Match each patient safety and error investigation concept with its correct definition.
- Active errorA mistake or unsafe act committed by a frontline healthcare worker whose effects are felt almost immediately by the patient.
- Latent errorA vulnerability or flaw embedded in the healthcare system, design, or organization that predisposes to adverse events.
- Root cause analysisA retrospective, multidisciplinary investigation used to identify the underlying systems-level factors that contributed to a sentinel event.
- Failure mode and effects analysisA proactive, systematic process used to identify potential process failures and their consequences before they occur.
Cevap
Active error matches with the frontline unsafe act; Latent error matches with the systemic vulnerability; Root cause analysis matches with the retrospective investigation; and Failure mode and effects analysis matches with the proactive process.
Understanding the distinct roles of proactive and retrospective analysis, as well as the difference between sharp-end (active) and blunt-end (latent) errors, is foundational for effective error investigation and quality improvement in patient safety.
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Anahtar Kavram
Classification of medical errors and systems-based approaches to patient safety