Invited commentary: Analyzing adverse medical events - It's the system!

被引：2
作者：
Rhodes, RS [1 ]
机构：
[1] Amer Board Surg, Philadelphia, PA 19103 USA
来源：
SURGERY | 2003年 / 133卷 / 06期
关键词：
D O I：
10.1067/msy.2003.166
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
引用
收藏
页码：624 / 626
页数：3
相关论文
共 13 条
[1]   Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction [J].
Aiken, LH ;
Clarke, SP ;
Sloane, DM ;
Sochalski, J ;
Silber, JH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (16) :1987-1993
[2]  
[Anonymous], HUMAN ERROR MED
[3]  
BOSK C, 1979, FORGIVE REMEMBER
[4]   Analysis of errors reported by surgeons at three teaching hospitals [J].
Gawande, AA ;
Zinner, MJ ;
Studdert, DM ;
Brennan, TA .
SURGERY, 2003, 133 (06) :614-621
[5]   Faculty and resident opinions regarding the role of morbidity and mortality conference [J].
Harbison, SP ;
Regehr, G .
AMERICAN JOURNAL OF SURGERY, 1999, 177 (02) :136-139
[6]  
Kohn LT, 2000, To err is human: Building a safer health system
[7]   Nurse-staffing levels and the quality of care in hospitals [J].
Needleman, J ;
Buerhaus, P ;
Mattke, S ;
Stewart, M ;
Zelevinsky, K .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 346 (22) :1715-1722
[8]   A regional intervention to improve the hospital mortality associated with coronary artery bypass graft surgery [J].
OConnor, GT ;
Plume, SK ;
Olmstead, EM ;
Morton, JR ;
Maloney, CT ;
Nugent, WC ;
Hernandez, F ;
Clough, R ;
Leavitt, BJ ;
Coffin, LH ;
Marrin, CAS ;
Wennberg, D ;
Birkmeyer, JD ;
Charlesworth, DC ;
Malenka, DJ ;
Quinton, HB ;
Kasper, JF .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1996, 275 (11) :841-846
[9]   The morbidity and mortality conference: The delicate nature of learning from error [J].
Orlander, JD ;
Barber, TW ;
Fincke, BG .
ACADEMIC MEDICINE, 2002, 77 (10) :1001-1006
[10]   Organizational differences in rates of learning: Evidence from the adoption of minimally invasive cardiac surgery [J].
Pisano, GP ;
Bohmer, RMJ ;
Edmondson, AC .
MANAGEMENT SCIENCE, 2001, 47 (06) :752-768
12