RT Book, Section
A1 Lucier, David
A1 Carbo, Alexander R.
A1 Weingart, Saul N.
A2 McKean, Sylvia C.
A2 Ross, John J.
A2 Dressler, Daniel D.
A2 Scheurer, Danielle B.
SR Print(0)
ID 1137605828
T1 Principles of Patient Safety: Intentional Design and Culture
T2 Principles and Practice of Hospital Medicine, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071843133
LK accessmedicine.mhmedical.com/content.aspx?aid=1137605828
RD 2024/04/19
AB In  the  last  15  years,  Quality  Improvement  and  Patient  Safety  have  emerged  as  major  focus  areas  for  health  care  systems  around  the  world.  The  landmark  1999  report,  To  Err  is  Human,  defined  Patient  Safety  as  freedom  from  accidental  medical  injury,  which  is  often  the  result  of  error.  Errors  are  defined  as  failures  of  execution  or  planning.  Unplanned  events  that  arise  from  medical  care,  whether  due  to  human  or  systems-based  errors,  are  further  classified  into  near-misses  or  adverse  medical  events;  a  near-miss  (or  “close  call”)  is  an  event  that  causes  no  harm  but  had  the  potential  to  do  so,  while  an  adverse  medical  event  causes  patient  harm.