System changes to improve patient safety

Many medical errors are attributable to characteristics of human cognition, and their risk is predictable. Systems can be designed to help prevent errors, to make them detectable so they can be intercepted, and to provide means of mitigation if they are not intercepted.

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Published in:BMJ 2000-03, Vol.320 (7237), p.771-773
Main Author: Nolan, Thomas W
Format: Article
Language:English
Subjects:
Automatic control
Biological and medical sciences
Cash
Design engineering
Education and Debate
Error rates
Errors
Financial transactions
General aspects
Health care
Human error
Human factors engineering
Humans
Medical equipment
Medical Errors - prevention & control
Medical sciences
Medications
Patient Care
Planification. Prevention (methods). Intervention. Evaluation
Public health. Hygiene
Public health. Hygiene-occupational medicine
Safety Management - methods
Systems Analysis
Systems design
Systems Integration
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container_issue 7237
container_start_page 771
container_title BMJ
container_volume 320
creator Nolan, Thomas W
description Many medical errors are attributable to characteristics of human cognition, and their risk is predictable. Systems can be designed to help prevent errors, to make them detectable so they can be intercepted, and to provide means of mitigation if they are not intercepted.
doi_str_mv 10.1136/bmj.320.7237.771
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source Applied Social Sciences Index & Abstracts (ASSIA); JSTOR; BMJ Journals Online 英国医学会数据库
subjects Automatic control
Biological and medical sciences
Cash
Design engineering
Education and Debate
Error rates
Errors
Financial transactions
General aspects
Health care
Human error
Human factors engineering
Humans
Medical equipment
Medical Errors - prevention & control
Medical sciences
Medications
Patient Care
Planification. Prevention (methods). Intervention. Evaluation
Public health. Hygiene
Public health. Hygiene-occupational medicine
Safety Management - methods
Systems Analysis
Systems design
Systems Integration
title System changes to improve patient safety
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