Description

Astion et al classified errors based on how preventable that they were. The authors are from the University of Washington in Seattle and the University of California at San Francisco.


Preventability

Event

Scale

definitely not

unpredictable and unforeseen (out of the blue, blindsided)

1

probably not

infrequent or unexpected

2

may or may not have been (possible)

known to occur, could have been handled

3

probably was

frequent or expected

4

definitely was

completely predictable and doable (should have been done)

5

 

An event >= 3 was termed a preventable incident.


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