title: System review: a method for investigating medical errors in healthcare settings.
abstract: System analysis is a process of evaluating objectives, resources, structure, and design of businesses. System analysis can be used by leaders to collaboratively identify breakthrough opportunities to improve system processes. In healthcare systems, system analysis can be used to review medical errors (system occurrences) that may place patients at risk for injury, disability, and/or death. This study utilizes a case management approach to identify medical errors. Utilizing an interdisciplinary approach, a System Review Team was developed to identify trends in system occurrences, facilitate communication, and enhance the quality of patient care by reducing medical errors.
authors.affiliation: Freeman Health System, Joplin, Missouri, USA. glalexander@freemanhospitals.org
authors.forename: G L
authors.initials: GL
authors.lastname: Alexander
authors.forename: T T
authors.initials: TT
authors.lastname: Stone
mesh_terms: D017723:Drug Utilization Review; D006801:Humans; D007324:Institutional Management Teams / Q000458:organization & administration; D008332:Management Quality Circles; D019300:Medical Errors / Q000517:prevention & control*; D008510:Medication Systems, Hospital / Q000458:organization & administration*; D019984:Quality Indicators, Health Care; D013597:Systems Analysis; D014481:United States