Exploring the causes of adverse events in NHS hospital practice.

Journal article

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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Authors: Neale, G; Woloshynowych, M; Vincent, C

• 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
• Language: English
• Keywords: Middle Aged; Aged; Aged, 80 and over; Medical Records; Pilot Projects; Male; Quality of Health Care; Female; Great Britain; Nursing Records; Medical Errors; Risk Management; Humans; State Medicine