| Title |
A physician-driven patient safety paradigm: the “pitfall bank” as a translational mechanism for medical error prevention |
| Authors |
Herold, Gerd ; Justickis, Viktoras ; Maneikienė, Vytė Valerija ; Maneikis, Kazimieras ; Trinkauskas, Paulius ; Palkova, Karina |
| DOI |
10.3390/healthcare13172248 |
| Full Text |
|
| Is Part of |
Healthcare (Switzerland).. Basel : MDPI. 2025, vol. 13, iss. 17, art. no. 2248, p. [1-19].. eISSN 2227-9032 |
| Keywords [eng] |
clinical pitfalls ; medical errors ; patient safety ; Safety-I ; Safety-II ; translational medicine |
| Abstract [eng] |
Background: Despite more than 25 years of intensive effort following the landmark “To Err Is Human” report, conventional top-down medical error prevention strategies, grounded in the Safety-I paradigm, have largely failed to reduce patient harm. This persistent shortcoming underscores the need for a new prevention model. The medical literature contains an extensive yet systematically underutilized body of physician-generated experiential knowledge on “clinical pitfalls”—specific high-risk scenarios in which errors are likely to occur. This resource presents an opportunity for a novel, physician-driven approach to medical error prevention. The present paper proposes and evaluates such a model, grounded in the principles of Safety-II and translational medicine. Methods: The methodology involved a three-part conceptual analysis: (1) a critical review of the literature assessing the effectiveness of established error prevention strategies, (2) a quantitative bibliometric analysis of the PubMed database to determine the volume and temporal trends of publications on “clinical pitfalls”, and (3) a conceptual synthesis to design a novel physician-driven error prevention model. Each method is described in detail at the beginning of its respective section. Results: The literature review confirms the limited effectiveness of existing top-down safety initiatives, particularly in complex domains such as diagnosis and treatment. The bibliometric analysis identified more than 43,000 publications containing the keyword “pitfall,” with a sustained and significant upward trend in annual publications over the past three decades. The conceptual synthesis demonstrates that a physician-driven system—centered on a “Pitfall Bank”—addresses core weaknesses of current strategies, including unreliable data, heterogeneous knowledge, and cognitive biases. Structured as a circular translational mechanism, the proposed system facilitates a continuous cycle of practice-based problem identification and science-informed solution implementation. Conclusions: A physician-driven prevention system, architected as a translational engine, offers a promising and sustainable strategy to overcome the current impasse in medical error reduction and create a more resilient and adaptive healthcare system. |
| Published |
Basel : MDPI |
| Type |
Journal article |
| Language |
English |
| Publication date |
2025 |
| CC license |
|
