Gone but not forgotten: the search for the lost surgical specimens: application of quality improvement techniques in reducing medical error...reprinted from L. Slavin, M. Best, and D. Aron, Gone but not forgotten: the search for the lost surgical specimens: application of quality improvement techniques in reducing medical error, Quality Management in Health Care, Vol. 10, No. 1, Copyright 2001 Aspen Publishers, Inc.
A lost surgical specimen prompted an investigation of both the human processes and the systemic factors involved in surgical specimen handling regarding how health care organizations approach medical error prevention and patient safety promotion. Quality improvement techniques and the conceptual err...
| Publicado en: | Journal of Nursing Care Quality Vol. 16; no. 3; pp. 50 - 60 |
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| Autores principales: | , , |
| Formato: | algorithm pictorial research Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Apr2002
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106956390&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106956390 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10573631 0NZ jtl: Journal of Nursing Care Quality issn: 10573631 maglogo: N pubinfo: dt: Apr2002 vid: 16 iid: 3 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 106956390 2002110421 10.1097/00001786-200204000-00007 106956390 ppf: 50 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Gone but not forgotten: the search for the lost surgical specimens: application of quality improvement techniques in reducing medical error...reprinted from L. Slavin, M. Best, and D. Aron, Gone but not forgotten: the search for the lost surgical specimens: application of quality improvement techniques in reducing medical error, Quality Management in Health Care, Vol. 10, No. 1, Copyright 2001 Aspen Publishers, Inc. aug: au: Slavin L Best MA Aron DC affil: VA National Quality Scholars Fellowship Program, Louis Stokes Cleveland Dept of Veterans Affairs Medical Center, Cleveland, Ohio sug: subj: Specimen Handling Quality Improvement Program Development Health Care Errors Hospitals, Veterans Ohio Outcome Assessment Program Evaluation Human ab: A lost surgical specimen prompted an investigation of both the human processes and the systemic factors involved in surgical specimen handling regarding how health care organizations approach medical error prevention and patient safety promotion. Quality improvement techniques and the conceptual error model of James Reasons were employed to understand the interaction between the local process of specimen handling and the systemic influences to medical error management. Error management recognizes the inevitability of both individual and systemic error. Through the use of quality improvement techniques and models of error analysis, health care organizations can investigate the error potential of health care delivery and address the human and organizational interaction necessary to improve patient safety and manage medical error. Copyright © 2002 by Aspen Publishers, Inc. pubtype: Academic Journal doctype: algorithm pictorial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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