Annals of Emergency Medicine
Volume 52, Issue 5 , Pages 502-503 , November 2008

The Error of Counting “Errors”

  • Robert L. Wears, MD, MS

      Affiliations

    • Corresponding Author InformationAddress for correspondence: Robert L. Wears, MD, MS, 655 West 8th Street, Jacksonville, FL 32209; 904-244-4405, fax 904-244-4508

References 

  1. Cage J. http://en.wikiquote.org/wiki/John_CageAccessed March 12, 2008.
  2. Dekker S. The Field Guide to Understanding Human Error. Aldershot, UK: Ashgate; 2006;
  3. Wears RL, Perry SJ, Sutcliffe KM. The medicalization of patient safety. J Patient Safety. 2005;1:4–6
  4. Berk WA, Welch RD, Levy PD, et al. The effect of clinical experience on the error rate of emergency physicians. Ann Emerg Med. 2008;52:497–501
  5. Wears RL. The error of chasing “error.”. Northeast Florida Med. 2007;58:30–31
  6. Dekker SWA. The reinvention of human error. http://www.lusa.lu.se/upload/Trafikflyghogskolan/TR2002-01_ReInventionofHumanError.pdfAccessed February 5, 2008.
  7. Perrow C. Complex Organizations: A Critical Essay. 3rd ed.. New York, NY: Random House; 1986;
  8. Wears RL, Nemeth CP. Replacing hindsight with insight: towards a better understanding of diagnostic failures. Ann Emerg Med. 2007;49:206–209
  9. Senders JW, Moray NP. Human Error: Cause, Prediction, and Reduction. Hillsdale, NJ: Lawrence Erlbaum Associates; 1991;
  10. Cook RI, Woods DD, Miller C. A tale of two stories: contrasting views of patient safety. http://www.npsf.org/exec/toc.htmlAccessed September 17, 2002.
  11. Woods DD, Cook RI. Perspectives on human error: hindsight biases and local rationality. In:  Durso FT,  Nickerson RS,  Schvaneveldt RW, et al. editor. Handbook of Applied Cognition. New York, NY: John Wiley & Sons; 1999;p. 141–171
  12. Hollnagel E, Woods DD. Joint Cognitive Systems: Foundations of Cognitive Systems Engineering. Boca Raton, FL: CRC Press/Taylor & Francis Group; 2006;
  13. Woods DD, Hollnagel E. Joint Cognitive Systems: Patterns in Cognitive Systems Engineering. Boca Raton, FL: CRC Press/Taylor & Francis Group; 2006;
  14. Perrow C. Normal Accidents: Living With High-Risk Technologies. New York, NY: Basic Books; 1984;
  15. Cook RI, Woods DD. Operating at the sharp end: the complexity of human error. In:  Bogner MS editors. Human Error in Medicine. Hillsdale, NJ: Lawrence Erlbaum Associates; 1994;p. 255–310

 Supervising editor: Michael L. Callaham, MD

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. The author has stated that no such relationships exist. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement.

 Publication date: Available online April 14, 2008.

 Reprints not available from the author.

PII: S0196-0644(08)00607-0

doi: 10.1016/j.annemergmed.2008.03.015

Annals of Emergency Medicine
Volume 52, Issue 5 , Pages 502-503 , November 2008