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Title: An investigation into error detection and recovery in UK National Health Service screening programmes
Author: Chozos, Nick
ISNI:       0000 0004 2683 0264
Awarding Body: University of Glasgow
Current Institution: University of Glasgow
Date of Award: 2009
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The purpose of this thesis is to gain an understanding of the problems that may impede detection and recovery of NHS laboratory screening errors. This is done by developing an accident analysis technique that isolates and further analyzes error handling activities, and applying it in four case studies; four recent incidents where laboratory errors in NHS screening programmes resulted in multiple misdiagnoses over months or even years. These errors resulted in false yet plausible test results, thus being masked and almost impossible to detect in isolated cases. This technique is based on a theoretical framework that draws upon cognitive science and systems engineering, in order to explore the impact of plausibility on the entire process of error recovery. The four analyses are then integrated and compared, in order to produce a set of conclusions and recommendations. The main output of this work is the “Screening Error Recovery Model”; a model which captures and illustrates the different kinds of activities that took place during the organizational incident response of these four incidents. The model can be used to analyze and design error recovery procedures in complex, inter-organizational settings, such as the NHS, and its Primary/Secondary care structure.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: QA75 Electronic computers. Computer science