Literature DB >> 28989528

Outbreak Column 20: are outbreaks man-made disasters that display intertwined errors of human judgement and behaviour?

Evonne T Curran1.   

Abstract

Man-made disasters are reported to have five intertwined errors of human judgement and behaviour. As outbreaks are essentially man-made disasters, the cited intertwined errors of engineering overreach, smooth sailing fallacy, insider view, risk-seeking incentives and social-herding were looked for in five notable outbreaks of Clostridium difficile infection. Engineering overreach was found to be the most identifiable error. The purpose of this reflective exercise was to turn hindsight into foresight and determine the intertwined levels of safety behaviour needed to prevent any future pathogen emerging to produce healthcare disasters.

Entities:  

Keywords:  Behaviour; error; outbreak

Year:  2017        PMID： 28989528      PMCID： PMC5496687          DOI： 10.1177/1757177416683264

Source DB:  PubMed          Journal:  J Infect Prev        ISSN： 1757-1782


  7 in total

Review 1.  Violations and migrations in health care: a framework for understanding and management.

Authors:  R Amalberti; C Vincent; Y Auroy; G de Saint Maurice
Journal:  Qual Saf Health Care       Date:  2006-12

2.  Clinical microsystems, part 1. The building blocks of health systems.

Authors:  Eugene C Nelson; Marjorie M Godfrey; Paul B Batalden; Scott A Berry; Albert E Bothe; Karen E McKinley; Craig N Melin; Stephen E Muething; L Gordon Moore; John H Wasson; Thomas W Nolan
Journal:  Jt Comm J Qual Patient Saf       Date:  2008-07

Review 3.  Clostridium difficile infection: new developments in epidemiology and pathogenesis.

Authors:  Maja Rupnik; Mark H Wilcox; Dale N Gerding
Journal:  Nat Rev Microbiol       Date:  2009-07       Impact factor: 60.633

4.  The normalization of deviance in healthcare delivery.

Authors:  John Banja
Journal:  Bus Horiz       Date:  2010

5.  An Outbreak of Clostridium difficile Ribotype 027 Associated with Length of Stay in the Intensive Care Unit and Use of Selective Decontamination of the Digestive Tract: A Case Control Study.

Authors:  Yvette H van Beurden; Olaf M Dekkers; Marije K Bomers; Annie M Kaiser; Robin van Houdt; Cornelis W Knetsch; Armand R J Girbes; Chris J J Mulder; Christina M J E Vandenbroucke-Grauls
Journal:  PLoS One       Date:  2016-08-17       Impact factor: 3.240

6.  Emergence and global spread of epidemic healthcare-associated Clostridium difficile.

Authors:  Miao He; Fabio Miyajima; Paul Roberts; Louise Ellison; Derek J Pickard; Melissa J Martin; Thomas R Connor; Simon R Harris; Derek Fairley; Kathleen B Bamford; Stephanie D'Arc; Jon Brazier; Derek Brown; John E Coia; Gill Douce; Dale Gerding; Hee Jung Kim; Tse Hsien Koh; Haru Kato; Mitsutoshi Senoh; Tom Louie; Stephen Michell; Emma Butt; Sharon J Peacock; Nick M Brown; Tom Riley; Glen Songer; Mark Wilcox; Munir Pirmohamed; Ed Kuijper; Peter Hawkey; Brendan W Wren; Gordon Dougan; Julian Parkhill; Trevor D Lawley
Journal:  Nat Genet       Date:  2012-12-09       Impact factor: 38.330

7.  Transmission of Mycobacterium chimaera from Heater-Cooler Units during Cardiac Surgery despite an Ultraclean Air Ventilation System.

Authors:  Rami Sommerstein; Christian Rüegg; Philipp Kohler; Guido Bloemberg; Stefan P Kuster; Hugo Sax
Journal:  Emerg Infect Dis       Date:  2016-06-15       Impact factor: 6.883
  7 in total
  1 in total

1.  The nadir that brought about national infection prevention and control policy.

Authors:  Evonne T Curran
Journal:  J Infect Prev       Date:  2020-12-27
  1 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.