Error recovery in a hospital pharmacy.

@article{Kanse2006ErrorRI,
  title={Error recovery in a hospital pharmacy.},
  author={L Kanse and Tjerk W van der Schaaf and N D Vrijland and Heleen van Mierlo},
  journal={Ergonomics},
  year={2006},
  volume={49 5-6},
  pages={503-16}
}
A field study was performed in a hospital pharmacy aimed at identifying positive and negative influences on the process of detection of and further recovery from initial errors or other failures, thus avoiding negative consequences. Confidential reports and follow-up interviews provided data on 31 near-miss incidents involving such recovery processes. Analysis revealed that organizational culture with regard to following procedures needed reinforcement, that some procedures could be improved… CONTINUE READING

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