Leading article
Training and dealing with errors or mistakes in medical practical procedures
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Introduction |
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The complexity of treatment, procedures, interventions, and
workload of modern, inpatient paediatric and neonatal care provides a
setting where errors may, potentially, have serious adverse consequences for our patients. For the purpose of this article, an
error is defined as clinical performance which deviates from an ideal
and, as a result, could (or does) lead to an accident or an iatrogenic
incident.1 2 Active errors are those that immediately
precede an adverse event and latent errors are factors inherent to a
system (for example, heavy workload, inadequate maintenance of
equipment, or the prevailing professional culture) that provide the
conditions in which an accident is inevitable if given the right set of
circumstances. Since all physicians involved with acute or emergency
care may be expected to perform practical procedures,3 we
need to understand why our patients sometimes suffer as a consequence
of a procedure, what mistakes occur, and how we can improve
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Resuscitation
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