dc.contributor.author | Brattebø, Guttorm | |
dc.contributor.author | Flaatten, Hans Kristian | |
dc.date.accessioned | 2023-06-28T07:01:37Z | |
dc.date.available | 2023-06-28T07:01:37Z | |
dc.date.created | 2023-03-14T13:22:57Z | |
dc.date.issued | 2023 | |
dc.identifier.issn | 0952-7907 | |
dc.identifier.uri | https://hdl.handle.net/11250/3073865 | |
dc.description.abstract | Purpose of review : Despite healthcare workers’ best intentions, some patients will suffer harm and even death during their journey through the healthcare system. This represents a major challenge, and many solutions have been proposed during the last decades. How to reduce risk and use adverse events for improvement?
Recent findings: The concept of safety culture must be acknowledged and understood for moving from blame to learning. Procedural protocols and reports are only parts of the solution, and this overview paints a broader picture, referring to recent research on the nature of adverse events. The potential harm from advice based on faulty evidence represents a serious risk.
Summary: Focus must shift from an individual perspective to the system, promoting learning rather than punishment and disciplinary sanctions, and the recent opioid epidemic is an example of bad guidelines. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Wolters Kluwer Health | en_US |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/deed.no | * |
dc.title | Errors in medicine: punishment versus learning medical adverse events revisited - expanding the frame | en_US |
dc.type | Journal article | en_US |
dc.type | Peer reviewed | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright 2023 the authors | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.doi | 10.1097/ACO.0000000000001235 | |
dc.identifier.cristin | 2133825 | |
dc.source.journal | Current Opinion in Anaesthesiology | en_US |
dc.source.pagenumber | 240-245 | en_US |
dc.identifier.citation | Current Opinion in Anaesthesiology. 2023, 36 (2), 240-245. | en_US |
dc.source.volume | 36 | en_US |
dc.source.issue | 2 | en_US |