PT  - JOURNAL ARTICLE
AU  - N Barber
TI  - Should we consider non-compliance a medical error?
AID  - 10.1136/qhc.11.1.81
DP  - 2002 Mar 01
TA  - Quality and Safety in Health Care
PG  - 81--84
VI  - 11
IP  - 1
4099  - http://qualitysafety.bmj.com/content/11/1/81.short
4100  - http://qualitysafety.bmj.com/content/11/1/81.full
SO  - Qual Saf Health Care2002 Mar 01; 11
AB  - Non-compliance is an extensive intractable problem. This paper argues that we can gain significant insight into non-compliance if we apply theories developed to explain human error in organisations. The resultant framework encompasses intentional and unintentional non-compliance, shifts blame from the patient, and recognises the influence of other factors, including organisational ones. There are also consequences for the measurement of compliance and new strategies to improve it. Terminology will need to be addressed, particularly whether intentional non-compliance by a patient should be considered an error. If empirical research supports the arguments in this paper then, with some further theory development, the application of human error theory will offer a useful new approach to understanding and reducing undesired non-compliance.