How to investigate and analyse clinical incidents: Clinical risk unit and association of litigation and risk management protocol

被引：299

作者：

Vincent, C

Taylor-Adams, S

Chapman, EJ

Hewett, D

Prior, S

Strange, P

Tizzard, A

机构：

[1] UCL, Dept Psychol, Clin Risk Unit, London WC1E 6BT, England

[2] Aston Univ, Sch Life & Hlth Sci, Dept Psychol, Birmingham B4 7ET, W Midlands, England

[3] NW London Hosp NHS Trust, Harrow HA1 3UJ, Middx, England

[4] Winchester & Eastleigh Healthcare NHS Trust, Family Serv, Winchester SO22 5DG, Hants, England

[5] Bromley Hosp NHS Trust, Orpington BR6 8ND, England

[6] United Bristol Healthcare NHS Trust, St Michaels Hosp, Bristol BS2 8EG, Avon, England

来源：

BRITISH MEDICAL JOURNAL | 2000年 / 320卷 / 7237期

关键词：

D O I：

10.1136/bmj.320.7237.777

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

引用

页码：777 / 781

页数：5

共 14 条

[1]

Cook RI, 1994, HUMAN ERROR MED, P255, DOI DOI 10.1201/9780203751725-13

[2] AN ANALYSIS OF MAJOR ERRORS AND EQUIPMENT FAILURES IN ANESTHESIA MANAGEMENT - CONSIDERATIONS FOR PREVENTION AND DETECTION [J].

COOPER, JB ;

NEWBOWER, RS ;

KITZ, RJ .

ANESTHESIOLOGY, 1984, 60 (01) :34-42

[3]

Cullen Lord, 1990, PUBLIC INQUIRY PIPER

[4] ACCIDENT ANALYSIS OF LARGE-SCALE TECHNOLOGICAL DISASTERS APPLIED TO AN ANESTHETIC COMPLICATION [J].

EAGLE, CJ ;

DAVIES, JM ;

REASON, J .

CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1992, 39 (02) :118-122

[5]

FERROW M, 1991, PETROLEUM REV JAN, P9

[6]

HUGHES H, 1991, PETROLEUM REV JAN, P5

[7] ERROR IN MEDICINE [J].

LEAPE, LL .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 272 (23) :1851-1857

[8]

REASON JT, 1995, CLIN RISK MANAGEMENT, P31

[9] Applying human factors methods to clinical risk management in obstetrics [J].

Stanhope, N ;

Vincent, C ;

TaylorAdams, SE ;

OConnor, AM ;

Beard, RW .

BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1997, 104 (11) :1225-1232

[10] Applying human factors methods to the investigation and analysis of clinical adverse events [J].

Taylor-Adams, S ;

Vincent, C ;

Stanhope, N .

SAFETY SCIENCE, 1999, 31 (02) :143-159

← 1 2 →