[Effect of errors (particularly one's own!) on making surgical decisions].

H Pichlmaier, P Thul
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Abstract

Looking for medical errors in clinical practice we reviewed several cases from our daily indication and case conference, 6 cases discussed in the lethality conference and 9 which were treated by legal institutions. The points of criticism were analysed. We discriminated between diagnostic, therapeutic failures and those of organisation. The basis were 4045 patients with 4583 operations during the year 1989. The overall lethality was 1.2%. The instruments of avoiding medical errors in individual and general sense were shown.

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[错误(尤其是自己的错误)对手术决定的影响]。
在临床实践中,我们回顾了日常适应证和病例会议上的几例医疗差错,在致命会议上讨论的6例,在法律机构处理的9例。分析了批评的要点。我们区分诊断、治疗失败和组织失败。1989年共有4045名病人接受了4583次手术。总致死率为1.2%。介绍了避免个人和一般意义上的医疗差错的工具。
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