Despite the evolution and growing awareness of patient safety, many medical professionals are not a part of this important conversation. Clinicians often believe they are too busy taking care of patients to adopt and implement patient safety initiatives and that acknowledging medical errors is an affront to their skills.

Patient Safety provides clinicians with a better understanding of the prevalence, causes and solutions for medical errors; bringing best practice principles to the bedside. Written by experts from a variety of backgrounds, each chapter features an analysis of clinical cases based on the Root Cause Analysis (RCA) methodology, along with case-based discussions on various patient safety topics. The systems and processes outlined in the book are general and broadly applicable to institutions of all sizes and structures.

The core ethic of medical professionals is to "do no harm". Patient Safety is a comprehensive resource for physicians, nurses and students, as well as healthcare leaders and administrators for identifying, solving and preventing medical error.

Inhalt

Clinical Case Series in Patient Safety

Editor: Abha Agrawal

Preface - Abha Agrawal

Section I: Concepts

Chapter 1 - Patient identification - Dea Hughes

Chapter 2 - Teamwork and communication - Joseph Conigliaro

Chapter 3 - Hand-off and care transitions - Mei-Sing Ong and Enrico Coiera

Chapter 4 - Graduate medical education and patient safety - Jeanne M. Farnan and Vineet M. Arora

Chapter 5 - Electronic health record and patient safety - Ken Ong and Regina Cregin

Chapter 6 - Clinical ethics and patient safety - Erin A. Egan

Section II: Examples

Chapter 7 - Medication error - Mei Kong and Abdul Mondul

Chapter 8 - Medication reconciliation error - Robert J. Weber and Susan Moffatt-Bruce

Chapter 9 - Retained surgical items - Verna C. Gibbs

Chapter 10 - Wrong-site surgery - Patricia O'Neill and Eric N. Klein

Chapter 11 - Transfusion-related hazards - Barbara Rabin Fastman and Harold S. Kaplan

Chapter 12 - Hospital-acquired infections - Ethan D. Fried

Chapter 13 - Hospital falls - Cynthia J. Brown and Rebecca S. (Suzie) Miltner

Chapter 14 - Pressure ulcers - Grace M. Blaney and Monica Santoro

Chapter 15 - Diagnostic error - Satid Thammasitboon, Supat Thammasitboon and

Geeta Singhal

Section III: Special considerations

Chapter 16 - Patient safety in pediatrics - Erin Stucky Fisher

Chapter 17 - Patient safety in radiology - Alan Kantor and Stephen Waite

Chapter 18 - Patient safety in anesthesia - Brian Bush and Rebecca Twersky

Chapter 19 - Patient safety in behavioral health - Renuka Ananthamoorthy and Robert J. Berding

Chapter 20 - Patient safety in outpatient care - Urmilala Sarkar

Section IV: Organizational issues

Chapter 21 - Error disclosure - Bryan A. Liang and Kimberly M. Lovett

Chapter 22 - The culture of safety - Alberta T. Pedroja

Chapter 23 - Second victim - Susan Scott and Kristin Hahn-Cover

Appendix - Abha Agrawal