Testing new devices to help prevent 'misconnection' errors in health care [0.03%]
测试新的设备以防止医疗保健中的“误连”错误
Rebecca Lawton
Rebecca Lawton
The study, the first part of which was published in 2008, looked at, prospectively, how effective and safe new, non-traditional connectors were for use in spinal connector equipment such as spinal needles and infusion lines. The researchers...
Feedback from reporting patient safety incidents--are NHS trusts learning lessons? [0.03%]
患者安全事件报告后的反馈——公立医院从中吸取教训了吗？
Louise Wallace
Louise Wallace
For the study, first published in 2006, the researchers examined how well NHS organisations had attempted to use the information they gathered from adverse clinical incidents and whether they were learning from it. By looking at existing re...
Olga Kostopoulou
Olga Kostopoulou
The study, first published in 2008, involved GPs of different levels of experience taking part in a study that used hypothetical clinical scenarios in order to look at what it is that leads GPs to make diagnosis errors and whether there are...
Ian Wong
Ian Wong
The study, first published in 2007, tried to identify interventions introduced to reduce dose calculation errors in newborn infant and child patients and then to assess their impact on patient care. To do this, the researchers studied exist...
Nick Barber
Nick Barber
The study, first published in 2006, looks at how we should evaluate electronic prescribing systems in hospitals, particularly to improve patient safety. It provides an evaluation framework, compares methodologies to detect prescribing error...
Medication errors--what is the best way to reduce their impact on patients' health? [0.03%]
药物使用失误——怎样才能最好地减少其对患者健康的损害？
Jonathan Karnon
Jonathan Karnon
The study, first released in 2005, looks at medication errors and how they can be reduced. The authors carried out a prospective hazard and improvement analysis, which involved a review of existing research, analysis of existing evidence by...
Lesley Fallowfield
Lesley Fallowfield
The study, published in 2003, looks at more than 120 sources of existing research, studies, and policies to consider errors and adverse incidents, particularly involving doctors, and the quality of communication with patients after an incid...
Failures in childbirth care [0.03%]
产科护理中的失误
Brenda Ashcroft
Brenda Ashcroft
The study, first published in 2003, looks at the root causes of adverse events and near misses in obstetrics at seven hospital maternity units by interviewing 93 members of staff, identifying the areas of mismanagement in each case and them...
Ken Catchpole
Ken Catchpole
The study, first published in 2005, looks at errors made in the operating theatre by observing operations at first hand, recording them for closer scrutiny and evaluation of non-technical skills such as human error, system problems and team...
Trevor Sheldon
Trevor Sheldon
The study, first published in 2003, looks at how trusts reacted to and implemented a safety alert on a drug, in this case potassium chloride, which can help save lives, but which is dangerous in high concentrations.