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Preventing human errors in healthcare
- 期号: SRE Weekly Issue #16（2016-03-26）
- 作者: —
- 链接: http://managedhealthcareexecutive.modernmedicine.com/managed-healthcare-executive/news/preventing-human-errors-healthcare
简介
I love this article! Everything it says can be readily applied to SRE. It touches on blameless culture, causes of errors and methods of capturing incident information. Then there’s this excellent tidbit about analyzing all incidents, even near misses:
The majority of organizations target their most serious incidents for immediate attention. Events that lead to severe and/or permanent injury or death are typically underscored in an effort to prevent them from ever happening again. But recurrent errors that have the potential to do harm must also be prioritized for attention and process improvement. After all, whether an incident ultimately results in a near miss or an event of harm leading to a patient’s death is frequently a matter of a provider’s thoughtful vigilance, the resilience of the human body in resisting catastrophic consequences from the event, or sheer luck.
正文
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