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Risikofaktor Mensch? Fehler in der Akutmedizin

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Literatur

  • Amalberti R (1996) La Conduite des Systèmes à Risque. Presses Universitaires de France, Paris

    Google Scholar 

  • Amalberti R, Mosneron-Dupin (1997) Facteurs humains et fiabilité: quelles démarches pratiques? Octares, Toulouse

    Google Scholar 

  • Arbous MS, Grobbee DE, van Kleef JW, de Lange JJ, Spoormans HH, Touw P, Werner FM, Meursing AE (2001) Mortality associated with anaesthesia: a qualitative analysis to identify risk factors. Anaesthesia 56: 1141–53

    Article  CAS  PubMed  Google Scholar 

  • Arntz HR, Klatt S, Stern R, Willich SN, Bernecker J (1997) Sind Notarztdiagnosen zuverlässig? Notfall und Rettungsmedizin 0: 12–19

    Google Scholar 

  • Badke-Schaub P (2002) Kritische Situationen als Analysee-inheit komplexer Handlungen. In: Trimpop R, Zimolong B, Kalveram A (Hrsg) Psychologie der Arbeitssicherheit und Gesundheit, Neue Welten — alte Welten. Asanger, Heidelberg, S 137–142

    Google Scholar 

  • Beckmann U, Baldwin I, Hart GK, Runciman WB (1996) The Australian Incident Monitoring Study in Intensive Care: AIMS-ICU. An analysis of the first year of reporting. Anaesth Intensive Care 24: 320–9

    CAS  PubMed  Google Scholar 

  • Beckmann U, Bohringer C, Carless R, Gillies DM, Runciman WB, Wu AW, Pronovost P (2003) Evaluation of two methods for quality improvement in intensive care: facilitated incident monitoring and retrospective medical chart review. Crit Care Med 31: 1006–11

    PubMed  Google Scholar 

  • Beecher HK, Todd DP (1954) A study of the deaths associated with anesthesia and surgery. Annuals of Surgery 140: 2–34

    CAS  Google Scholar 

  • Bracco D, Favre JB, Bissonnette B, Wasserfallen JB, Revelly JP, Ravussin P, Chiolero R (2001) Human errors in a multidisciplinary intensive care unit: a 1-year prospective study. Intensive Care Med 27: 137–45

    Article  CAS  PubMed  Google Scholar 

  • Buckley TA, Short TG, Rowbottom YM, Oh TE (1997) Critical incident reporting in the intensive care unit. Anaesthesia 52: 403–9

    Article  CAS  PubMed  Google Scholar 

  • Buduhan G, McRitchie DI (2000) Missed injuries in patients with multiple trauma. J Trauma 49(4): 600–5

    CAS  PubMed  Google Scholar 

  • Chan WK, Leung KF, Lee YF, Hung CS, Kung NS, Lau FL (1998) Undiagnosed acute myocardial infarction in the accident and emergency department: reasons and implications. Eur J Emerg Med 5(2): 219–224

    CAS  PubMed  Google Scholar 

  • Chopra V, Bovill JG, Spierdijk J, Koornneef F (1992) Reported significant observations during anaesthesia: A prospective analysis over an 18-month period. Br J Anaesth 68: 13–18

    CAS  PubMed  Google Scholar 

  • Cooper JB, Newbower RS, Long CD, McPeek B (1978) Preventable anesthesia mishaps: a study of human factors. Anesthesiology 49: 399–406

    CAS  PubMed  Google Scholar 

  • Cooper JB, Gaba D (2002) No Myth: Anesthesia Is a Model for Addressing Patient Safety. Anesthesiology 97: 1335–37

    PubMed  Google Scholar 

  • Cullen DJ, Sweitzer BJ, Bates DW, Burdick E, Edmondson A, Leape LL (1997) Preventable adverse drug events in hospitalised patients. A comparative study of intensive care and general care units. Crit Care Med 25: 1289–97

    CAS  PubMed  Google Scholar 

  • Currie M (1989) A Prospective Survey of Anaesthetic Critical Events in a Teaching Hospital. Anaesthesia and Intensive Care 17: 403–411

    CAS  PubMed  Google Scholar 

  • Darchy B, Le Miere E, Figueredo B (1999) Iatrogenic diseases as a reason for admission to the intensive care unit: Incidence, causes and consequences. Arch Intern Med 159: 71–78

    Article  CAS  PubMed  Google Scholar 

  • Davies JW, Hoyt DB, McArdle MS, Mackersie RC, Eastman AB, Virgilio RW, Cooper G, Hammill F, Lynch FP (1992) An analysis of errors causing morbidity and mortality in a trauma system: a guide for quality improvement. J Trauma 32: 660–5

    Google Scholar 

  • Donchin Y, Gopher D, Olin M, Badihi Y, Biesky M, Sprung CL, Pizov R, Cotev S (1995) A look into the nature and causes of human errors in the intensive care unit. Crit Care Med 23: 294–300

    CAS  PubMed  Google Scholar 

  • Enderson BL, Reath DB, Meadors J, Dallas W, DeBoo JM, Maull KI. (1990) The tertiary trauma survey: a prospective study of missed injury. J Trauma. 30(6): 666–9

    CAS  PubMed  Google Scholar 

  • Flabouris A (2001) Clinical features, patterns of referral and out of hospital transport events for patients with suspected isolated spinal injury. Injury 32: 569–75

    Article  CAS  PubMed  Google Scholar 

  • Flin R, Fletcher G, McGeorge P, Sutherland A, Patey R (2003) Anaesthetists’ attitudes to teamwork and safety. Anaesthesia 58: 233–242

    Article  CAS  PubMed  Google Scholar 

  • Gaba DM, Fish KJ, Howard SK (1998) Zwischenfälle in der Anästhesie — Prävention und Management. Urban & Fischer, Lübeck

    Google Scholar 

  • Giraud T, Dhainaut J, Vaxelaire J (1993) Iatrogenic complications in adult intensive care units: A prospective two-center study. Crit Care Med 21: 40–51

    CAS  PubMed  Google Scholar 

  • Hansis M, Hart D, Becker-Schwarze K, Hansis D (2001) Medizinische Behandlungsfehler in Deutschland: Robert Koch-Institut, Berlin

    Google Scholar 

  • Helmreich RL (2000) On error management: lessons from aviation. BMJ 320: 781–5

    Article  CAS  PubMed  Google Scholar 

  • Holliman CJ, Wuerz RC, Meador SA (1992) Medical command errors in an urban advanced life support system. Am J Emerg Med 21: 347–50

    CAS  Google Scholar 

  • Kemmler, R (2000) Cockpit Safety Survey 1997 (WWW-Dokument). URL: http://www.plattform-ev.de/dokumente

    Google Scholar 

  • Kluger MT, Bullock MF (2002) Recovery room incidents: a review of 419 reports from the Anaesthetic Incident Monitoring Study (AIMS). Anaesthesia 57: 1060–1066

    CAS  PubMed  Google Scholar 

  • Linn S, Knoller N, Giligan CG, Dreifus U (1997) The sky is a limit: errors in prehospital diagnosis by flight physicians. Am J Emerg Med 15(3): 316–320

    Article  CAS  PubMed  Google Scholar 

  • Kohn L, Corrigan J, Donaldson M (1999) To err is human: Building a Safer Health System. Committee on Quality of Health Care in America, Institute of Medicine (IOM). National Academy Press, Washington DC

    Google Scholar 

  • Kumar V, Barcellos WA, Mehta MP, Carter JG (1988) An analysis of critical incidents in a teaching department for quality assurance: a survey of mishaps during anaesthesia. Anaesthesia 43: 879–883

    CAS  PubMed  Google Scholar 

  • List WF, Osswald PM (Hrsg.) (2002) Komplikationen in der Anästhesie. Springer, Berlin

    Google Scholar 

  • McDermott FT, Rosenfeld JV, Laidlaw JD, Cordner SM, Tremayne AB (2004) Evaluation of management of road trauma survivors with brain injury and neurologic disability in Victoria. J Trauma 56: 137–49

    PubMed  Google Scholar 

  • Mackenzie CF, Jefferies NJ, Hunter WA, Bernhard WN, Xiao Y (1996) Comparison of self-reporting of deficiencies in airway management with video analyses of actual performance. LOTAS Group. Level One Trauma Anesthesia Simulation. Hum Factors 38: 623–35

    CAS  PubMed  Google Scholar 

  • Morey JC, Simon R, Jay GD, Wears RL, Salisbury M, Dukes KA, Berns SD (2002) Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Serv Res 37: 1553–81

    Article  PubMed  Google Scholar 

  • Peery CL, Chendrasekhar A, Paradise NF, Moorman DW, Timberlake GA (1999) Missed injuries in pediatric trauma. Am Surg 65(11): 1067–1069

    CAS  PubMed  Google Scholar 

  • Perrow C (1999) Normal accidents. Living with High-Risk Technologies. Princeton University Press, Princeton NJ

    Google Scholar 

  • Rasmussen J, Brehmer B, Leplat J (Hrsg.) (1991) Distributed Decision Making. John Wiley & Sons, New York

    Google Scholar 

  • Reason J (1990) Human Error. Cambridge University Press, Cambridge UK

    Google Scholar 

  • Reason J (1997) Managing the Risks of Organizational Accidents. Ashgate, Aldershot

    Google Scholar 

  • Risser DT, Rice MM, Salisbury ML, Simon R, Jay GD, Berns SD (1999) The potential for improved teamwork to reduce medical errors in the emergency department. The MedTeams Research Consortium. Ann Emerg Med 34: 373–83

    Article  CAS  PubMed  Google Scholar 

  • Schüttler J, Biermann E, Grapengeter M, Lussi C (2002) Der Narkosezwischenfall. Thieme, Stuttgart

    Google Scholar 

  • Sefrin P, Sellner J (1992) Die Bedeutung der Primärbefunde für den weiteren Krankheitsverlauf. Notfallmedizin 18: 365–371

    Google Scholar 

  • Simon R, Schmidt J, Göhring U, Fritz T, Meeder PJ (1999) Bedeutung der präklinischen Fehleinschätzung des Verletzungsausmaßes für die Prognose von Polytraumatisierten Patienten. Der Notarzt 15: 105–110

    Article  Google Scholar 

  • UK P&I (1999) Ten-Year Trends in Maritime Risks: Analysis of Major Claims. London

    Google Scholar 

  • Webb RK, Currie M, Morgan CA, Williamson JA, Mackay P, Russell WJ, Runciman WB (1993) The Australian Incident Monitoring Study: an analysis of 2000 incident reports. Anaesth Intensive Care 21: 520–528

    CAS  PubMed  Google Scholar 

  • Webster CS, Merry AF, Larsson L, McGrath KA, Weller J (2001) The frequency and nature of drug administration error during anaesthesia. Anaesth Intensive Care 29: 494–500

    CAS  PubMed  Google Scholar 

  • Wright D, Mackenzie SJ, Buchan I, Cairns CS, Price LE (1991) Critical incidents in the intensive therapy unit. Lancet 338: 676–678

    Article  CAS  PubMed  Google Scholar 

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(2005). Risikofaktor Mensch? Fehler in der Akutmedizin. In: Notfallmanagement. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-27014-0_1

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  • DOI: https://doi.org/10.1007/3-540-27014-0_1

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-23456-2

  • Online ISBN: 978-3-540-27014-0

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