@Article{Pokorska2015,
journal="Nursing Problems / Problemy Pielęgniarstwa",
issn="1233-9989",
volume="23",
number="4",
year="2015",
title="Adverse events and patient safety — a holistic approach",
abstract=" The aim of a paper is a holistic approach to the patient safety.   Medical adverse events result from medical and non-medical factors. Blaming medical professionals exclusively is anachronism. Latent errors in the health care system are of decisive importance for patient safety. They originate usually from outside of the system. Ergonomic principles of systemic design have to be applied in order to improve patient safety as well as normalization, improvement of team work, and hospital staffing. Careful analysis of near-misses should be helpful in the proper directing of intervention. Improvement in the usability and reliability of medical equipment requires feed-back information to manufacturers.   Nursing Topics 2015; 23 (4): 544–550 ",
author="Pokorska, Joanna
and Pokorski, Janusz
and Nitecka, Ewa
and Witczak, Izabela",
pages="544--550",
doi="10.5603/PP.2015.0089",
url="http://dx.doi.org/10.5603/PP.2015.0089"
}