- ►amhimresidency.com [PDF] ML Graber, N Franklin, R Gordon - Archives of Internal Medicine, 2005 - Am Med Assoc Results Ninety cases involved injury, including 33 deaths. The underlying
contributions to error fell into 3 natural categories: "no fault,"
system-related, and cognitive. Seven cases reflected no-fault errors alone. ... Cited by 98 - Related articles - All 6 versions
- ►anesthesiaweb.org [PDF] A Lienhart, Y Auroy, F Péquignot, D … - Anesthesiology, 2006 - journals.lww.com Background: This study describes a nationwide survey that estimates the number
and characteristics of anesthesia-related deaths for the year 1999. Methods:
Death certificates from the French national mor- tality database were ... Cited by 87 - Related articles - BL Direct - All 5 versions
V Arora, J Johnson, D Lovinger, HJ Humphrey … - Quality and Safety in Health Care, 2005 - qshc.bmj.com Results: Twenty six interns caring for 82 patients were interviewed after
receiving sign-out from another intern. Twenty five discrete incidents, all the
result of communication failures during the preceding patient sign-out, and ... Cited by 78 - Related articles - BL Direct - All 16 versions
Y Auroy, D Benhamou, R Amaberti - Anesthesiology, 2004 - journals.lww.com ALTHOUGH one may be tempted to neglect rare com- plications because they are
infrequent and therefore difficult to study, they require our attention for
several reasons. They are often severe. They are often thought by our ... Cited by 22 - Related articles - BL Direct - All 3 versions
A Cuschieri - Annals of surgery, 2006 - pubmedcentral.nih.gov Rather than detailing the various “surgical errors,” the concept of error
categories within the surgical setting committed by surgeons as front-line
operators is discussed. The important components of safe surgical practice ... Cited by 21 - Related articles - BL Direct - All 5 versions
PE Rivard, AK Rosen, JS Carroll - Health Services Research, 2006 - pubmedcentral.nih.gov Address correspondence to Peter E. Rivard, MHSA, Research Associate, Center for
Health Quality, Outcomes and Economic Research, Bedford VAMC, 200 Springs Road
(152), Bedford, MA 01730. Amy K. Rosen, Ph.D., Senior Research Scientist, ... Cited by 16 - Related articles - BL Direct - All 11 versions
- ►usf.edu [PDF] MV Pezzo, SP Pezzo - Social cognition, 2007 - Guilford Publications Can we learn from our mistakes? Does the large body of research demon- strating
hindsight bias indicate that people are not likely to take responsi- bility for
their errors and thus deprive themselves of the opportunity to learn to ... Cited by 12 - Related articles - BL Direct - All 5 versions
- ►psu.edu [PDF] RL Wears, CP Nemeth - Annals of emergency medicine, 2007 - Elsevier Reviews of malpractice claims have a morbid attraction that is similar to gazing
at crash scenes. Both provide the observer with a vicarious, cathartic
experience. These stories of tragedy, defeat, and loss seem almost as ... Cited by 11 - Related articles - All 20 versions
- ►washington.edu [PDF] BT Kitch, JB Cooper, WM Zapol, JE Marder, A … - Joint Commission Journal on Quality and Patient …, 2008 - ingentaconnect.com Debate continues over the impact of reductions in resident work hours on patient
outcomes. 3–6 In any case, it seems likely that improvements to patient safety
from reductions in fatigue are at least partially offset by associated ... Cited by 9 - Related articles - All 12 versions
RJ Holden, BT Karsh - Human Factors, 2007 - hfs.sagepub.com Not until the release of the 1999 Institute of Medicine (IOM) report To Err Is
Human: Build- ing a Safer Health System (Kohn, Corrigan, & Donaldson, 2000), did
the general public discover what was long known, albeit not always admit- ... Cited by 7 - Related articles - BL Direct - All 3 versions
