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題名:臺灣醫院醫療不良事件根本原因分析現況與相關因素探討
書刊名:臺灣公共衛生雜誌
作者:洪聖惠鍾國彪王拔群
作者(外文):Hung, Sheng-huiChung, Kuo-piaoWang, Pa-chun
出版日期:2021
卷期:40:5
頁次:頁508-524
主題關鍵詞:根本原因分析醫療不良事件人為因素病人安全Root cause analysisMedical adverse eventHuman factorPatient safety
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:0
  • 點閱點閱:2
期刊論文
1.Benn, J.、Koutantji, M.、Wallace, L.、Spurgeon, P.、Rejman, M.、Healey, A.、Vincent, C.(2009)。Feedback from incident reporting: information and action to improve patient safety。Quality and Safety in Health Care,18(1),11-21。  new window
2.Hutchinson, A.、Young, T. A.、Cooper, K. L.、McIntosh, A.、Karnon, J. D.、Scobie, S.、Thomson, R. G.(2009)。Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System。Quality and Safety in Health Care,18(1),5-10。  new window
3.石崇良、侯勝茂、薛亞聖、鍾國彪、蘇喜、廖熏香(20050100)。異常事件通報系統與通報障礙。臺灣醫學,9(1),63-70。  延伸查詢new window
4.Diller, Thomas、Helmrich, George、Dunning, Sharon、Cox, Stephanie、Buchanan, April、Shappell, Scott(2014)。The Human Factors Analysis Classification System (HFACS) Applied to Health Care。American Journal of Medical Quality,29(3),181-190。  new window
5.Wang, Chen-hsu、Shih, Chung-liang、Chen, Wen-jing、Hung, Sheng-hui、Jhang, Wei-jia、Chuang, Li-ju、Wang, Pa-chun(20160600)。Epidemiology of Medical Adverse Events: Perspectives from a Single Institute in Taiwan。Journal of the Formosan Medical Association,115(6),434-439。  new window
6.Bowie, P.、Skinner, J.、Wet, C.(2013)。Training health care professionals in root cause analysis: a crosssectional study of post-training experience, benefits and attitudes。BMC Health Services Research,13(50)。  new window
7.Peerally, M. F.、Carr, S.、Waring, J.、Dixon-Woods, M.(2017)。The problem with root cause analysis。BMJ Quality & Safety,26(5),417-422。  new window
8.Rabøl, L. I.、Andersen, M. L.、Østergaard, D.、Bjørn, B.、Lilja, B.、Mogensen, T.(2011)。Descriptions of verbal communication errors between staff. An analysis of 84 root cause analysis-reports from Danish hospitals。BMJ Quality & Safety,20(3),268-274。  new window
9.Khorsandi, M.、Skouras, C.、Beatson, K.、Alijani, A.(2012)。Quality review of an adverse incident reporting system and root cause analysis of serious adverse surgical incidents in a teaching hospital of Scotland。Patient Safety in Surgery,6(1)。  new window
10.Kellogg, K. M.、Hettinger, Z.、Shah, M.(2017)。Our current approach to root cause analysis: is it contributing to our failure to improve patient safety?。BMJ Quality & Safety,26(5),381-387。  new window
11.Farley, D. O.、Haviland, A.、Champagne, S.(2008)。Adverse-event-reporting practices by US hospitals: results of a national survey。BMJ Quality & Safety,17(6),416-423。  new window
12.Kim, J.、Kim, S.、Jung, Y.、Kim, E. K.(2010)。Status and Problems of Adverse Event Reporting Systems in Korean Hospitals。Healthcare Informatics Research,16(3),166-176。  new window
13.Hanskamp-Sebregts, M.、Zegers, M.、Vincent, C.、Van Gurp, P. J.、De Vet, H. C. W.、Wollersheim, H.(2016)。Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review。BMJ Open,6(8)。  new window
14.Mitchell, R. J.、Williamson, A. M.、Molesworth, B.、Chung, A. Z. O.(2014)。A review of the use of human factors classification frameworks that identify causal factors for adverse events in the hospital setting。Ergonomics,57(10),1443-1472。  new window
15.Gurses, A. P.、Ozok, A. A.、Pronovost, P. J.(2012)。Time to accelerate integration of human factors and ergonomics in patient safety。BMJ Quality & Safety,21(4),347-351。  new window
16.Taylor-Adams, S.、Vincent, C.(2004)。Systems Analysis of Clinical Incidents: The London Protocol。Clinical Risk,10(6),211-220。  new window
17.Mire, J. J.、Lorenzo, S.、Carrillo, Irene、Ferrús, Lena、Scott, Susan D.(2017)。Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations。International Journal for Quality in Health Care,29(4),450-460。  new window
18.Reason, J.(1995)。Understanding Adverse Events: Human Factors。Quality in Health Care,4(2),80-89。  new window
圖書
1.Institute of Medicine、Kohn, Linda T.、Corrigan, Janet M.、Donaldson, Molla S.(2000)。To Err Is Human: Building a Safer Health System。Washington, D.C.:National Academies Press。  new window
2.財團法人醫療品質暨醫院評鑑策進會(2006)。根本原因分析法教師版手冊。行政院衛生署。  延伸查詢new window
3.Kahneman, Daniel、洪蘭(2020)。快思慢想。天下文化。  延伸查詢new window
其他
1.Wiegmann, D. A.,Shappell, S. A.(2016)。Human Factors Analysis and Classification System,https://www.hfacs.com/hfacs-framework.html。  new window
2.Human Factors Analysis Classification System。Human factors definition,https://www.hfacs.com/。  new window
3.財團法人醫療品質暨醫院評鑑策進會。台灣病人安全通報系統2019年年報,https://www.patientsafety.mohw.gov.tw/Content/Downloads/List01.aspx?SiteID=l&MmmID=621273303702500244。  延伸查詢new window
 
 
 
 
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