Human errors are unintended, unexpected, or undesired acts. While an individual's actions can proceed as intended, the initial plan may be inadequate; or the plan can be adequate but the execution deficient. Human error has been implicated in a number of high-profile industrial disasters, such as the British Petroleum oil spill in the Gulf of Mexico. In a dynamic setting such as health care, workers are often challenged with a high cognitive load that makes them particularly susceptible to error
We stand at a tipping point in the normalization of patient safety, not only among individual practitioners, but also at the institutional level. To ensure widespread acceptance and improve the efficacy of our patient safety efforts, institutions must consider the role of interdisciplinary teams and apply principles from organizational behavior. The healthcare system is increasingly moving to payment models where providers bear risk on the total cost of care for a patient.