Event reporting systems: MERS-TM, surveillance--seeing and using the data below the waterline.
Identifieur interne : 002F10 ( Main/Exploration ); précédent : 002F09; suivant : 002F11Event reporting systems: MERS-TM, surveillance--seeing and using the data below the waterline.
Auteurs : H S Kaplan [États-Unis]Source :
- Developments in biologicals [ 1424-6074 ] ; 2005.
Descripteurs français
- KwdFr :
- MESH :
- normes : Transfusion sanguine.
- organisation et administration : Gestion de la sécurité.
- Humains, Réaction transfusionnelle, Surveillance sentinelle.
English descriptors
- KwdEn :
- MESH :
- organization & administration : Safety Management.
- standards : Blood Transfusion.
- Humans, Sentinel Surveillance, Transfusion Reaction.
Abstract
A significant variability in reporting rates, particularly of near-miss events, limits the quantitative reliability of event reporting. Organizations tend to disregard events such as near misses if they are "below the waterline", and outside their classification schemes. High reliability organizations, on the other hand, see near misses as valuable information regarding a system's weaknesses. Another value of near-miss reporting is the opportunity to study recovery factors in order to promote recovery once failure occurs. Since transfusion procedures are well-practised routines, they are often performed as automatic behaviours, vulnerable to interruption and unanticipated occurrences. Data fed back from near-miss events are a useful means of countering this, by maintaining an attitude of alertness in task performance.
PubMed: 16050171
Affiliations:
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Le document en format XML
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Organizations tend to disregard events such as near misses if they are "below the waterline", and outside their classification schemes. High reliability organizations, on the other hand, see near misses as valuable information regarding a system's weaknesses. Another value of near-miss reporting is the opportunity to study recovery factors in order to promote recovery once failure occurs. Since transfusion procedures are well-practised routines, they are often performed as automatic behaviours, vulnerable to interruption and unanticipated occurrences. Data fed back from near-miss events are a useful means of countering this, by maintaining an attitude of alertness in task performance.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region><settlement><li>New York</li></settlement><orgName><li>Université Columbia</li></orgName></list><tree><country name="États-Unis"><region name="État de New York"><name sortKey="Kaplan, H S" sort="Kaplan, H S" uniqKey="Kaplan H" first="H S" last="Kaplan">H S Kaplan</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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