Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents

[1]  B. Molesworth,et al.  Identifying causal patterns and errors in adverse clinical incidents , 2013 .

[2]  R. Newson,et al.  Injury deaths, Australia 2002 , 2004 .

[3]  T. Brennan,et al.  The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. , 1991, The New England journal of medicine.

[4]  James R Ward,et al.  An analysis of medical device-related errors: prevalence and possible solutions , 2004, Journal of medical engineering & technology.

[5]  John Amoore,et al.  Learning from adverse incidents involving medical devices. , 2003, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[6]  Jens Rasmussen,et al.  Human errors. a taxonomy for describing human malfunction in industrial installations , 1982 .

[7]  Ann Williamson,et al.  Industry differences in accident causation , 1996 .

[8]  Pj Clarkson,et al.  Design for patient safety: A review of the effectiveness of design in the UK health service , 2004 .

[9]  D. Kunac,et al.  Detecting Medication Errors in the New Zealand Pharmacovigilance Database , 2011, Drug safety.

[10]  Sten-Erik Clausen,et al.  Applied correspondence analysis : an introduction , 1998 .

[11]  R. Amalberti,et al.  Human Error Reduction Strategies in Health Care , 2016 .

[12]  Ann Willamson,et al.  Behavioural epidemiology as a tool for accident research , 1990 .

[13]  W. Dunsmuir,et al.  Association of interruptions with an increased risk and severity of medication administration errors. , 2010, Archives of internal medicine.

[14]  James E. Harrison,et al.  Injury deaths, Australia 2004–05 , 2009 .

[15]  A. Feyer,et al.  A classification system for causes of occupational accidents for use in preventive strategies. , 1991, Scandinavian journal of work, environment & health.

[16]  Ann Williamson,et al.  Associations between Errors and Contributing Factors in Aircraft Maintenance , 2003, Hum. Factors.

[17]  A. Nyssen,et al.  Error detection: A study in anaesthesia , 2006, Ergonomics.

[18]  A. Wall,et al.  Book ReviewTo Err is Human: building a safer health system Kohn L T Corrigan J M Donaldson M S Washington DC USA: Institute of Medicine/National Academy Press ISBN 0 309 06837 1 $34.95 , 2000 .

[19]  C. Pamer,et al.  Retrospective analysis of mortalities associated with medication errors. , 2001, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.

[20]  D. Jefferys The regulation of medical devices and the role of the Medical Devices Agency. , 2001, British journal of clinical pharmacology.

[21]  L. Kohn,et al.  To Err Is Human : Building a Safer Health System , 2007 .

[22]  K. Taxis,et al.  Causes of intravenous medication errors: an ethnographic study , 2003, Quality & safety in health care.

[23]  E. Kentala,et al.  Classification and Consequences of Errors in Otolaryngology , 2004, The Laryngoscope.

[24]  Trevor A Sheldon,et al.  Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review , 2006, BMJ : British Medical Journal.