Show Summary Details
Page of

Errors and Violations 

Errors and Violations
Chapter:
Errors and Violations
Author(s):

Alan F. Merry

DOI:
10.1093/med/9780199366149.003.0003
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 05 December 2020

Errors and violations are major contributors to iatrogenic harm in patients. Anesthesia is a complex process within the complex system that is healthcare. In complex systems, decisions need to be reviewed frequently and iteratively with reset baseline data. Errors are unintentional and cannot be avoided simply by trying harder or deterred by the threat of punishment; violations, on the other hand, are deliberate deviations from safe practice. Types of error are statistically predictable, and can be understood in relation to the cognitive processes involved in their generation: either System I thinking, or System II thinking. Safety depends on doing the right things correctly the first time, using a systems-based approach (drawing lessons from aviation and other high-reliability industries) within a just culture.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.