Human error: models and management

Human error: models and management
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DOI:
10.1136/bmj.320.7237.768
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发表时间:
2000-03-18
影响因子:
105.7
通讯作者:
Reason, J
Reason, J
中科院分区:
医学1区
文献类型:
--
作者:
Reason, J

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人的失误问题可以从两个方面来看待:人的方法和系统的方法。每一种都有它的错误成因模型,每一种模型都产生了完全不同的错误管理哲学。了解这些差异对于应对临床实践中一直存在的事故风险具有重要的实际意义。
The human error problem can be viewed in two ways: the person approach and the system approach. Each has its model of error causation and each model gives rise to quite different philosophies of error management. Understanding these differences has important practical implications for coping with the ever present risk of mishaps in clinical practice.