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Search results for "Physicians"
Journal Article > Review
Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account?
Mannion R, Davies H, Powell M, et al. J Health Org Manag. 2019;33:221-240.
Organizational acceptance of accountability for failures and implementation of solutions are critical to improve safety. This review explores the impact of investigations focused at the individual, practice, and system levels. The authors describe design and operational failings at each level that enable purposeful or accidental patient harm.
Journal Article > Commentary
Kachalia A, Bates DW, Youngson GG. Surgeon. 2014;12:64-72.
Investigating the prevalence and causes of prescribing errors in general practice: The PRACtICe Study.
Avery T, Barber N, Ghaleb M, et al. London, UK: General Medical Council; May 2, 2012.
Examining prescription errors in general practices in England, this report suggests that information technology and incident reporting could address issues that persist since an earlier study.
Journal Article > Study
Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service?
Raine J, Scarrott D. Eur J Pediatr. 2012;171:1449-1452.
This study discovered that child protection cases and prescribing errors were the most common reasons pediatricians were referred to a governing body overseeing provider performance concerns.
Unintended exposure of patient Lisa Norris during radiotherapy treatment at the Beatson Oncology Centre, Glasgow in January 2006.
Johnson AM. Edinburgh, Scotland: Scottish Executive; 2006.
This report shares results and recommendations from the investigation of a radiotherapy overdose. The investigation identified contributing factors such as an inexperienced caregiver, supervision gaps, ineffective double-checks, and the misalignment of system improvements with training and documentation.
Bostock L, Bairstow S, Fish S, Macleod F. London, England: Social Care Institute for Excellence; 2005. ISBN: 1904812279.
This report suggests that a systems approach to child social services in Great Britain would facilitate a fair and open culture and encourage learning from near misses.