Accident scenes.
Many hospital errors--including some of the most serious--never come to the attention of executives. A behind-the-scenes study shows how mixed incentives and communication snafus mask patterns of errors.
Blecher
M B
MB
D002983:Clinical Competence; D003625:Data Collection; D006302:Health Services Research; D006739:Hospital Administration / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D007049:Iatrogenic Disease / Q000453:epidemiology*; D015274:Interdepartmental Relations; D007400:Interprofessional Relations; D019300:Medical Errors; D015279:Organizational Culture; D017064:Process Assessment, Health Care; D011785:Quality Assurance, Health Care; D012308:Risk Management / Q000592:standards*; D014481:United States / Q000453:epidemiology