To Err Is Human
Title | To Err Is Human PDF eBook |
Author | Institute of Medicine |
Publisher | National Academies Press |
Pages | 312 |
Release | 2000-03-01 |
Genre | Medical |
ISBN | 0309068371 |
Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine
Errors in Language Learning and Use
Title | Errors in Language Learning and Use PDF eBook |
Author | Carl James |
Publisher | Routledge |
Pages | 282 |
Release | 2013-12-02 |
Genre | Language Arts & Disciplines |
ISBN | 1317890299 |
Errors in Language Learning and Use is an up-to-date introduction and guide to the study of errors in language, and is also a critical survey of previous work. Error Analysis occupies a central position within Applied Linguistics, and seeks to clarify questions such as `Does correctness matter?', `Is it more important to speak fluently and write imaginatively or to communicate one's message?' Carl James provides a scholarly and well-illustrated theoretical and historical background to the field of Error Analysis. The reader is led from definitions of error and related concepts, to categorization of types of linguistic deviance, discussion of error gravities, the utility of teacher correction and towards writing learner profiles. Throughout, the text is guided by considerable practical experience in language education in a range of classroom contexts worldwide.
Patient Safety and Quality
Title | Patient Safety and Quality PDF eBook |
Author | Ronda Hughes |
Publisher | Department of Health and Human Services |
Pages | 592 |
Release | 2008 |
Genre | Medical |
ISBN |
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Learning from Error
Title | Learning from Error PDF eBook |
Author | William Berkson |
Publisher | |
Pages | 184 |
Release | 1984 |
Genre | Education |
ISBN |
Trial and Error in Criminal Justice Reform
Title | Trial and Error in Criminal Justice Reform PDF eBook |
Author | Greg Berman |
Publisher | Rowman & Littlefield |
Pages | 167 |
Release | 2016-03-21 |
Genre | Law |
ISBN | 1442268484 |
In this revised edition of their concise, readable, yet wide-ranging book, Greg Berman and Aubrey Fox tackle a question students and scholars of law, criminology, and political science constantly face: what mistakes have led to the problems that pervade the criminal justice system in the United States? The reluctance of criminal justice policymakers to talk openly about failure, the authors argue, has stunted the public conversation about crime in this country and stifled new ideas. It has also contributed to our inability to address such problems as chronic offending in low-income neighborhoods, an overreliance on incarceration, the misuse of pretrial detention, and the high rates of recidivism among parolees. Berman and Fox offer students and policymakers an escape from this fate by writing about failure in the criminal justice system. Their goal is to encourage a more forthright dialogue about criminal justice, one that acknowledges that many new initiatives fail and that no one knows for certain how to reduce crime. For the authors, this is not a source of pessimism, but a call to action. This revised edition is updated with a new foreword by Cyrus R. Vance, Jr., and afterword by Greg Berman.
Learning from Error in Policing
Title | Learning from Error in Policing PDF eBook |
Author | Jon Shane |
Publisher | Springer Science & Business Media |
Pages | 93 |
Release | 2013-04-16 |
Genre | Social Science |
ISBN | 3319000411 |
While the proximate cause of any accident is usually someone’s immediate action— or omission (failure to act)—there is often a trail of underlying latent conditions that facilitated their error: the person has, in effect, been unwittingly “set up” for failure by the organization. This Brief explores an accident in policing, as a framework for examining existing police practices. Learning from Error in Policing describes a case of wrongful arrest from the perspective of organizational accident theory, which suggests a single unsafe act—in this case a wrongful arrest—is facilitated by several underlying latent conditions that triggered the event and failed to stop the harm once in motion. The analysis demonstrates that the risk of errors committed by omission (failing to act) were significantly more likely to occur than errors committed by acts of commission. By examining this case, policy implications and directions for future research are discussed. The analysis of this case, and the underlying lessons learned from it will have important implications for researchers and practitioners in the policing field.
Error and the Growth of Experimental Knowledge
Title | Error and the Growth of Experimental Knowledge PDF eBook |
Author | Deborah G. Mayo |
Publisher | University of Chicago Press |
Pages | 520 |
Release | 1996-07-15 |
Genre | Mathematics |
ISBN | 9780226511979 |
Preface1: Learning from Error 2: Ducks, Rabbits, and Normal Science: Recasting the Kuhn's-Eye View of Popper 3: The New Experimentalism and the Bayesian Way 4: Duhem, Kuhn, and Bayes 5: Models of Experimental Inquiry 6: Severe Tests and Methodological Underdetermination7: The Experimental Basis from Which to Test Hypotheses: Brownian Motion8: Severe Tests and Novel Evidence 9: Hunting and Snooping: Understanding the Neyman-Pearson Predesignationist Stance10: Why You Cannot Be Just a Little Bit Bayesian 11: Why Pearson Rejected the Neyman-Pearson (Behavioristic) Philosophy and a Note on Objectivity in Statistics12: Error Statistics and Peircean Error Correction 13: Toward an Error-Statistical Philosophy of Science ReferencesIndex Copyright © Libri GmbH. All rights reserved.