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Exploring the causes of adverse events in NHS hospital practice.

Abstract:

In a previous paper we reported that 10.8% of patients admitted to two large hospitals in Greater London experienced one or more adverse events, of which half were deemed preventable. Here we examine the underlying causes of errors in clinical practice. Rather than identifying specific errors made by individuals, we have looked at possible faults in the organization of care. Adverse events were grouped according to stages in the care process: diagnosis, preoperative assessment and care, opera...

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Institution:
University of Oxford
Division:
MSD
Department:
Experimental Psychology
Role:
Author
Journal:
Journal of the Royal Society of Medicine
Volume:
94
Issue:
7
Pages:
322-330
Publication date:
2001-07-01
EISSN:
1758-1095
ISSN:
0141-0768
Source identifiers:
450473
Language:
English
Keywords:
Pubs id:
pubs:450473
UUID:
uuid:036fb246-89f1-417e-bc8e-df9659cdacc2
Local pid:
pubs:450473
Deposit date:
2014-02-27

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