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America:[T0 ERR IS HUMAN] |
| "TO ERR IS HUMAN: BUILDING A SAFER HEALTH SYSTEM", written by Committee on Quality of Health Care in America: INSTITUTE OF MEDICINE, says more people (estimation 98,000) die in a given year as a result of medical errors than from motor vehicle accidents (43,458), breast cancer (42,297), or AIDS (16,516). |
| Using a detailed case study, the book reviews the current understanding of why these mistakes happen. |
| Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. |
| In the chapter 8, it says 5 principles for Key Safety Design Concepts. |
| Among the principles there is a principles that Respect Human Limits in Process Design. This concept is similar to POKAYOKE. |
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| In Japan, in order to prevent medical errors, recently hospitals that have installed near misses reporting systems are increasing. |
| But countermeasures taken to prevent medical errors often do not base the Respect Human Limits. Often countermeasures, which are relied on human awareness, are noticed. |