Latent Medical Errors

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Medical Error Reduction and Prevention - PubMed

https://pubmed.ncbi.nlm.nih.gov/29763131/

Latent Error. These are errors in system or process design, faulty installation or maintenance of equipment, or ineffective organizational structure. These are present but may go unnoticed for a long time with no ill effect. When a latent …

Patient Safety - World Health Organization

https://www.who.int/news-room/fact-sheets/detail/patient-safety

It is when multiple latent errors align that an active error reaches the patient. To err is human, and expecting flawless performance from human beings …

Latent Error (or Latent Condition) | PSNet

https://psnet.ahrq.gov/taxonomy/term/3488

Thus, latent errors are quite literally "accidents waiting to happen." Latent errors are sometimes referred to as errors at the blunt end, referring to the many layers of the …

Latent and Active Failures Perfectly Align to Allow a …

https://www.ismp.org/resources/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient

To minimize errors, identify active and latent failures and evaluate your processes by considering the following recommendations: New product review. When the …

Systems Approach | PSNet

https://psnet.ahrq.gov/primer/systems-approach

Active errors almost always involve frontline personnel and occur at the point of contact between a human and some aspect of a larger system (e.g., a …

Root Cause Analysis | PSNet

https://psnet.ahrq.gov/primer/root-cause-analysis

Sep 7, 2019

Identifying the latent failures underpinning medication …

https://pubmed.ncbi.nlm.nih.gov/22375850/

The discussion focuses on ward climate, the most prevalent theme, which is conceptualized here as interacting with failures in the nine other organizational structures and processes. …

Examples of Medical Errors 2022 best update - idealmedhealth

https://idealmedhealth.com/examples-of-medical-errors-2022-best-update/

1. Medication Errors. Medication errors are common medical errors. A physician, for example, may prescribe the incorrect dose of a medication or the …

20 Tips To Help Prevent Medical Errors: Patient Fact Sheet

https://www.ahrq.gov/questions/resources/20-tips.html

Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. They can happen during even the most routine tasks, such as when a hospital patient on a salt-free …

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