Understanding human error

Misadventures in Health Care: Inside Stories

Volumn , Issue , 2003, Pages 1-12

  Bogner, Marilyn Sue ^a  

^a Institute for the Study of Human Error   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 85084585425     PISSN: None     EISSN: None     Source Type: Book    
DOI: 10.4324/9781410609038-8     Document Type: Chapter

References (25)

1. Bogner, M. S. (1998, October). Error: It’s what, not who. TraumaCare, 8(2), 82-84.
2. Bogner, M. S. (2000). A systems approach to medical error. In C. Vincent & B. De Mol (Eds.), Safety in medicine (pp. 83-101). Amsterdam: Pergamon.
3. Bogner, M. S. (2002, Spring). Stretching the search for the “why” of error: The systems approach. Journal of Clinical Engineering, 27(2), 110-115.
4. Brown, S. L., Bogner, M. S., Parmentier, C. M., & Taylor, J. B. (1997). Human error and patientcontrolled analgesia pumps. Journal of Intravenous Nursing, 20, 311-317.
5. Buck, L. (1989, September). Human error at sea. Human Factors Society Bulletin, 32(9), 12.
6. Buggy, D. (2000, July 29). Can anaesthetic management influence surgical-wound healing? The Lancet, 356, 355-356.
7. Department of Health. (2000). An organization with a memory: Report of an expert group on learning from adverse events in the National Health Service. Norwich, UK: The Stationery Office.
8. Eysenck, M. W. (1984). A handbook of cognitive psychology. Hillsdale, NJ: Lawrence Erlbaum Associates.
9. Heider, F. (1958). The psychology of interpersonal relations. New York: John Wiley & Sons, Inc.
10. Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.). (1999). To err is human: Building a safer health care system.Washington, DC: National Academy Press.
11. Kohler, W. (1929). Gestalt psychology. New York: Boni & Liveright.
12. Kurz, A. K, Sessler, D. I., & Lenhardt, R. (1996). Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. New England Journal of Medicine, 334, 1209-1215.
13. Leape, L. L., Bates, D. W., Cullen, D. J., Cooper, J., Demonaco, H. J., Gallivan, T., Hallisay, R., Ives, J., Laird, N., Laffel, G., Nemeskal, N., Petersen, L. A., Porter, J., Servi, D., Shea, B. F., Small, S., Sweitzer, B., Thompson, B. T., & Vander Vliet, M. (1995). Systems analysis of adverse drug events. Journal of the American Medical Association, 274, 35-43.
14. Lewin, K. (1966). Principles of topological psychology. New York: McGraw-Hill.
15. Moray, N. (1994). Error reduction as a systems problem. In M. S. Bogner (Ed.), Human error in medicine (pp. 67-91). Mahwah, NJ: Lawrence Erlbaum Associates.
16. Mach, E. (1976). Knowledge and error. Dordrecht-Holland: D. Reidel.
17. Petroski, H. (1992). To engineer is human. New York:Vintage Books.
18. Rasmussen, J. (1982). Human errors: A taxonomy for describing human malfunction in industrial installations. Journal of Occupational Accidents, 4, 311-333.
19. Rasmussen, J. (1990a). The role of error in organizing behavior. Ergonomics, 33, 1185-1190.
20. Rasmussen, J. (1990b). Human error and the problem of causality in analysis of accidents. Philosophical Transactions of the Royal Society of London, B 327, 449-462.
21. Rasmussen, J. (1994). Afterword. In M. S. Bogner (Ed.) Human error in medicine (pp. 385-394). Mahwah, NJ: Lawrence Erlbaum Associates.
22. Reason, J. T. (1990). Human error. New York: Cambridge University Press.
23. Senders, J. W., & Moray, N. P. (1991). Human error: Cause, prediction, and reduction. Mahwah, NJ: Lawrence Erlbaum Associates.
24. Soukhanov, A. H., & Ellis, K. (Eds.) (1994). Webster’s II New Riverside University Dictionary. New York: The Riverside Publishing Company
25. Weick, K. E. (1987). Organizational culture as a source of high reliability. California Management Review, 29, 112-127.