A Systems Approach to Analyzing and Preventing Hospital Adverse Events

A Systems Approach to Analyzing and Preventing Hospital Adverse Events

Objective: This study aimed to demonstrate the use of a systems theory-based accident analysis technique in health care applications as a more powerful alternative to the chain-of-event accident models currently underpinning root cause analysis methods. Method: A new accident analysis technique,...

Disgrifiad llawn

Manylion Llyfryddiaeth
Prif Awduron:	Samost, Aubrey, Dekker, Sidney, Finkelstein, Stan, Raman, Jai, Leveson, Nancy G
Awduron Eraill:	Massachusetts Institute of Technology. Department of Aeronautics and Astronautics
Fformat:	Erthygl
Iaith:	en_US
Cyhoeddwyd:	Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins 2018
Mynediad Ar-lein:	http://hdl.handle.net/1721.1/115366 https://orcid.org/0000-0001-6294-8890

Eitemau Tebyg

A systems approach to patient safety : preventing and predicting medical accidents using systems theory
gan: Samost, Aubrey
Cyhoeddwyd: (2015)

Applying systems thinking to analyze and learn from events
gan: Leveson, Nancy G
Cyhoeddwyd: (2017)

Adverse Events in Robotic Surgery: A Retrospective Study of 14 Years of FDA Data
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Cyhoeddwyd: (2017)

Application of systems and control theory-based hazard analysis to radiation oncology
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Cyhoeddwyd: (2017)

Reducing preventable adverse drug events in hospital settings
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Cyhoeddwyd: (2008)

Evaluating Accident Models Using Recent Aerospace Accidents, Part 1: Event-Based Models
gan: Leveson, Nancy G.
Cyhoeddwyd: (2016)

Application of CAST to hospital adverse events
gan: O'Neil, Meaghan (Meaghan Marie)
Cyhoeddwyd: (2017)

A Systems Thinking Approach to Leading Indicators in the Petrochemical Industry
gan: Leveson, Nancy G.
Cyhoeddwyd: (2016)

A systems approach to risk management through leading safety indicators
gan: Leveson, Nancy G
Cyhoeddwyd: (2017)

Toward Prevention of Adverse Events Using Anticipatory Analytics
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Cyhoeddwyd: (2020-06-01)

Applying System Engineering to Pharmaceutical Safety
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Cyhoeddwyd: (2013)

Exploring the causes of adverse events in NHS hospital practice.
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Cyhoeddwyd: (2001)

The practice of reporting adverse events in a teaching hospital
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Cyhoeddwyd: (2017-10-01)

Medical adverse events during patient’s hospitalization at training Hospitals in Kerman
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Cyhoeddwyd: (2014-07-01)

A system-theoretic, control-inspired view and approach to process safety
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Cyhoeddwyd: (2014)

Recommendations for the prevention of adverse events in endotracheal suctioning – integrative review
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Cyhoeddwyd: (2018-01-01)

Model-free control for autonomous prevention of adverse events in robotics
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Cyhoeddwyd: (2024-01-01)

System Theoretic Safety Analysis of the Sewol-Ho Ferry Accident in South Korea
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Cyhoeddwyd: (2018)

Adverse events in British hospitals: preliminary retrospective record review.
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Cyhoeddwyd: (2001)

Hospital costs associated with adverse events in people with diabetes in the UK
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Cyhoeddwyd: (2022)

Contrastive Transfer Learning for Prediction of Adverse Events in Hospitalized Patients
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Cyhoeddwyd: (2024-01-01)

The Therac-25: 30 Years Later
gan: Leveson, Nancy G., et al.
Cyhoeddwyd: (2018)

Causality and preventability assessment of adverse drug reactions and adverse drug events of antibiotics among hospitalized patients: A multicenter, cross-sectional study in Lahore, Pakistan.
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Cyhoeddwyd: (2018-01-01)

Advancing a sociotechnical systems approach to workplace safety – developing the conceptual framework
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Cyhoeddwyd: (2016)

Hospital adverse events: analysis of internal reporting and reasons for underreporting in official systems
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Cyhoeddwyd: (2024-06-01)

Indications and adverse events of teriparatide: based on FDA adverse event reporting system (FAERS)
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Cyhoeddwyd: (2024-08-01)

16.358J / ESD.358J System Safety, Spring 2003
gan: Leveson, Nancy
Cyhoeddwyd: (2003)

16.358J / 16.863J System Safety, Spring 2005
gan: Leveson, Nancy
Cyhoeddwyd: (2005)

16.863J / ESD.863J System Safety, Spring 2011
gan: Leveson, Nancy
Cyhoeddwyd: (2011)

A New Accident Model for Engineering Safer Systems
gan: Leveson, Nancy G.
Cyhoeddwyd: (2016)

A Comprehensive Safety Engineering Approach for Software-Intensive Systems Based on STPA
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Cyhoeddwyd: (2017)

Analysis of the notifications of adverse drug events in a Brazilian public hospital
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Cyhoeddwyd: (2024-12-01)

Analyzing the adverse events of NK-1 receptor antagonists: a pharmacovigilance study from the FAERS database
gan: Hong Pan, et al.
Cyhoeddwyd: (2024-12-01)

Analysis of postmarketing neuropsychiatric adverse events of avapritinib based on the FDA adverse event reporting system
gan: Wei Mao, et al.
Cyhoeddwyd: (2025-01-01)

Analysis of post-market adverse events of tafamidis base on the FDA adverse event reporting system
gan: Fan Wu, et al.
Cyhoeddwyd: (2024-06-01)

Compliance and adverse event withdrawal: their impact on the west of Scotland Coronary Prevention Study
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Cyhoeddwyd: (1997)

Individualized prevention of proton pump inhibitor related adverse events by risk stratification
gan: Xia, B, et al.
Cyhoeddwyd: (2024)

Endoscopic Ultrasound-Guided Hepaticogastrostomy: Technical Review and Tips to Prevent Adverse Events
gan: Takeshi Ogura, et al.
Cyhoeddwyd: (2021-03-01)

Individualized prevention of proton pump inhibitor related adverse events by risk stratification
gan: Bin Xia, et al.
Cyhoeddwyd: (2024-04-01)

Describing adverse events in an animal-assisted intervention organization: Recommendations for prevention and management
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Cyhoeddwyd: (2024-04-01)