Abstract Types of medication errors are defined, error detection techniques are described,
and the validity of several medication error studies is evaluated. A medication error is …

Abstract The American College of Physicians (ACP), Society of Hospital Medicine (SHM),
Society of General Internal Medicine (SGIM), American Geriatric Society (AGS), American …

Background. Little is known of the factors that underlie surgical errors. Incident reporting has
been proposed as a method of obtaining information about medical errors to help identify …

BACKGROUND: To better understand the operating room as a system and to identify system
features that influence patient safety, we performed an analysis of operating room patient …

Background: Quantitative estimates of how anesthesia man-agement impacts perioperative
morbidity and mortality are limited. The authors performed a study to identify risk factors …

From a prospectively defined cohort of patients who underwent either general, regional or
combined anaesthesia from 1 January 1995 to 1 January 1997 (n= 869 483), all consecutive …

Background: Transfers of patient care and responsibility among caregivers,“handovers,” are
common. Whether handovers worsen patient outcome remains unclear. The authors tested …

The past decade has seen an increase in the application of human factors and ergonomics
(HFE) techniques to healthcare delivery in a broad range of contexts (domains, locations …

Background The effects on patient safety of eliminating extended-duration work shifts for
resident physicians remain controversial. Methods We conducted a multicenter, cluster …

Resilience, the ability to adapt or absorb disturbance, disruption, and change, may be
increased by team processes in a complex, socio-technical system. In particular …