Quality in an invasive discipline such as neurosurgery comprises evidence based medicine, cost effectiveness and also risk control. Risk control and quality management have become a science on their own, combining the expertise of many specialists such as psychologists, mathematicians and also economists. Intensive communication with basic safety scientists as well as safety experts from the industry and traffic promises ideas and concepts than can be adopted for neurosurgery. An international conference was held in Munich in October 2000 bringing together neurosurgeons and safety experts from outside medicine in order to discuss basic aspects of risk control and quality management and to develop structures applicable to neurosurgery. Basic aspects such as principles of risk and safety management, the human factor as well as standards of neurosurgical patient care, proficiency of staff and residents, and industrial quality standards were discussed. The presentations and discussions resulted in a wealth of new ideas and concepts. This book contains this material and thus provides a unique and comprehensive source of information on the current possibilities of quality management in neurosurgery.

Structured concepts of risk management and quality control are new in neurosurgery

Inhalt
A: Basics.- Principles of Risk and Safety.- Techniques for Hazard Analysis and their Use at CERN.- Learning from Errors in Aviation.- Safety of Novel Projects, the Battle Against Murphy's Law.- B: The Human Factor.- The Psychology of Team Interaction.- Crew Coordination in Aviation.- C: Principles of Quality Management in Medicine.- Principles of Quality Management in Medicine: The British Concept.- Quality Assurance in Neurosurgery: United States Concepts.- Principles and Problems of Assessing the Results of Medical Treatment.- Impacts of Socio-Economic Restrictions on Quality in Neurosurgery and other Specialities.- Quality, Risk and Health Care: Another View.- D: Standards of Perioperative Care.- Quality Management in Neuropathology.- Quality Management in Laboratory Medicine.- Patient Information in the Light of Quality Assurance.- What Diagnostics are Necessary Before and after Surgery?.- Standards of Neurosurgical Procedures.- Standards of Neuroanesthesia.- Towards European Standards in Neuroradiology.- Quality Factors in Interventional Neuroradiology.- Minimally Invasive Neurosurgery.- Quality Management in Neurosurgical Nursing.- E: Learning from Errors in Neurosurgery.- Keeping Track of Critical Incidents and Complications.- Principles of the Morbidity and Mortality Conference.- Mechanisms to Improve Treatment Standards in Neurosurgery, Cerebral Aneurysm Surgery as Example.- Mechanisms to Improve Teamworking in Neurosurgery.- A Complication Conference for Internal Quality Control at the Neurosurgical Department of the University of Heidelberg.- F: Proficiency of Staff and Residents.- Proficiency in Nuerosurgery.- Competency Based Residency Training: The next Advance in Graduate Medical Education.- The Semi-Annual Residency Rotation Summary: A Means to Assessthe Quality of Neurosurgical Training.- Continuing Education the EANS Concepts.- Continuing Education: The British Experience.- Is There a Need for Periodical Recertification.- G: Risk and Quality Management in Research.- How to Control the Risk of Novel Clinical Procedures.- Measuring the Importance of Scientific Results in Neurosurgery.- H: ISO 9000 Quality Concepts Applied to Neurosurgery.- Quality Management in Hospitals Quo Vadis?.- How can the ISO 9000 Concept be Applied to Neurosurgery?.- of ISO 9000 and other Quality Concepts Applied to Neurosurgery.- I: Risk Control and Quality Management in the Next Century.- Emerging Unwanted Side Effects of Quality Control, or the Value of the Immeasurable Qualities of Medical Care.- Ethics and Quality of Neurosurgical Care.- Research and Clinical Routine in the next Century, Segregation or Cooperative Networks?.- Guidelines for Guidelines.