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Introduction / Charles Vincent and Bas de Mol -- Approaches to safety / Babette Fahlbruch, Bernhard Wilpert and Charles Vincent -- The concept of human error : is is useful for the design of safe systems in healthcare?/ Jens Rasmussen -- Analysis of human errors in anaesthesia. Our methodological approach : from general observations to targeted studies in simulator / Anne-Sophie Nyssen -- Critical incident reporting. Approaches in anaesthesiology/ Sven Staender, Mark Kaufmann and Daniel Scheidegger -- A systems approach to medical error / Marilyn Sue Bogner -- Clinical accident analysis : understanding the interaction between the task, individual, team and organisation/ Sally Taylor-Adams and Charles Vincent -- Adverse events in cardiac surgery : the role played by human and organisational factors / Jane Carthey, Marc de Leval, James Reason, Andrew Leggatt and David Wright -- Enhancing team performance/ Stephan Marsch, Christoph Harms and Daniel Scheidegger -- Organisational interfaces, risk potentials and quality losses in nursing : a multi-level approach/ Andr歋 B鋎ssing, J鋎rgen Glaser and Britta Herbig -- Controlling the risks of mechanical heart valve failure using product life cycle based safety management/ Manon Cromheecke, Floor Koornneef, Geerda van Gaalen and Bas de Mol -- Early evaluation of new technologies : the case for mobile multimedia communications in emergency medicine/ Fred van den Anker and Rob Lichtveld -- Minimisation of risk in medical systems by system design for safety / Udo Voges -- Medical error and responsibility in managed healthcare/ Michael Baram -- Approaching safety in healthcare : from medical errors to healthy organisations / Andrew Hale. |