Open AccessQuality improvement report: Learning from adverse incidents involving medical devices
Author(s) -
John Amoore,
Paula Ingram
Publication year - 2002
Publication title -
bmj. british medical journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.831
H-Index - 429
ISSN - 0959-8138
DOI - 10.1136/bmj.325.7358.272
Subject(s) - patient safety , near miss , agency (philosophy) , quality (philosophy) , quality management , incident report , safety culture , good practice , medical emergency , medicine , adverse effect , root cause analysis , psychology , medical education , computer science , computer security , management system , health care , operations management , engineering , forensic engineering , engineering ethics , philosophy , management , epistemology , economics , economic growth
The NHS is perceived to have a poor record of learning from incidents. Despite efforts of the Medical Devices Agency, which issues safety warnings, adverse incidents with medical devices continue to occur, some of which result in serious injury or death through device failures, user errors, and organisational problems.