Abstract

Contents: J.T. Reason, Foreword. M.S. Bogner, Introduction. L.L. Leape, The Preventability of Medical Injury. J.A. Perper, Life-Threatening and Fatal Therapeutic Misadventures. H. Van Cott, Human Errors: Their Causes and Reduction. N. Moray, Error Reduction as a Systems Problem. G. Vroman, I. Cohen, N. Volkman, Misinterpreting Cognitive Decline in the Elderly: Blaming the Patient. R.L. Klatzky, J. Geiwitz, S.C. Fischer, Using Statistics in Clinical Practice: A Gap Between Training and Application. T.B. Sheridan, J.M. Thompson, People Versus Computers in Medicine. J.W. Senders, Medical Devices, Medical Errors, and Medical Accidents. D.I. Serig, Radiopharmaceutical Misadministrations: What's Wrong? D.M. Gaba, Human Error in Dynamic Medical Domains. R.L. Helmreich, H-G. Schaefer, Team Performance in the Operating Room. R.I. Cook, D.D. Woods, Operating at the Sharp End: The Complexity of Human Error. G.P. Krueger, Fatigue, Performance, and Medical Error. W.A. Hyman, Errors in the Use of Medical Equipment. M.H. Applegate, Diagnosis-Related Groups: Are Patients in Jeopardy? M.S. Bogner, Human Error in Medicine: A Frontier for Change. J. Rasmussen, Afterword.

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