2008
DOI: 10.1097/aog.0b013e318166e8ca
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Getting to Havarti: Moving Toward Patient Safety in Obstetrics

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Cited by 11 publications
(19 citation statements)
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“…20,21,23 One of TJC 2008 patient safety goals is to improve the effectiveness of communication among caregivers. Nurses and physicians are trained to be autonomous and experts in their field.…”
Section: Teamworkmentioning
confidence: 99%
See 1 more Smart Citation
“…20,21,23 One of TJC 2008 patient safety goals is to improve the effectiveness of communication among caregivers. Nurses and physicians are trained to be autonomous and experts in their field.…”
Section: Teamworkmentioning
confidence: 99%
“…18,23,29 In a Harvard Medical Practice Study, 30 more than 30 000 charts from 51 New York hospitals were reviewed. Since the IOM 18 report To Err Is Human: Building a Safer Health System was published, patient safety has become a critical issue in healthcare.…”
Section: Safetymentioning
confidence: 99%
“…This is accomplished in a manner that affords opportunities for caregiver learning, analysis of operations, and correction of systems flaws. 1 Although impressive progress has been made in the design of patient-centered systems, many perinatal units have failed to fully adopt proven safety processes 4,25 Obstetric departments are not hardwired to prevent error. As a consequence, the incidence of preventable maternal and newborn injuries and death remains unacceptably high in some perinatal settings.…”
Section: Human Factors Engineering and High-reliability Operationsmentioning
confidence: 99%
“…2,3 The failure to keep pace with human factors innovations in the design of high-risk healthcare operations undoubtedly contributes to significant error and "never events"(serious errors that should never occur) in perinatal care. 4,5 This article defines medical error and describes how the interplay between human factors, technology, and the work environment influences medical error rates. The efficacy of HFE in reducing and mitigating errors in obstetric settings is discussed.…”
mentioning
confidence: 99%
“…(6) The Swiss cheese model of James Reason is an important concept describing how accidents occur in complex organizations such as labor and delivery units. (7) Reason's model suggests that when failures in existing defenses and safeguards line up, the trajectory of a potential accident can penetrate all of these accident protections to cause an injury.…”
Section: Introductionmentioning
confidence: 99%