Study System weaknesses as contributing causes of accidents in health care. Citation Text: Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13. 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 3, 2005 Ternov S, Akselsson R. Int J Qual Health Care. 2005;17(1):5-13. View more articles from the same authors. The authors examine the correlation between system weaknesses and accidents. They suggest allocating sufficient resources to develop procedures and establish competence in systematic safety analysis. PubMed citation Available at Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Characteristics of medication errors with parenteral cytotoxic drugs. April 4, 2012 Fostering a just culture in healthcare organizations: experiences in practice. August 31, 2022 From a reactive to a proactive safety approach. Analysis of medication errors in chemotherapy using general failure types. October 28, 2015 Safety-II and resilience: the way ahead in patient safety in anaesthesiology. October 14, 2015 Enhancing the quality and safety of the perioperative patient. February 7, 2018 The role of the anesthesiologist in perioperative patient safety. October 8, 2014 The Helsinki Declaration on Patient Safety in Anaesthesiology: the past, present and future. October 15, 2014 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. 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From a reactive to a proactive safety approach. Analysis of medication errors in chemotherapy using general failure types. October 28, 2015
The Helsinki Declaration on Patient Safety in Anaesthesiology: the past, present and future. October 15, 2014
Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. May 13, 2020
Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adults using multiple medications. May 12, 2021
Patient and family engagement in incident investigations: exploring hospital manager and incident investigators' experiences and challenges. October 31, 2018
A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. July 27, 2022
OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. July 26, 2006
The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. November 4, 2020
Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings. October 6, 2021
Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. April 29, 2020
Is there a mismatch between the perspectives of patients and regulators on healthcare quality? A survey study. October 6, 2021
Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. January 28, 2009
A morbidity and mortality conference-based classification system for adverse events: surgical outcome analysis: part I. June 18, 2008
Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. April 11, 2012
Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). August 14, 2019
A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II. June 10, 2009
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Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. October 7, 2009
ICU admittance by a rapid response team versus conventional admittance, characteristics, and outcome. February 6, 2013
Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years? February 26, 2014
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Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors. January 14, 2015
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How accurately do older adult emergency department patients recall their medications? August 12, 2020
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An anesthesia preinduction checklist to improve information exchange, knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia teams. May 6, 2015
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Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms. August 9, 2023
Drug dosing error with drops – severe clinical course of codeine intoxication in twins. November 5, 2008
Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. April 6, 2011
Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. May 2, 2012
A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primary care. July 23, 2008
The development and evaluation of an integrated electronic prescribing and drug management system for primary care. January 11, 2006
Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices. March 14, 2012
Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure. November 22, 2017
Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network. May 10, 2023
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. August 18, 2021
Patient safety in emergency departments: a problem for health care systems? An international survey. June 21, 2023
Patient Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis May 31, 2023
Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. May 24, 2023
A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program. April 26, 2023
Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross-sectional study. April 12, 2023
Perspectives on Safety Annual Perspective Technology as a Tool for Improving Patient Safety March 29, 2023
Evaluating patient identification practices during intrahospital transfers: a human factors approach. March 29, 2023
An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference. March 1, 2023
Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. January 11, 2023
Fast does not imply flawed: analyzing emergency physician productivity and medical errors. December 14, 2022
Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study. May 18, 2022
Performance variability in perioperative sentinel events: report on a nationwide data set. April 20, 2022
Why an open disclosure procedure is and is not followed after an avoidable adverse event. September 8, 2021
An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences. January 20, 2021
Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. January 20, 2021
Real-time debriefing after critical events: exploring the gap between principle and reality. November 18, 2020
The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. November 4, 2020
The emergency department trigger tool: a novel approach to screening for quality and safety events. September 30, 2020
Characteristics and unexpected COVID-19 diagnoses in resuscitation room patients during the COVID-19 outbreak - a retrospective case series. September 30, 2020
Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. September 30, 2020
Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. September 23, 2020
Intervention study for the reduction of medication errors in elderly trauma patients. September 2, 2020
Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. June 24, 2020
Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. March 11, 2020