Human Error in Medicine
Human Error in Medicine Books
Product Description
This edited collection of articles addresses aspects of medical care in which human error is associated with unanticipated adverse outcomes. For the purposes of this book, human error encompasses mismanagement of medical care due to:
* inadequacies or ambiguity in the design of a medical device or institutional setting for the delivery of medical care;
* inappropriate responses to antagonistic environmental conditions such as crowding and excessive clutter in institutional settings, extremes in weather, or lack of power and water in a home or field setting;
* cognitive errors of omission and commission precipitated by inadequate in rank and/or situational factors — stress, fatigue, excessive cognitive workload.
The first to address the theme of human error in medicine, this book considers the topic from a problem oriented, systems perspective; that is, human error is considered not as the source of the problem, but as a flag indicating that a problem exists. The focus is on the identification of the factors within the system in which an error occurs that contribute to the problem of human error. As those factors are identified, efforts to alleviate them can be instituted and reduce the likelihood of error in medical care.
Human error occurs in all aspects of human activity and can have particularly grave consequences when it occurs in medicine. Near everyone at some top in life will be the recipient of medical care and has the possibility of experiencing the consequences of medical error. The consideration of human error in medicine is vital because of the number of people that are affected, the problems incurred by such error, and the societal impact of such problems. The cost of those consequences to the individuals caught up in medical error, both in the health care providers’ concern and the patients’ emotional and corporal pain, the cost of care to alleviate the consequences of the error, and the cost to society in dollars and in lost private contributions, mandates consideration of ways to reduce the likelihood of human error in medicine.
The chapters were written by leaders in a variety of fields, including psychology, medicine, engineering, cognitive science, human factors, gerontology, and nursing. Their experience was gained through actual hands-on provision of medical care and/or research into factors contributing to error in such care. Because of the experience of the chapter authors, their systematic consideration of the issues in this book affords the reader an insightful, applied approach to human error in medicine — an approach fortified by academic discipline.
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This book is a fantastic way to know why we have a problem today in the health industry. Sue does a fantastic job at breaking down the facts and giving us unarguable conclusions.
Rating: 3 / 5
A comprehensive review of this book appears in the July-August 2006 come forth of “Biomedical Instrumentation and Technology”, Vol. 40, No. 4, p. 290. This is a reference that should be on the bookshelf of every department head and policy maker which is caught up in the delivery of healthcare or its oversight.
Rating: 4 / 5
This book came out long before the Institute of Medicine Report, “To Err is Human”, and in some ways it is better. It provides a fantastic deal of background in rank essential to understanding this vital but long-neglected problem. As a physician, it has absolutely changed my understanding of how errors occur in the profession of medicine. Although some chapters are trying to read, I judge every physician and physician in training should read the forward, Chapter 13, “Operating at the Sharp End”, and chapter 14,”Fatigue, Performance and Medical Error”. When our sickbay board questioned me about the newspaper reports of error in medicine, I used the in rank in this book to clarify the problem to them.
Rating: 5 / 5