Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Sociotechnical Aspects: Clinicians and Technology
Lecture:Medical errors
Patient safety
Slide content:Organizational System Errors System errors occur because of inadequacies in the system Often committed by multiple individuals who intersect with patient care Often difficult to analyze 14
Slide notes:In contrast to individual errors, organizational system and process errors occur because of inadequacies within the organization that delivers health care. They are often committed by multiple individuals who intersect while providing patient care within the same setting. System and process errors may occur at the same point of an individual workflow but may be committed by different clinicians; these errors are often difficult to analyze. 14