Commentary Beyond the organisational accident: the need for "error wisdom" on the frontline. Citation Text: Reason J. Beyond the organisational accident: the need for "error wisdom" on the frontline. Qual Saf Health Care. 2004;13 Suppl 2:ii28-33. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL April 6, 2011 Reason J. Qual Saf Health Care. 2004;13 Suppl 2:ii28-33. View more articles from the same authors. This commentary uses a case study involving a fatal medication error to illustrate the importance of mental skills that improve recognition of potentially adverse events. PubMed citation Available at Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Reason J. Beyond the organisational accident: the need for "error wisdom" on the frontline. Qual Saf Health Care. 2004;13 Suppl 2:ii28-33. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Accident analysis of large-scale technological disasters applied to an anaesthetic complication. November 18, 2015 Human factor in cardiac surgery: errors and near misses in a high technology medical domain. June 24, 2015 Human error: models and management. April 21, 2015 Safety paradoxes and safety culture. April 9, 2003 Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. February 6, 2008 American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology. July 13, 2010 The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. November 12, 2014 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data. October 1, 2014 Using social and behavioural science to support COVID-19 pandemic response. June 3, 2020 Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. January 6, 2018 View More Related Resources It’s time to consider national culture when designing team training initiatives in healthcare. January 27, 2021 Can we import improvements from industry to healthcare? May 1, 2019 Understanding models of error and how they apply in clinical practice. July 20, 2016 Human factors in healthcare: welcome progress, but still scratching the surface. June 29, 2016 Positive deviance: a different approach to achieving patient safety. October 20, 2014 Disclosing medical errors: views from the United States and the United Kingdom. May 21, 2014 Measuring safety culture in healthcare: a case for accurate diagnosis. February 5, 2014 A unified model of patient safety (or "Who froze my cheese?"). January 15, 2014 Toward the modelling of safety violations in healthcare systems. August 13, 2013 'Balancing risk, that is my life': The politics of risk in a hospital operating theatre department. June 24, 2010 View More See More About The Topic Quality and Safety Professionals Organizational Behaviorists
Accident analysis of large-scale technological disasters applied to an anaesthetic complication. November 18, 2015
Human factor in cardiac surgery: errors and near misses in a high technology medical domain. June 24, 2015
Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. February 6, 2008
American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology. July 13, 2010
The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. November 12, 2014
5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data. October 1, 2014
Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. January 6, 2018
It’s time to consider national culture when designing team training initiatives in healthcare. January 27, 2021
'Balancing risk, that is my life': The politics of risk in a hospital operating theatre department. June 24, 2010