Sorry, you need to enable JavaScript to visit this website.
Skip to main content
Study

Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids.

Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. BMJ Qual Saf. 2014;23(9):765-772. doi:10.1136/bmjqs-2013-002572.

Save
Print
April 9, 2014
Franklin BD, Panesar S, Vincent CA, et al. BMJ Qual Saf. 2014;23(9):765-772.
View more articles from the same authors.

Although there have been no reported accidental spinal injection of a vinca alkaloid in the United Kingdom since 2001, this study looked at upstream safety issues that could cause this fatal complication. The method used in this study provides a model for evaluating the resilience of safety practices, even in the absence of actual harmful events.

Save
Print
Cite
Citation

Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. BMJ Qual Saf. 2014;23(9):765-772. doi:10.1136/bmjqs-2013-002572.

Related Resources From the Same Author(s)
Related Resources