Suchen und Finden
Medical Errors and Patient Safety - Strategies to reduce and disclose medical errors and improve patient safety
von: Jay Kalra
Walter de Gruyter GmbH & Co.KG, 2011
ISBN: 9783110249507 , 121 Seiten
Format: PDF, OL
Kopierschutz: Wasserzeichen
Preis: 34,95 EUR
Mehr zum Inhalt
Medical Errors and Patient Safety - Strategies to reduce and disclose medical errors and improve patient safety
Contents
8
Acknowledgments
10
About the author
12
Abbreviations
14
1 An overview and introduction to concepts
16
1.1 Introduction
16
1.2 Medical error
17
1.3 Magnitude and epidemiology of health care errors
19
1.4 Conclusion
23
2 Perceptions of medical error and adverse events
26
2.1 Introduction
26
2.2 Perceptions by physicians
27
2.3 Perceptions by the public
28
2.4 Perceptions by health care staff
30
2.5 Perceptions by medical students
32
2.6 A sociological perception of medical error
34
2.7 Conclusion
35
3 Causes of medical error and adverse events
38
3.1 Introduction
38
3.2 The cognitive influence on error-generating behavior
42
3.3 Conclusion
43
4 Medical error and strategies for working solutions in clinical diagnostic laboratories and other health care areas
46
4.1 Introduction
46
4.2 Clinical diagnostic laboratories
47
4.3 Errors in different stages of analysis
49
4.4 Strategies for identification and prevention of errors
51
4.5 Errors in emergency medicine
53
4.6 Errors in intensive care medicine
56
4.7 Conclusion
60
5 Creating a culture for medical error reduction
66
5.1 Introduction
66
5.2 Education and professional development
67
5.3 Error reporting systems
72
5.4 Leadership and regulatory issues
74
5.5 Establishing a quality care council
75
5.6 Emotional impact of errors on health care professionals
76
5.7 Conclusion
76
6 Improving quality in clinical diagnostic laboratories
80
6.1 Introduction
80
6.2 Efforts and programs to ensure quality in clinical diagnostic laboratories
81
6.3 Proficiency testing in clinical laboratories
84
6.4 External quality assessment and proficiency testing programs
85
6.5 "No-fault" model
87
6.6 Conclusion
88
7 Barriers to open disclosure
92
7.1 Introduction
92
7.2 How to disclose
92
7.3 Disclosing errors to multiple patients
93
7.4 Bioethical viewpoints
94
7.5 Patient-physician relations
95
7.6 The dilemma of an apology
96
7.7 Barriers to full disclosure
98
7.8 Conclusion
99
8 International laws and guidelines addressing error and disclosure
102
8.1 Introduction
102
8.2 Disclosing preventable adverse events
102
8.3 International progress and initiatives
103
8.4 Conclusion
107
9 The value of autopsy in detecting medical error and improving quality
110
9.1 Introduction
110
9.2 Error in diagnostic medicine
110
9.3 Missed diagnosis and discordance
111
9.4 The value of autopsies
112
9.5 Autopsy decline and strategies to encourage autopsy
113
9.6 Conclusion
114
10 Total quality management, six-sigma, and health care
118
10.1 Introduction
118
10.2 New issues, newer solutions
119
10.3 The six-sigma structure
121
10.4 Six-sigma in clinical diagnostic laboratories
123
10.5 Conclusion
124
Index
126
Alle Preise verstehen sich inklusive der gesetzlichen MwSt.