
| Date: | MAY 14, 1999 | ||
| Title: |
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| Author: | Lisa Sprague | ||
| Summary: | This issue brief looks at the incidence of error in the health care system, opportunities for a systems-based approach to error reduction, and changes needed in health system culture and training. The lessons of human factors research are considered, with examples of their application in the aviation industry. The paper reviews some error-reduction and patient-safety initiatives undertaken by private-sector organizations and by the Veterans Health Administration. | ||
| Related Materials: |
See also the entry for the related Forum Session. |