errore conoscitivo

12. Bibliografia

  1. Reason, J.T. (1990). Human Error. Cambridge, UK: Cambridge University Press. 96
  2. Rasmussen, J. (1983). Skills, rules, and knowledge; signals, signs, and symbols, and other distinctions in human performance models. IEEE Transactions on Systems, Man, and Cybernetics, 13(3), 257-266. 17
  3. World Health Organization (WHO) & ICM (2011). Sicurezza dei pazienti e gestione del rischio clinico: Manuale per la formazione degli operatori sanitari. 8
  4. Repubblica Italiana (2017). Legge 24 marzo 2017, n. 24. Disposizioni in materia di sicurezza delle cure e della persona assistita, nonché in materia di responsabilità professionale degli esercenti le professioni sanitarie (Legge Gelli-Bianco). 47
  5. Buljac-Samardzic, M., Dekker-van Doorn, C.M., & Maynard, M.T. (2022). What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness. Journal of Patient Safety, 17(8), e929-e958. 80
  6. Althobaiti, F.M. (2024). The effects of leadership on patient safety culture in health care: a systematic review. ResearchGate/Nursing Literature. 70
  7. Ministero della Salute (2005-2006). Glossario per la sicurezza dei pazienti e la Gestione del Rischio Clinico. 92
  8. Ministero della Salute & Sistema Nazionale Linee Guida (SNLG). Raccomandazioni del Ministero per la sicurezza delle cure. 51
  9. He, C., & Söffker, D. (2023). Quantification of human behavior levels by extending Rasmussen's SRK model and the effects of time pressure and training on the levels switching. Heliyon, 9(4), e15019. 107
  10. Shrivastava, S.R.L., Chong, S.V., & Bobhate, P.S. (2025). Facilitating effective communication through the adoption of SBAR tool in medical training. Journal of Education and Health Promotion. 108
  11. GMC UK (General Medical Council). Final Report: Prevalence and causes of prescribing errors. 31
  12. ISMP (Institute for Safe Medication Practices) (2015). Mental Slips and Lapses: Causes and Prevention of Medication Errors in Healthcare. 21

Bibliografia

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  5. What Do We Really Know About Crew Resource Management in Healthcare? - PMC, https://pmc.ncbi.nlm.nih.gov/articles/PMC8612906/
  6. Errore sanitario e responsabilità professionale infermieristica: un'analisi giuridica e strategie di prevenzione - InfermieriAttivi, https://www.infermieriattivi.it/leggi-e-normative/7604-errore-sanitario-e-responsabilita-professionale.html
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  8. Il Manuale del Percorso Formativo sulla Sicurezza del Paziente - World Health Organization (WHO), https://www.who.int/docs/default-source/patient-safety/9789241501958-ita.pdf?sfvrsn=583be62f_1
  9. Human error and violation of rules in industrial safety: A systematic literature review - PMC, https://pmc.ncbi.nlm.nih.gov/articles/PMC11613077/
  10. Crew resource management training in healthcare: a systematic review of intervention design, training conditions and evaluation | BMJ Open, https://bmjopen.bmj.com/content/9/2/e025247
  11. Explanation and Examples of Professional Practice Gaps, Educational Needs, and Learning Objectives, https://www.dartmouth-hitchcock.org/sites/default/files/2025-03/ace-explanation-gaps-needs.pdf
  12. Utilizing SBAR to Reduce Communication Errors - Nursing CE Central, https://nursingcecentral.com/sbar/
  13. Taxonomic Guidance for Remedial Actions - Advances in Patient Safety: From Research to Implementation (Volume 2: Concepts and Methodology) - NCBI, https://www.ncbi.nlm.nih.gov/books/NBK20506/
  14. The Skill, Rule and Knowledge Based Classification - Human Reliability, https://mail.humanreliability.com/articles/Understanding%20Human%20Behaviour%20and%20Error.pdf
  15. Skill, Rule, and Knowledge Models - TapRooT® Root Cause Analysis, https://taproot.com/skill-rule-and-knowledge-models/
  16. Skill, Rule & Knowledge Based Classification - Parker Hannifin, https://www.parker.com/content/dam/Parker-com/Literature/Bioscience-Division/LS/Other/Skill_Rule_Knowledge_Parker.pdf
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  19. Types of Errors - Josie King Foundation, https://josieking.org/patientsafety/module_e/types_errors.html
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  21. Mental slips and lapses - ISMP Medication Safety, https://www.ismp.org/sites/default/files/attachments/2018-04/LTC201502.pdf
  22. Classic cases revisited – Death of a nurse and the anatomy of error - PMC, https://pmc.ncbi.nlm.nih.gov/articles/PMC5956681/
  23. Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study - PMC, https://pmc.ncbi.nlm.nih.gov/articles/PMC4360808/
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