Violations and migrations in health care: a framework for understanding and management.

@article{Amalberti2006ViolationsAM,
  title={Violations and migrations in health care: a framework for understanding and management.},
  author={Ren{\'e} Amalberti and Charles Vincent and Yves Auroy and Guillaume Pel{\'e}e de Saint Maurice},
  journal={Quality & safety in health care},
  year={2006},
  volume={15 Suppl 1},
  pages={i66-71}
}
Violations are deliberate deviations from standard procedure. The usual reaction is to attempt to eliminate them and reprimand those concerned. However, the situation is not that simple. Firstly, violations paradoxically may be markers of high levels of safety because they need constraints and defences to exist. They may even become more frequent than errors in ultrasafe systems. Secondly, violations have both positive and negative aspects. On the one hand they occur frequently, increase system… CONTINUE READING
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