Medical errors and patient safety strategies to reduce and disclose medical errors and improve patient safety
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| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Berlin ; New York, NY
de Gruyter
2011
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| Schriftenreihe: | Patient safety
1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltstext Inhaltsverzeichnis |
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Datensatz im Suchindex
| _version_ | 1819608140986974208 |
|---|---|
| adam_text | Titel: Medical errors and patient safety
Autor: Kalra, Jay
Jahr: 2011
Contents
Acknowledgments............................................................................................... ¡x
About the author................................................................................................. xi
Abbreviations...................................................................................................... xiii
1 An overview and introduction to concepts.................................................. 1
1.1 Introduction........................................................................................ 1
1.2 Medical error...................................................................................... 2
1.3 Magnitude and epidemiology of health care errors.............................. 4
1.4 Conclusion.......................................................................................... 8
2 Perceptions of medical error and adverse events......................................... 11
2.1 Introduction........................................................................................ 11
2.2 Perceptions by physicians.................................................................... 12
2.3 Perceptions by the public.................................................................... 13
2.4 Perceptions by health care staff........................................................... 15
2.5 Perceptions by medical students.......................................................... 17
2.6 A sociological perception of medical error.......................................... 19
2.7 Conclusion.......................................................................................... 20
3 Causes of medical error and adverse events................................................ 23
3.1 Introduction........................................................................................ 23
3.2 The cognitive influence on error-generating behavior.......................... 27
3.3 Conclusion.......................................................................................... 28
4 Medical error and strategies for working solutions
in clinical diagnostic laboratories and other health care areas.................... 31
4.1 Introduction........................................................................................ 31
4.2 Clinical diagnostic laboratories........................................................... 32
4.3 Errors in different stages of analysis..................................................... 34
4.4 Strategies for identification and prevention of errors............................ 36
4.5 Errors in emergency medicine ............................................................ 38
4.6 Errors in intensive care medicine......................................................... 41
4.7 Conclusion.......................................................................................... 45
5 Creating a culture for medical error reduction............................................ 51
5.1 Introduction........................................................................................ 51
5.2 Education and professional development............................................ 52
5.3 Error reporting systems........................................................................ 57
5.4 Leadership and regulatory issues......................................................... 59
5.5 Establishing a quality care council...................................................... 60
5.6 Emotional impact of errors on health care professionals...................... 61
5.7 Conclusion.......................................................................................... 61
viii I Contents
6 Improving quality in clinical diagnostic laboratories................................... 65
6.1 Introduction........................................................................................ 65
6.2 Efforts and programs to ensure quality in clinical
diagnostic laboratories........................................................................ 66
6.3 Proficiency testing in clinical laboratories........................................... 69
6.4 External quality assessment and proficiency testing programs............. 70
6.5 No-fault model................................................................................ 72
6.6 Conclusion.......................................................................................... 73
7 Barriers to open disclosure.......................................................................... 77
7.1 Introduction........................................................................................ 77
7.2 How to disclose.................................................................................. 77
73 Disclosing errors to multiple patients.................................................. 78
7.4 Bioethical viewpoints.......................................................................... 79
7.5 Patient-physician relations................................................................... 80
7.6 The dilemma of an apology................................................................. 81
7.7 Barriers to full disclosure..................................................................... 83
7.8 Conclusion.......................................................................................... 84
8 International laws and guidelines addressing error and disclosure.............. 87
8.1 Introduction........................................................................................ 87
8.2 Disclosing preventable adverse events................................................ 87
8.3 International progress and initiatives................................................... 88
8.4 Conclusion.......................................................................................... 92
9 The value of autopsy in detecting medical error and
improving quality......................................................................................... 95
9.1 Introduction........................................................................................ 95
9.2 Error in diagnostic medicine................................................................ 95
9.3 Missed diagnosis and discordance...................................................... 96
9.4 The value of autopsies......................................................................... 97
9.5 Autopsy decline and strategies to encourage autopsy.......................... 98
9.6 Conclusion.......................................................................................... 99
10 Total quality management, six-sigma, and health care................................. 103
10.1 Introduction...................................................................................... 103
10.2 New issues, newer solutions............................................................. 104
10.3 The six-sigma structure...................................................................... 106
10.4 Six-sigma in clinical diagnostic laboratories...................................... 108
10.5 Conclusion........................................................................................ 109
Index................................................................................................................... m
|
| any_adam_object | 1 |
| author | Kalra, Jay |
| author_facet | Kalra, Jay |
| author_role | aut |
| author_sort | Kalra, Jay |
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| dewey-full | 615.5 610.289 |
| dewey-hundreds | 600 - Technology (Applied sciences) |
| dewey-ones | 615 - Pharmacology and therapeutics 610 - Medicine and health |
| dewey-raw | 615.5 610.289 |
| dewey-search | 615.5 610.289 |
| dewey-sort | 3615.5 |
| dewey-tens | 610 - Medicine and health |
| discipline | Rechtswissenschaft Medizin |
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| language | English |
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| publishDate | 2011 |
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| series | Patient safety |
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| spellingShingle | Kalra, Jay Medical errors and patient safety strategies to reduce and disclose medical errors and improve patient safety Patient safety Medizinschaden (DE-588)4201836-5 gnd Patient (DE-588)4044903-8 gnd Sicherheit (DE-588)4054790-5 gnd |
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| title | Medical errors and patient safety strategies to reduce and disclose medical errors and improve patient safety |
| title_auth | Medical errors and patient safety strategies to reduce and disclose medical errors and improve patient safety |
| title_exact_search | Medical errors and patient safety strategies to reduce and disclose medical errors and improve patient safety |
| title_full | Medical errors and patient safety strategies to reduce and disclose medical errors and improve patient safety Jay Kalra |
| title_fullStr | Medical errors and patient safety strategies to reduce and disclose medical errors and improve patient safety Jay Kalra |
| title_full_unstemmed | Medical errors and patient safety strategies to reduce and disclose medical errors and improve patient safety Jay Kalra |
| title_short | Medical errors and patient safety |
| title_sort | medical errors and patient safety strategies to reduce and disclose medical errors and improve patient safety |
| title_sub | strategies to reduce and disclose medical errors and improve patient safety |
| topic | Medizinschaden (DE-588)4201836-5 gnd Patient (DE-588)4044903-8 gnd Sicherheit (DE-588)4054790-5 gnd |
| topic_facet | Medizinschaden Patient Sicherheit |
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