RT Book, Section
A1 Wachter, Robert M.
A1 Gupta, Kiran
SR Print(0)
ID 1146175330
T1 Basic Principles of Patient Safety
T2 Understanding Patient Safety, 3e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259860249
LK accessmedicine.mhmedical.com/content.aspx?aid=1146175330
RD 2024/04/24
AB Historically,  the  approach  to  medical  errors  had  been  to  blame  the  provider  delivering  care  to  the  patient,  the  one  acting  at  what  is  sometimes  called  the  “sharp  end”  of  care:  the  surgeon  performing  the  transplant  operation  or  the  internist  working  up  a  patient's  chest  pain,  the  nurse  hanging  the  intravenous  medication  bag,  or  the  pharmacist  preparing  the  chemotherapy.  Over  the  last  two  decades,  we  have  recognized  that  this  approach  overlooks  the  fact  that  most  errors  are  committed  unintentionally  by  hardworking,  well-trained  individuals,  and  such  errors  are  unlikely  to  be  prevented  by  simply  admonishing  people  to  be  more  careful,  or  worse,  by  shaming,  firing,  or  suing  them.