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Reducing medical error and increasing patient safety Richard Smith Editor, BMJ
What I want to talk about ,[object Object],[object Object],[object Object],[object Object],[object Object]
A story
How common is error? ,[object Object],[object Object],[object Object],[object Object]
How common is medical error? ,[object Object],[object Object],[object Object],[object Object]
How common is medical error? ,[object Object],[object Object],[object Object]
How common is medical error? ,[object Object],[object Object]
Results of medical error ,[object Object],[object Object]
Types of error ,[object Object],[object Object],[object Object],[object Object],[object Object]
Types of error ,[object Object]
Which patients are most at risk? ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
How dangerous is health care? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why do errors happen? ,[object Object],[object Object],[object Object],[object Object]
 
How to think of error? ,[object Object],[object Object],[object Object],[object Object],[object Object]
How to think of error? ,[object Object],[object Object]
How to respond? Tactics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Building a safe healthcare system (from James Reason) ,[object Object],[object Object],[object Object],[object Object]
Building a safe healthcare system (from James Reason) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Building a safe healthcare system (from James Reason) ,[object Object],[object Object],[object Object],[object Object]
Building a safe healthcare system (from James Reason) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Building a safe healthcare system (from James Reason) ,[object Object],[object Object],[object Object]
Building a safe healthcare system (from James Reason) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Building a safe healthcare system (from James Reason) ,[object Object],[object Object]
Building a safe healthcare system (from James Reason) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
James Reason’s bottom line ,[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object]

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Reducing Medical Error and increasing patient safety Reducing Medical Error and increasing patient safety

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