TY - GEN
T1 - Learning from investigation
T2 - 50th Annual Meeting of the Human Factors and Ergonomics Society, HFES 2006
AU - Nemeth, Christopher P.
AU - Cook, Richard I.
AU - Donchin, Yoel
AU - Dierks, Meghan
AU - Patterson, Emily
AU - Bitan, Yuval
AU - Crowley, Jay
AU - McNee, Stephanie
AU - Powell, Tina
PY - 2006/12/1
Y1 - 2006/12/1
N2 - Thorough, objective investigation of medical adverse events rarely happens due to the complexity of the environment, litigation, risk, and socio-political implications. Special concerns can, and do, undermine investigation depth, breadth, and quality. Healthcare's distinct difference from other high hazard sectors requires a unique approach to adverse event investigation. We report on the initial results of a 15-month pilot program now underway to model a national healthcare investigation team. An example of adverse event investigation and organizational response illustrates these issues.
AB - Thorough, objective investigation of medical adverse events rarely happens due to the complexity of the environment, litigation, risk, and socio-political implications. Special concerns can, and do, undermine investigation depth, breadth, and quality. Healthcare's distinct difference from other high hazard sectors requires a unique approach to adverse event investigation. We report on the initial results of a 15-month pilot program now underway to model a national healthcare investigation team. An example of adverse event investigation and organizational response illustrates these issues.
UR - http://www.scopus.com/inward/record.url?scp=44349102345&partnerID=8YFLogxK
M3 - Conference contribution
AN - SCOPUS:44349102345
SN - 9780945289296
T3 - Proceedings of the Human Factors and Ergonomics Society
SP - 914
EP - 917
BT - Proceedings of the Human Factors and Ergonomics Society 50th Annual Meeting, HFES 2006
Y2 - 16 October 2006 through 20 October 2006
ER -