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4.2 Extent of healthcare error

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In 2000 an influential report entitled To Err is Human: Building a Safer Health System (Kohn et al., 2010) suggested that across the USA somewhere between 44 000 and 98 000 deaths each year could be attributed to medical error. A pilot study in the UK demonstrated that approximately 1 in 10 patients admitted to healthcare experienced an adverse event.

Healthcare has been able to learn from a number of other high‐risk industries including the nuclear, petrochemical, space exploration, military and aviation industries about how team issues have been managed. These lessons have been slowly adopted and translated to healthcare.

Specialist working groups and national bodies have been instrumental in promoting awareness of the importance of human factors in healthcare. They aim to raise awareness and promote the principles and practices of human factors, identify current human factor activity, capability and barriers, and create conditions to support human factors being embedded at a local level. One such example of this in the UK is the Human Factors Clinical Working Group and the National Quality Board’s concordat statement on human factors.

Managing Medical and Obstetric Emergencies and Trauma

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