SlideShare a Scribd company logo
 
If you have sex with a prostitute against her will,  Is it considered rape or shoplifting?
Can you cry under water? How important does a person have to be before they are considered assassinated instead of just murdered?
Why does a round pizza come in a square box?   Why is it that people say they "slept like a baby" when babies wake up like every two hours?
If a deaf person has to go to court,  is it still called a hearing?  Why are you IN a movie, but  ON TV?
Why do people pay to go up tall buildings  and then  put money in binoculars to look  at things on the ground?
Why do doctors leave the room while you change?  They're going to see you naked anyway.
Why is "bra" singular and "panties" plural?      Can a hearse carrying a corpse drive in the carpool lane ?
What disease did cured ham actually have?
If the professor on Gilligan's Island can make  a radio out of a coconut WHY can't he fix a  hole in a boat?
Why does Goofy stand erect while Pluto remains on all fours?  They're both dogs!
If Wile E. Coyote had enough money to buy all that ACME crap WHY didn't he just buy dinner?
If corn oil is made from corn,  and vegetable oil is made from vegetables What is baby oil made from?
If electricity comes from electrons,  Does morality come from MORONS?
Do the Alphabet song and Twinkle, Twinkle Little Star have the same tune?   Why did you just try singing the two songs above?
Why do they call it an asteroid when it's outside the hemisphere BUT we call it a  hemorrhoid when it's in your ass (ter)?
Medicine Killed My Mother Shore EMS 2010
 
Objectives ,[object Object],[object Object],[object Object]
Ethel G. Waddell ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ethel G. Waddell ,[object Object],[object Object],[object Object]
Ethel G. Waddell ,[object Object],[object Object],[object Object],[object Object]
Medical Error - a Definition ,[object Object],[object Object]
Another  Definition ,[object Object],[object Object]
Basic Information about Medical Error’s ,[object Object],[object Object],[object Object],[object Object]
Basic Information about Medical Errors ,[object Object],[object Object]
Types of Errors ,[object Object],[object Object],[object Object],[object Object],[object Object]
Types of Errors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Types of Errors ,[object Object],[object Object],[object Object],[object Object],[object Object]
Medical Errors !! ,[object Object],[object Object],[object Object],[object Object]
[object Object]
Foundations of Error Research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Foundations of Error Research
Let’s Look at Some Examples ,[object Object],[object Object],[object Object],[object Object]
Let’s Look at Some Examples ,[object Object],[object Object]
Let’s Look at Some Examples ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Let’s Look at Some Examples ,[object Object],[object Object],[object Object]
Let’s Look at Some Examples ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Another Example ,[object Object],[object Object],[object Object]
Another Example ,[object Object],[object Object],[object Object],[object Object],[object Object]
How Do Others Handle Error’s ? ,[object Object],[object Object],[object Object]
How Do Others Handle Error’s ?
Error Analysis and Correction ,[object Object],[object Object],[object Object],[object Object]
Error Analysis and Correction ,[object Object],[object Object],[object Object],[object Object],[object Object]
How Do Others Handle Error’s ? ,[object Object],[object Object],[object Object]
Error Analysis and Correction ,[object Object],[object Object],[object Object],[object Object]
Error Analysis and Correction ,[object Object],[object Object]
What Can You Do? ,[object Object],[object Object]
 
What Can You Do? ,[object Object]
What Can You Do? ,[object Object]
What Can You Do? ,[object Object]
What Can You Do? ,[object Object]
What Can You Do? ,[object Object],[object Object]
What Can You Do? ,[object Object],[object Object]
What Can You Do? ,[object Object]
What Can You Do? ,[object Object]
What Can You Do? ,[object Object]
What Can You Do? ,[object Object]
What Can You Do? ,[object Object]
What Can You Do? ,[object Object]
What Can You Do? ,[object Object],[object Object]
What Can You Do? ,[object Object],[object Object]
What Can You Do? ,[object Object]
What Can You Do? ,[object Object]
What Can You Do? ,[object Object],[object Object]
What Can You Do? ,[object Object]
UH?  EMS??  Connect the Dots! ,[object Object],[object Object],[object Object]
Error Solutions ,[object Object]
Referrences ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
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Bob Waddell II ,[object Object],[object Object]

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Medicine Killed my Mother

  • 1.  
  • 2. If you have sex with a prostitute against her will, Is it considered rape or shoplifting?
  • 3. Can you cry under water? How important does a person have to be before they are considered assassinated instead of just murdered?
  • 4. Why does a round pizza come in a square box? Why is it that people say they "slept like a baby" when babies wake up like every two hours?
  • 5. If a deaf person has to go to court, is it still called a hearing? Why are you IN a movie, but ON TV?
  • 6. Why do people pay to go up tall buildings and then put money in binoculars to look at things on the ground?
  • 7. Why do doctors leave the room while you change? They're going to see you naked anyway.
  • 8. Why is "bra" singular and "panties" plural?    Can a hearse carrying a corpse drive in the carpool lane ?
  • 9. What disease did cured ham actually have?
  • 10. If the professor on Gilligan's Island can make a radio out of a coconut WHY can't he fix a hole in a boat?
  • 11. Why does Goofy stand erect while Pluto remains on all fours? They're both dogs!
  • 12. If Wile E. Coyote had enough money to buy all that ACME crap WHY didn't he just buy dinner?
  • 13. If corn oil is made from corn, and vegetable oil is made from vegetables What is baby oil made from?
  • 14. If electricity comes from electrons, Does morality come from MORONS?
  • 15. Do the Alphabet song and Twinkle, Twinkle Little Star have the same tune? Why did you just try singing the two songs above?
  • 16. Why do they call it an asteroid when it's outside the hemisphere BUT we call it a hemorrhoid when it's in your ass (ter)?
  • 17. Medicine Killed My Mother Shore EMS 2010
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  • 43. How Do Others Handle Error’s ?
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Editor's Notes

  1. Active Failures Misperceptions of the situation Violations deviations Latent Failures Occur at the higher levels of the organization heavy workloads stressful environment - interruptions, pressures rapid organizational change incompatible goals - cost cutting vs clinical care
  2. Capture Errors - automatic errors dialing your Mom’s phone instead of your wife’s
  3. Capture Errors - automatic errors dialing your Mom’s phone instead of your wife’s
  4. 1) It’s a new field 2) Boundaries, Terminology, and Taxonomy 1) May seem trivial - BUT people make mistakes 2) Normal errors are inevitable 1) punitive responses rather than examine an error prone system 1) Most study cognitive science and analysis of human performance 2) We should focus on Error tolerance, recovery, and prevention
  5. Active Failures Misperceptions of the situation Violations deviations Latent Failures Occur at the higher levels of the organization heavy workloads stressful environment - interruptions, pressures rapid organizational change incompatible goals - cost cutting vs clinical care
  6. Cognition Skills based - foundational Rules based occurs when skills fail Knowledge based when rules fail - we fall back on knowledge