{"id":1053204,"date":"2011-11-13T16:55:08","date_gmt":"2011-11-13T16:55:08","guid":{"rendered":"http:\/\/www.immortalitymedicine.tv\/neurology\/medical-systems-are-made-of-holes-and-stacked-like-slices-of-swiss-cheese.php"},"modified":"2024-08-17T18:49:02","modified_gmt":"2024-08-17T22:49:02","slug":"medical-systems-are-made-of-holes-and-stacked-like-slices-of-swiss-cheese","status":"publish","type":"post","link":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/neurology\/medical-systems-are-made-of-holes-and-stacked-like-slices-of-swiss-cheese.php","title":{"rendered":"&quot;Medical systems are made of holes and stacked like slices of Swiss cheese&quot;"},"content":{"rendered":"<p><a href=\"http:\/\/3.bp.blogspot.com\/_LY7APi0bufs\/RwZJ2pvsUiI\/AAAAAAAAByo\/uNEqFe97PoY\/s1600-h\/Medicine_and_a_Stethoscope.png\"><img decoding=\"async\" style=\"padding-left:10px; padding-right: 10px;\" src=\"https:\/\/www.immortalitymedicine.tv\/wp-content\/plugins\/wp-o-matic\/cache\/91397_Medicine_and_a_Stethoscope.png\" alt=\"\" border=\"0\"><\/a>From <a href=\"http:\/\/www.nytimes.com\/2011\/08\/07\/magazine\/the-phantom-menace-of-sleep-deprived-doctors.html?pagewanted=3&amp;partner=rss&amp;emc=rss\">the NYtimes<\/a>:<\/p><p>\"In 2000, the British psychologist James Reason wrote that medical systems are stacked like slices of Swiss cheese; there are holes in each system, but they don&rsquo;t usually overlap. An exhausted intern writes the wrong dose of a drug, but an alert pharmacist or nurse catches the mistake. Every now and then, however, all the holes align, leading to a patient&rsquo;s death or injury.\"<\/p><p>We have to fix the systems.<\/p><p>References:<\/p><p><a href=\"http:\/\/www.nytimes.com\/2011\/08\/07\/magazine\/the-phantom-menace-of-sleep-deprived-doctors.html?pagewanted=3&amp;partner=rss&amp;emc=rss\">The Phantom Menace of Sleep Deprived Doctors<\/a>. NYTimes, 2011.<br>Image source: OpenClipArt.org, public domain.<\/p><div><p>Posted at <a href=\"http:\/\/casesblog.blogspot.com\/\">Clinical Cases and Images<\/a>. Stay updated and <a href=\"http:\/\/feeds.feedburner.com\/CasesBlog\">subscribe<\/a>, follow us on <a href=\"http:\/\/twitter.com\/DrVes\">Twitter<\/a> and connect on <a href=\"http:\/\/www.facebook.com\/DrVes\">Facebook<\/a>.<img loading=\"lazy\" decoding=\"async\" width=\"1\" height=\"1\" src=\"https:\/\/www.immortalitymedicine.tv\/wp-content\/plugins\/wp-o-matic\/cache\/27ad3_11326364-3967514262586163244?l=casesblog.blogspot.com\" alt=\"\" style=\"padding-left:10px; padding-right: 10px;\"><\/p><\/div><p><a href=\"http:\/\/feedads.g.doubleclick.net\/~a\/iZDGfv7TWql4QG0KqJauVHXhId8\/0\/da\"><img decoding=\"async\" src=\"https:\/\/www.immortalitymedicine.tv\/wp-content\/plugins\/wp-o-matic\/cache\/27ad3_di\" border=\"0\" style=\"padding-left:10px; padding-right: 10px;\"><\/a><br><a href=\"http:\/\/feedads.g.doubleclick.net\/~a\/iZDGfv7TWql4QG0KqJauVHXhId8\/1\/da\"><img decoding=\"async\" src=\"https:\/\/www.immortalitymedicine.tv\/wp-content\/plugins\/wp-o-matic\/cache\/27ad3_di\" border=\"0\" style=\"padding-left:10px; padding-right: 10px;\"><\/a><\/p><p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.immortalitymedicine.tv\/wp-content\/plugins\/wp-o-matic\/cache\/54b7e_mLoED5GNVsk\" height=\"1\" width=\"1\" style=\"padding-left:10px; padding-right: 10px;\">Source:<br><a href=\"http:\/\/feeds.feedburner.com\/CasesBlog\">http:\/\/feeds.feedburner.com\/CasesBlog<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>From the NYtimes:\"In 2000, the British psychologist James Reason wrote that medical systems are stacked like slices of Swiss cheese; there are holes in each system, but they don&rsquo;t usually overlap. An exhausted intern writes the wrong dose of a &hellip; <a href=\"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/neurology\/medical-systems-are-made-of-holes-and-stacked-like-slices-of-swiss-cheese.php\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[1246864],"tags":[],"class_list":["post-1053204","post","type-post","status-publish","format-standard","hentry","category-neurology"],"modified_by":null,"_links":{"self":[{"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/posts\/1053204"}],"collection":[{"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/comments?post=1053204"}],"version-history":[{"count":0,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/posts\/1053204\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/media?parent=1053204"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/categories?post=1053204"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/tags?post=1053204"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}