Patientsäkerhet svårt att uppnå, svårt att värdera: Landstingens patientsäkerhetsberättelser granskas och diskuteras

Lakartidningen

Volumn 109, Issue 20, 2012, Pages 1028-1031

  Nilsen, Per ^a   Nygren, Mikaela ^a   Öhrn, Annica ^a   Roback, Kerstin ^a  

^a LINKÖPING UNIVERSITY   (Sweden)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HEALTH CARE QUALITY; HUMAN; LEGAL ASPECT; MEDICAL ERROR; METHODOLOGY; ORGANIZATION AND MANAGEMENT; PATIENT SAFETY; SAFETY; STANDARD; SWEDEN; TREATMENT OUTCOME; VERBAL COMMUNICATION;

HUMANS; MEDICAL ERRORS; NARRATION; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PATIENT SAFETY; QUALITY ASSURANCE, HEALTH CARE; SAFETY MANAGEMENT; SWEDEN;

EID: 84862263121     PISSN: 00237205     EISSN: 16527518     Source Type: Journal    
DOI: None     Document Type: Article

References (20)

1. To err is human-building a safer health system. Institute of Medicine. Washington DC: National Academies Press; 1999.
2. Soop M, Fryksmark U, Köster M, et al. Vårdskador på sjukhus är vanliga. Majoriteten går att undvika, visar journalstudie. Läkartidningen. 2008;105:1748-52.
3. Donabedian A. Explorations in quality sssessment and monitoring. Ann Arbor: Health Administration Press; 1980.
4. Liebowitz J. Knowledge management handbook. Boca Raton: CRC Press; 1999.
5. Nilsen P, Roback K. Implementering, kunskap och lärande-en begreppsmässig plattform. I: Nilsen P, redaktör. Implementering-teori och tillämpning i hälso-och sjukvård. Lund: Studentlitteratur; 2010. p. 51-70.
6. Nilsen P, Roback K, Krevers B. Förklaringsfaktorer för implementeringsutfall-ett ramverk. I: Nilsen P, redaktör. Implementering-teori och tillämpning i hälso-och sjukvård. Lund: Studentlitteratur; 2010. p.71-90.
7. Wachter RM. Understanding patient safety. New York: McGraw Hill; 2008.
8. Öhrn A, Nilsen P. Implementering av patientsäkerhetsdialoger. I: Nilsen P, redaktör. Implementering-teori och tillämpning i hälso-och sjukvård. Lund: Studentlitteratur; 2010. p. 197-218.
9. Argyris C, Schön D. Organizational learning: a theory of action perspective. Reading, MA: Addison-Wesley; 1978.
10. Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors-preventability is in the eye of the reviewer. JAMA. 2001; 286:415-20.
11. Soop M, Fryksmark U, Köster M, et al. The incidence of adverse events in Swedish hospitals: a retrospective medical record review study. Int J Qual Health Care. 2009;21:285-91.
12. Sari ABA, Sheldon TA, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. BMJ. 2007;334:79.
13. Naessens JM, O'Byrne TJ, Johnson MG, et al. Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool. Int J Qual Health Care. 2010;22:266-74.
14. Tillsynsrapport 2011-hälso-och sjukvård och socialtjänst. Stockholm: Socialstyrelsen; 2011.
15. Pronovost PJ, Miller MR, Wachter RM. Tracking progress in patient safety-an elusive target. JAMA. 2006;296:696-9.
16. Shekelle PG, Pronovost PJ, Wachter RM, et al. Advancing the science of patient safety. Ann Intern Med. 2011;154:693-6.
17. Reason J. Individ-och systemmodeller för felhandlingar-att skapa rätt balans i hälso-och sjukvården. I: Ödegård S, redaktör. I rättvisans namn. Stockholm: Liber; 2007. p. 139-60.
18. Huang DT, Clermont G, Sexton JB, et al. Perceptions of safety culture vary across the intensive care units of a single hospital. Crit Care Med. 2007; 35:165-76.
19. Singer S, Lin S, Falwell A, et al. Relationship of safety climate and safety performance in hospitals. Health Research and Educational Trust. 2009;44:399-421.
20. Att styra och leda för ökad patientsäkerhet. Stockholm: SKL; 2011.