCASTing the RCA: An Improved Model for Performing Root Cause Analyses. American Journal of Medical Quality, 25(3), 186. doi: 10.1177/1062860609359533
5. WHO. (2005). WHO draft guidelines for adverse event reporting and learning systems (pp. 80). Geneva: Whorld Health Organization.
6. Wu, A. W., Lipshutz, A. K., & Pronovost, P. J. (2008). Effectiveness and efficiency of root cause analysis in medicine. Journal of American Medical Association, 299(6), 685-687. doi:10.1001/jama.299.6.685 (Pubitemid 351252728)