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Outbreak Column 20: are outbreaks man-made disasters that display intertwined errors of human judgement and
1Honorary Senior Research Fellow, School of Health and Life Sciences, Glasgow Caledonian University, Independent Infection Prevention Nurse Consultant, UK.
Abstract:
Man-made disasters are reported to have five intertwined errors of human judgement and behaviour. As outbreaks are essentially man-made disasters, the cited intertwined errors of engineering overreach, smooth sailing fallacy, insider view, risk-seeking incentives and social-herding were looked for in five notable outbreaks of Clostridium difficile infection. Engineering overreach was found to be the most identifiable error. The purpose of this reflective exercise was to turn hindsight into foresight and determine the intertwined levels of safety behaviour needed to prevent any future pathogen emerging to produce healthcare disasters.
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Absolute error in a measurement is the numerical difference from the true or central value. Relative error is the ratio between absolute error and the true or central value, expressed as a percentage.
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Systematic or...
