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Search results for "Europe"
Journal Article > Review
Carthey J, de Leval MR, Reason JT. Ann Thorac Surg. 2001;72:300-305.
This review discusses the importance of human factors research in reducing adverse events. Drawing from experiences in cardiac surgery, the authors detail the process of capturing and examining various error types. They use case examples to illustrate specific incidents and demonstrate the utility of a systems approach to uncover solutions. The authors also share lessons learned from exploring similar high-complexity industries. They suggest that the profession must better refine methods for prospective analysis of surgical performance and for retrospective analysis of near misses and critical incidents.
Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984–1995.
London, England: The Stationery Office; July 2001.
In June 1998, the Secretary for Health announced to Parliament the organization of a formal Inquiry into children's heart surgery at the Bristol Royal Infirmary between 1984 and 1995. Their objectives included understanding what happened in Bristol, assessing the quality of care and system failures that contributed to deaths, and generating lessons that could be learned for the entire National Health Service (NHS) in the United Kingdom. The inquiry was independent and not held as a legal proceeding, but provided a comprehensive investigation with interviews, expert panels, and a goal of driving improvement efforts. Section one of the report outlines pediatric cardiac surgical services in Bristol while section two focuses on recommendations to ensure high quality care across the NHS. Several publications resulted from the learnings of the Bristol inquiry, including a discussion of cultural entrapment and lessons for quality improvement.
Helmreich RL, Merritt AC. Aldershot, Hampshire, England: Ashgate; 1998.
This book examines the influence of professional, national, and organizational cultures on shaping individual attitudes, values, and team interactions in both aviation and medicine. The research comes largely from research on culture and teamwork in aviation, but the intended audience clearly includes those interested in error reduction in health care, and many of the cases and vignettes discussed come from medicine. In recent years, the importance of teamwork and organizational culture has gained increasing attention within health care, especially within patient safety. This book provides an introduction to these topics and also contains ample material that will likely be new for those already familiar with the area.