Nuffield Department of Surgery, University of Oxford, Oxford.
J Health Serv Res Policy. 2010 Jan;15 Suppl 1:48-51. doi: 10.1258/jhsrp.2009.09s105.
The study, first published in 2005, looks at errors made in the operating theatre by observing operations at first hand, recording them for closer scrutiny and evaluation of non-technical skills such as human error, system problems and teamwork, questioning health professionals to assess safety culture, and using computer simulations to study how hospital systems might increase the chances of surgical error.
该研究首次发表于 2005 年，通过直接观察手术操作来研究手术室中的错误，记录这些错误，以便更仔细地检查和评估非技术技能，如人为错误、系统问题和团队合作，询问卫生专业人员以评估安全文化，并使用计算机模拟来研究医院系统如何增加手术错误的可能性。
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