Literature DB >> 26653160

The Swiss cheese model of adverse event occurrence--Closing the holes.

James E Stein1, Kurt Heiss2.   

Abstract

Traditional surgical attitude regarding error and complications has focused on individual failings. Human factors research has brought new and significant insights into the occurrence of error in healthcare, helping us identify systemic problems that injure patients while enhancing individual accountability and teamwork. This article introduces human factors science and its applicability to teamwork, surgical culture, medical error, and individual accountability.
Copyright © 2015 Elsevier Inc. All rights reserved.

Entities:  

Keywords:  Crew resource management; Human factors; Medical error; Patient safety; Pediatric surgery

Mesh：

Year:  2015        PMID： 26653160     DOI： 10.1053/j.sempedsurg.2015.08.003

Source DB:  PubMed          Journal:  Semin Pediatr Surg        ISSN： 1055-8586            Impact factor:   2.754


  5 in total

1.  Dentists are humans too - education in human factors within dental care.

Authors:  E Walshaw; C J Mannion
Journal:  Br Dent J       Date:  2018-06-08       Impact factor: 1.626

2.  Measuring non-technical skills of anaesthesiologists in the operating room: a systematic review of assessment tools and their measurement properties.

Authors:  S Boet; S Larrigan; L Martin; H Liu; K J Sullivan; Cole Etherington
Journal:  Br J Anaesth       Date:  2018-09-06       Impact factor: 11.719

3.  Gating the holes in the Swiss cheese (part I): Expanding professor Reason's model for patient safety.

Authors:  Shashi S Seshia; G Bryan Young; Michael Makhinson; Preston A Smith; Kent Stobart; Pat Croskerry
Journal:  J Eval Clin Pract       Date:  2017-11-23       Impact factor: 2.431

4.  Perceptions and experiences of risk management by managers of residential aged care facilities: a qualitative study from Hunan Province, China.

Authors:  Chunhong Shi; Yi Xu; Yang Chen; Haixu Pu; Qian Yu; Xiaolian Wu; Yinhua Zhang
Journal:  Int J Qual Stud Health Well-being       Date:  2021-12

5.  Thiamine Deficiency Leading to Refractory Lactic Acidosis in a Pediatric Patient.

Authors:  Alicia M Teagarden; Brian D Leland; Courtney M Rowan; Riad Lutfi
Journal:  Case Rep Crit Care       Date:  2017-10-08
  5 in total

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