Read e-book online Clinical risk management : enhancing patient safety PDF

By John Williams, Charles Vincent

ISBN-10: 0585394466

ISBN-13: 9780585394466

The purpose of this booklet is to minimize the dangers of clinical therapy and improve the protection of sufferers in all components of healthcare. the 1st part discusses human mistakes, the occurrence of damage to sufferers, and the advance or chance administration. Chapters within the moment part speak about the relief of threat in medical perform in key scientific specialties. The 3rd part discusses good points of the healthcare platforms which are necessary to secure perform, equivalent to verbal exchange of chance to sufferers, the layout of kit, supervision and coaching, and potent teamwork. The fourth part describes how one can placed hazard administration into perform, together with the potent and delicate dealing with of lawsuits and claims, the care of injured sufferers and the workers concerned, and the reporting, research and research of great incidents.

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Risk adjustment of the postoperative mortality rate for the comparative assessment of the quality of surgical care: results of the National Veterans Affairs Surgical Risk Study. J Am Coll Surg 1997;185:315–27. 16 Khuri SF, Daley J, Henderson W, et al. Risk adjustment of the postoperative morbidity rate for the comparative assessment of the quality of surgical care: results of the National Veterans Affairs Surgical Risk Study. J Am Coll Surg 1997;185:328–40. 17 Young GJ, Charns MP, Desai K, et al.

A data-based method for assessing and reducing human error to improve operational performance. In: Hagen W, ed. 1988 ILEEE Fourth Conference on Human Factors and Power Plants. New York: Institute for Electrical and Electronic Engineers, 1988: 200–31. 16 Reason J, Mycielska K. Absent-minded? The psychology of mental lapses and everyday errors. Englewood Cliffs, NJ: Prentice-Hall, 1982. 17 Reason J. Managing the risks of organisational accidents. Aldershot: Ashgate, 1997. 18 Hudson P, Reason J, Wagenaar W, et al.

He gives the following example from one of the high reliability organisations studied. 26 UNDERSTANDING ADVERSE EVENTS Air traffic controllers working in the Bay Area know that certain Asian pilots do not speak or comprehend English very well (the language of aviation). They also tend to arrive in the San Francisco airspace at fixed times of day. Just before they are due, the controllers start to stack aircraft with flight crew for whom English is the first language. This “cuts slack” in the system so that those pilots with less than fluent English have more time and space in which to make their approaches and landings.

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Clinical risk management : enhancing patient safety by John Williams, Charles Vincent

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