Active Failures In Healthcare
Listing Websites about Active Failures In Healthcare
Human error: models and management - PMC - National …
(3 days ago) WEBActive failures are the unsafe acts committed by people who are in direct contact with the patient or system. They take a variety of forms: slips, lapses, fumbles, …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1117770/
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Human errors and their prevention in healthcare - PMC
(3 days ago) WEBAbstract. Human errors form a significant portion of preventable mishaps in healthcare. Even the most competent clinicians are not immune to it. Errors in the …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8562433/
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Human errors and their prevention in healthcare : Journal …
(5 days ago) WEBo minimize them. Errors are broadly classified into two kinds: latent and active errors. While active errors need to be addressed at the individual level, latent …
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Prevalence, severity, and nature of preventable patient …
(1 days ago) WEBFor example, Vincent and colleagues proposes that patient harm occur because of contributory factors (which include “active” and “latent” failures) in the …
https://www.bmj.com/content/366/bmj.l4185
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Active Error (or Active Failure) PSNet
(1 days ago) WEBThe terms active and latent as applied to errors were coined by Reason. Active errors occur at the point of contact between a human and some aspect of a larger system (e.g., …
https://psnet.ahrq.gov/taxonomy/term/3451
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Latent and active failures perfectly align to allow a
(7 days ago) WEBThe patient safety movement has raised awareness of the presence of multiple factors that align to result in patient harm, yet implementing processes to fully …
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Multiple Latent Failures Align to Allow a Serious Drug …
(3 days ago) WEBSimilar to dominos that require perfect alignment to collapse in a series, latent failures also must align perfectly for an event to occur unnoticed. A serious drug interaction between …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4296585/
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Human error: models and management The BMJ
(Just Now) WEBPerson approach. The longstanding and widespread tradition of the person approach focuses on the unsafe acts—errors and procedural violations—of people at the sharp end: nurses, physicians, …
https://www.bmj.com/content/320/7237/768
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Patient Safety and Error Management - PMC - National …
(3 days ago) WEBPreventable adverse events occur in Germany both in the hospital and in outpatient settings, although their precise frequency is currently a disputed matter. PAE …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2832110/
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Latent and active failures perfectly align to allow a …
(1 days ago) WEBleaders at all levels within healthcare to identify and address latent failures that exist upstream before errors have a chance to reach our patients. Many are familiar …
https://www.ismp.org/sites/default/files/newsletter-issues/20230112.pdf
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Defining Adverse Events and Determinants of Medical Errors in …
(1 days ago) WEBThe terms “active failures” and “latent conditions” or “latent failures,” the definitions of which are presented subsequently, are also frequently used: “Active …
https://www.intechopen.com/chapters/60411
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Patient safety: understanding human error in intensive nursing care
(1 days ago) WEBAbstract. Objective: To analyze the active failures and the latent conditions related to errors in intensive nursing care and to discuss the reactive and proactive …
https://pubmed.ncbi.nlm.nih.gov/30569957/
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Systems Approach PSNet
(6 days ago) WEBActive 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 human–machine …
https://psnet.ahrq.gov/primer/systems-approach
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Multiple Latent Failures Align to Allow a Serious Drug Interaction …
(5 days ago) WEBWhenever ISMP assists hospitals with a root cause analysis or conducts its own investigation of an adverse event, we inevitably uncover numerous precipitating latent …
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Human Factors Analysis in Patient Safety Systems - The Joint …
(9 days ago) WEBActive Failures – Unsafe acts reflect a failure in the system. However, health care leaders often analyze only the incidents that cause patient harm and not as many close …
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Swiss cheese model - Wikipedia
(8 days ago) WEBThe Swiss cheese model of accident causation is a model used in risk analysis and risk management, including aviation safety, engineering, healthcare, emergency service …
https://en.wikipedia.org/wiki/Swiss_cheese_model
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SAFEE: A Debriefing Tool to Identify Latent Conditions in …
(2 days ago) WEBThis allowed healthcare teams and architects to actively witness care providing an avenue to study the interaction of humans with their environment, enabling …
https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-020-00132-2
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Learning from failure in health care: frequent opportunities, …
(2 days ago) WEBThe notion that hospitals and medical practices should learn from failures, both their own and others’, has obvious appeal. Yet, healthcare organisations that systematically and …
https://qualitysafety.bmj.com/content/13/suppl_2/ii3
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Machine Learning: Active Failures and Latent Conditions - Open …
(3 days ago) WEBActive failures are unsafe acts or minor transgressions committed by people who are in direct contact with the system; these acts can be mistakes, lapses, …
https://opendatascience.com/machine-learning-active-failures-and-latent-conditions/
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Progress in Heart Failure Deaths Reversed Over Past Decade
(7 days ago) WEBBy 2021, the heart failure mortality rate was higher than in 1999, signaling that earlier improvements have been “entirely undone” over the past 10 years, the …
https://jamanetwork.com/journals/jama/fullarticle/2819370
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Google AI Overviews Search Errors Cause Furor Online - The New …
(6 days ago) WEBThe company’s latest A.I. search feature has erroneously told users to eat glue and rocks, provoking a backlash among users. By Nico Grant Reporting from New …
https://www.nytimes.com/2024/05/24/technology/google-ai-overview-search.html
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Understanding the “Swiss Cheese Model” and Its Application to …
(3 days ago) WEBFurthermore, unlike active failures, latent failures do not close or disappear quickly. [ 1 , 20 ] They may not even be detected until an adverse event occurs. For …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8514562/
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Impact of System Failures on Healthcare Workers PSNet
(6 days ago) WEBThe impact that system failures may have on the healthcare workforce was a major theme of articles featured on PSNet in 2022, as the patient safety community …
https://psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
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Study indicates work-life imbalance significantly increases risk of
(6 days ago) WEBAccording to the World Health Organization (WHO), 17.9 million people die from cardiovascular diseases each year. Cause of common type of heart failure may …
https://medicalxpress.com/news/2024-05-life-imbalance-significantly-cardiovascular-diseases.html
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Top 3 Clinical Issues Trending in Healthcare Fraud and Abuse …
(9 days ago) WEBElizabeth Murray, BSN, RN, LNCC, is a Legal Nurse Consultant providing expert analysis of the standard of care in health law issues, particularly qui tam actions …
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Healthcare Sector Maps Cyber Risk Posed by ‘Single Points of …
(5 days ago) WEBThe Department of Health and Human Services is taking the lead in creating a map of the cyber risks posed by having a single technology supplier dominating an …
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Patient Safety: The Role of Human Factors and Systems Engineering
(3 days ago) WEBActive failures are actions and behaviors that are directly involved in an accident: (1) action slips or lapses (e.g., picking up the wrong medication), (2) mistakes (e.g., …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057365/
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