Wednesday 21 January 2015

Regimen to the next

As shown in the above results from identifies doctors collecting data as recharge api free a significant source of error. Opinion http://shanemcgee.deviantart.com/ condensation clarified that the difficulty of data collection was to create an overview.

We have therefore chosen to involve theory of concept overview, based on Warnich-Hansen and specially Establishing an overview http://www.kongregate.com/accounts/albertapowers of electronic health records, RUC 2004, to understand what the concept overview contains, and how IT can help promote the creation of this overview.

Theory of errors, patient and system perspective James Reason defines an error The failure of a Planned sequence of mental or http://raquelgraham.newgrounds.com/ physical activities sin Intended outcome failures can not be attributed two chance. 16 p.


46 A mistake is when a proposed action does not lead to the desired result. Errors can be categorized in several ways, based on http://www.friendster.com/profiles/206738654 whether the act was intentional or not, based on whether it is a mistake or a deliberate violation of the rules, and in sharing of latent or recharge api free active faults.

Furthermore, errors characterized as omission errors recharge api free or action errors. There are so many ways and levels to http://www.hi5.com/leahreese describe the error. In Reasons Swiss cheese model see Figure 15.

Describes how the various processes slices of cheese is built barriers that ensure that the objectives of the action also end up being https://www.openstreetmap.org/user/meredithford the outcome that was desired.


Each slice is however characterized by gaps, which symbolically represents the potential for error- as well as latent active- are in each http://www.veoh.com/users/krystaledwards process, acting as barriers against errors.

When circumstances are sufficiently adverse, the initiated action result in a non-desired outcome. Figure6 James Reason Swiss http://themeforest.net/user/velmacastillo Cheese Model. The model recharge api free shows how the hazard can develop into an injury because the established safety barriers cheese slices has holes- partly as a result of active fault as conditions.

Presented in Aviation Safety Letter. 208 Basic types of errors, as can be seen from Figure 7, unconscious actions in the form of tie http://www.bannerfans.com/rickeydelgado/ slips and lapses forgetfulness, and deliberate actions that lead to errors in the form of mistakes misconceptions.

Tie is observable ex click the wrong button, lapses are invisible ex forget to press Update patient to save weight input. Mistakes is http://forums.miranda-im.org/member.php?90636-sauldawson when the plan was laid, did not lead to the desired result, either by the doctor uses a rule that does not fit the current situation, for example.


Recycles previous knowledge of the dose modification from a treatment, where the rule so is not correct, or use http://profiles.tigweb.org/lesliemurphy the right rule, but misunderstand it, for example, reads dose modification rule, but misunderstands how much to reducers.

Figure7 Summary of the psychological variations of unsafe actions, classified in terms of the act was intentional. Violations is a https://community.articulate.com/users/josephsnyder fourth type of acts that affect patient safety.


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