Medication safety issue brief. Using a system-wide approach. Part 4.
The meat and potatoes of error reduction is in the root cause analysis of mistakes and near-misses, and the identification of new, safer ways to carry out tasks. This is also the most technical part of patient safety. But hospital leaders find that their staffs can learn from mistakes using home-grown expertise and wisdom, and that it works best if everyone is willing to open up their daily work lives to some well-intentioned scrutiny.
D006801:Humans; D007857:Leadership; D008508:Medication Errors / Q000517:prevention & control*; D008510:Medication Systems, Hospital / Q000592:standards*; D019982:Organizational Case Studies; D017751:Safety Management / Q000379:methods* / Q000458:organization & administration; D013647:Task Performance and Analysis; D014481:United States