Narrow Results Clear All
- Communication Improvement 3
- Culture of Safety 1
- Education and Training 2
- Error Reporting and Analysis
- Human Factors Engineering 2
- Legal and Policy Approaches
- Quality Improvement Strategies 1
Search results for "Latent Errors"
Journal Article > Study
Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007.
Cranshaw J, Gupta KJ, Cook TM. Anaesthesia. 2009;64:1317-1323.
The Medication Errors Panel. Sacramento, CA: California State Senate; March 2007.
This report shares findings from an expert panel convened to study the causes of medication error in the outpatient setting and provide recommendations for reducing errors associated with prescription and over-the-counter medications.
Perspectives on Safety > Perspective
Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience
with commentary by James B. Conway; Saul N. Weingart, MD, PhD, Errors in the Media and Organizational Change, May 2005
A decade ago, two tragic medical errors rocked one of the world’s great cancer hospitals, Dana-Farber Cancer Institute (DFCI) in Boston, to its core. The errors led to considerable soul searching and, ultimately, a major change in institutional practices a...
Cases & Commentaries
- Web M&M
Marilyn Sue Bogner, PhD; July 2003
Following hysterectomy, a PCA pump is mistakenly continued in a woman suffering an adverse reaction to morphine, noticed only when her respiratory status set off an alarm.