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Section 1: Background

(1.1) Section 1: Background

(1.2) Clinical error

(1.3) Adverse event

(1.4) Healthcare near miss event (HCNM)

(1.5) Error and adverse event

(1.6) Section 1: Recap 1

(1.7) Epidemiology

(1.8) Benchmark studies: the Harvard study of medical practice

(1.9) The Quality in Australian Healthcare Study

(1.10) Adverse events among out-patients

(1.11) Adverse events in the NHS – magnitude of the problem

(1.12) Section 1: Recap 2

(1.13) Section 1: Summary

 

Section 2: Classification and medication errors

(2.1) Section 2: Classification and medication errors

(2.2) Types of error

(2.3) Active errors

(2.4) Knowledge-based errors

(2.5) Rule-based errors

(2.6) Skill-based errors

(2.7) Latent (systemic) errors

(2.8) Errors related to the working environment

(2.9) Procedural errors

(2.10) Violations

(2.11) Section 2: Recap 1

(2.12) Errors at the assessment and investigation stage

(2.13) Errors at the management stage

(2.14) Errors regarding preventative treatments

(2.15) Other errors

(2.16) Medication errors

(2.17) Most common medication errors

(2.18) Other types of medication errors

(2.19) Section 2: Recap 2

(2.20) Section 2: Summary

 

Section 3: Consequences

(3.1) Section 3: Consequences

(3.2) Effects of clinical errors on patients

(3.3) Effects of clinical errors on the clinician or healthcare team

(3.4) Effects of clinical errors committed by other staff

(3.5) Effects of clinical errors on healthcare organisations

(3.6) Effects of clinical errors on society

(3.7) Section 3: Recap 1

(3.8) Medical negligence

(3.9) Clinical negligence in the NHS

(3.10) Factors influencing medical negligence claims

(3.11) Link between clinical errors and medical negligence

(3.12) Disclosure of medical errors

(3.13) The Harvard study

(3.14) Section 3: Recap 2

(3.15) Adverse events related to assessment

(3.16) Adverse events related to drug treatment

(3.17) Adverse events related to management

(3.18) Section 3: Recap 3

(3.19) Section 3: Summary

 

Section 4: Error management

(4.1) Section 4: Error management

(4.2) Why do errors occur?

(4.3) Risk factors that precipitate errors

(4.4) Organisational model of accidents

(4.5) Section 4: Recap 1

(4.6) A threefold approach to error management

(4.7) Prevention

(4.8) Early identification

(4.9) Mitigation of adverse effects, analysis and learning from mistakes

(4.10) The ASSIST model

(4.11) Section 4: Recap 2

(4.12) Section 4: Summary

 

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