| Autor: |
Meynaar IA; HagaZiekenhuis, afd. Intensive Care, Den Haag.; Contact: I.A. Meynaar (iwanmeynaar@gmail.com)., Kamps GJ; Intergo BV Human Factors en Ergonomie, Utrecht., Heuver G; Saxion Hogeschool, Deventer. |
| Jazyk: |
Dutch; Flemish |
| Zdroj: |
Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2019 Aug 22; Vol. 163. Date of Electronic Publication: 2019 Aug 22. |
| Abstrakt: |
Incidents in healthcare are often followed by an investigation to find out what happened and how it was possible for them to happen. It is often difficult to find good answers to these questions, partly because it is usually not possible for complex reality to be described in simple cause-and-effect reconstructions. Another objective of incident investigations is the prevention of incident reoccurrence. In this respect, answers are not simple either, as it is difficult to think of improvement measures that are both effective and easy to implement. As a result, incident reporting and investigation do not automatically lead to prevention of incident reoccurrence. It is, however, possible to recommend some measures that lead to better investigations and effective improvement measures after incidents. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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