Safety in the operating theatre - Part 2: human error and organisational failure.

  title={Safety in the operating theatre - Part 2: human error and organisational failure.},
  author={James Reason},
  journal={Quality & safety in health care},
  volume={14 1},
  • James Reason
  • Published 2005 in Quality & safety in health care
Over the past decade, anaesthetists and human factors specialists have worked together to find ways of minimising the human contribution to anaesthetic mishaps. As in the functionally similar fields of aviation, process control and military operations, it is found that errors are not confined to those at the "sharp end". In common with other complex and well defended technologies, anaesthetic accidents usually result from the often unforeseeable combination of human and organisational failures… CONTINUE READING
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