medigraphic.com
SPANISH

Cirugía y Cirujanos

  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2003, Number 5

<< Back Next >>

Cir Cir 2003; 71 (5)

Iatrogenesis. Individual error?, System failure?

Vázquez-Valdés E, Vázquez-Rossainz E, Barradas-Guevara MC
Full text How to cite this article

Language: Spanish
References: 12
Page: 397-401
PDF size: 48.58 Kb.


Key words:

Iatrogenesis, adverse effect, medical error.

ABSTRACT

Iatrogenesis has been considered for a long time as a situation created by the wrongdoing of an individual, that is, the physician. Nevertheless, we propose that medical error be considered a very complex "social omission" in which public funding, training of health professionals including administrators, and even the public education may be responsible for an adverse medical event, considering that medical officials are just a part of a system. Detection of latent errors and the epidemiologic study of those that have occurred, including differences in quality, must be considered as the main effort in prevention.


REFERENCES

  1. Códigos de Defensa Social y de Procedimientos en Materia de Defensa Social. Estado de Puebla, Puebla, México Editorial Cajica; 1992.

  2. Vázquez VE, Barradas GMC. Como evitar la iatrogenia. En: Arrubarena AVM, Gutiérrez SC, editores. Iatrogenia en cirugía general. México, D.F.: Asociación Mexicana de Cirugía General; 2001: p 111.

  3. Smith A. La riqueza de las naciones. 7th ed. Publicaciones Cruz O., S.A; México, D.F. 1994: p. 1.

  4. Lerut T. The surgeon as a prognostic factor. Ann Surg 2000; 232:729-32.

  5. Larson EB. Medicine as a profession back to basics: preserving the physician-patient relationship in a challenging medical marketplace. Am J Med 2003;114:168-72.

  6. Morarasu C. Communication and iatrogenesis through communication. Rev Med Chir Soc Med Nat Iasi 2001;105:690-2.

  7. Seymour NE, Gallagher AG, Roman SA, O’Brien M, Bansal VK, et al. Virtual reality training improves operating room performance. Ann Surg 2002;236:458-64.

  8. Anónimo. Making health care safer: a critical analysis of patient safety. Evid Rep Technol Assess 2001;43:i-x:1-668.

  9. Shojania KG, Wald H, Gross R. Understanding medical error and improving patient safety in the inpatient setting. Med Clin North Am 2002;4:847-67.

  10. Jain M. Assessing medical competence-virtual reality? Crit Care Med 2001;29:1290-1.

  11. Landry MD, Sibbald WJ. Changing physician behavior: a review of patient safety. Crit Care Med 2002;17:138-45.

  12. Volpp KGM, Grande D. Residents’ suggestions for reducing errors in teaching hospitals. N Engl J Med 2003;348:851-55.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Cir Cir. 2003;71