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Chirurgia Del Piede 2006 August;30(2):87-92

Copyright © 2006 EDIZIONI MINERVA MEDICA

language: Italian

Latent failure for adverse events in foot surgery

Napoli V. 1, 2, Napoli E. 2

1 Centro di Chirurgia del Piede Casa di Cura “Fornaca di Sessant”, Torino 2 Dipartimento di Discipline Medico Chirurgiche Facoltà di Medicina e Chirurgia Università degli Studi di Torino, Torino


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Latent failure in medicine is represented by accidents in which the patient suffers unintentional damage following therapy. For the responsibility of such damage the management of the clinical is also held responsible in so far as inadequate clinical management may create the premises for the occurrence of latent failure At the origin of an adverse event we find triggering factors and predisposing factors. Triggering factors are represented by the acts of operating personnel. Predisposing factors (latent failure) are those factors for which the primary responsibility is attributable to the management and are represented by: heavy work loads, shortcomings in hygiene and work safety, conflicts between economic and clinical demands, inadequate maintenance of instruments and structures, inadequate system of communications, inadequate expertise and competencies.

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