Black Box Thinking: Why Most People Never Learn From Their Mistakes But Some Do. | AHRQ Patient Safety Network

Black Box Thinking: Why Most People Never Learn From Their Mistakes But Some Do. | AHRQ Patient Safety Network

• Book/Report
 
• Published November 2015

Black Box Thinking: Why Most People Never Learn From Their Mistakes—But Some Do.

Syed M. New York, NY: Portfolio; 2015. ISBN: 9781591848226.

Medicine and aviation are high-risk industries where failure can have catastrophic results. This book explores how individuals can recognize and learn from their own mistakes by openly acknowledging and discussing failures to prevent recurrence of such errors.

• Related news article

Related Resources

BOOK/REPORT

Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors.

Brigham and Women's Hospital, Harvard Medical School, Partners HealthCare. Silver Spring, MD: US Food and Drug Administration; December 15, 2015.

JOURNAL ARTICLE › REVIEW

Predictors of warfarin-associated adverse events in hospitalized patients: opportunities to prevent patient harm.

Metersky ML, Eldridge N, Wang Y, et al. J Hosp Med. 2015 Dec 14; [Epub ahead of print].

BOOK/REPORT

Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human.

Boston, MA: National Patient Safety Foundation; 2015.

JOURNAL ARTICLE › STUDY

Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care.

Goyder CR, Jones CHD, Heneghan CJ, Thompson MJ. Br J Gen Pract. 2015;65:e838-e844.

JOURNAL ARTICLE › STUDY

The effect of emergency department boarding on order completion.

Coil CJ, Flood JD, Belyeu BM, Young P, Kaji AH, Lewis RJ. Ann Emerg Med. 2015 Dec 3; [Epub ahead of print].

View More