Section 1: Background

(1.1) Section 1: Background

(1.2) Clinical error

(1.3) Adverse event (AE)

(1.4) Health care near miss event (HCNM)

(1.5) Error and AE

(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, medication errors

(2.1) Section 2: Classification, 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 health care team

(3.4) Effects of clinical errors committed by other staff

(3.5) Effects of clinical errors on health care 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

Module summary

Module test

Take-home notes

References

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