Practical Patient Safety - Fran Ives

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Résumé :
Despite sustained efforts to improve patient safety, preventable harm remains a persistent challenge in healthcare. Panagioti's 2019 meta-analytic indicate a 6% prevalence of avoidable patient harm, with 12% of these events resulting in severe outcomes or mortality. Progress in general has been limited, and a paradigm shift is needed. This second edition of Practical Patient Safety shows frontline doctors, nurses, and other healthcare professionals how techniques developed and used by staff in High Reliability Organisations, such as the railway and aviation industries. It builds on the foundational aim of its predecessor, which is to equip individual healthcare professionals with practical, evidence-based techniques for error prevention in routine clinical settings. Drawing on insights from high-reliability industries such as aviation and rail, the book explores how small, intentional changes in communication, crisis management, and workplace civility can disrupt error chains and enhance safety. With a focus on actionable strategies as structured readback, precise language use, and simulation-based preparation, this title provides a basic advice for the individual health care worker on error prevention in their day-to-day practice....

Biographie:
John Reynard is a consultant urological surgeon and Honorary Senior Lecturer in the Nuffield Department of Surgical Sciences at the University of Oxford. He is an honorary consultant urologist to The National Spinal Injuries Centre at Stoke Mandeville Hospital. He holds a Masters degree in Medical Law and Ethics. He has been actively engaged for many years in training doctors and medical students in techniques that can be used to prevent and mitigate the effects of error in healthcare. He is a co-author of 'Practical Patient Safety', published by Oxford University Press, which demonstrates how principles of safety derived from high reliability organisations such as the aviation and petrochemical industries can be applied in surgical and medical practice, in particular through training for health care professionals. Peter Stevenson has been an Airline Pilot and Human Factors Instructor for over 30 years, starting one of the first Human Factors courses in the UK. He flies Airbus A330 airliners on intercontinental routes for a major UK airline. Since 1999 he has designed and presented Human Factors / Patient Safety courses in 5 NHS Trusts. For the last 14 years he has lectured 4th year medical students at the University of Oxford. He has chaired a committee to recommend measures to respond to a fatal adverse event which occurred during surgery on a child. He had also advised other NHS Trusts after adverse events. He joint-authored a book entitled 'Practical Patient Safety' published by Oxford University Press. Kenneth Catchpole is a Human Factors Engineer who has spent the last 23 years studying and improving safety in acute care. Locally, he applies human factors expertise in accident analysis and quality improvement across the clinical enterprise, while also leading research that includes sterile processing, retained foreign objects, diagnostic excellence, anesthesia medication delivery, robotic surgery, congenital heart surgery and neonatal resuscitation. Through over 160 peer-reviewed publications, public speaking, and the media, he has engaged thousands of people in the improvement of healthcare from a human-centered perspective, while working to embed human factors practice in everyday care. Martin Forde attended Langley Grammar School in Berkshire, obtaining 11 'O' levels and 3 'A' levels. He was offered a place at Brasenose College Oxford, graduating in 1982 with a 2:1 degree in Jurisprudence. He completed Bar exams in 1983, pupillage in 1984 practising at 1 Crown Office Row. He now pecialises in all aspects of Health Law including the regulation of the Health profession and Clinical Negligence. Francesca Stedman is a consultant paediatric surgeon at Southampton Children's Hospital. She specialises in colorectal pathology, as well as non-technical skills and education. She enjoys her frequent surgical on-calls, as every day is different, and she is well known for her midnight laparotomies. Francesca runs the simulation-based surgical skills training within the department, is the Wessex School of Surgery lead for Human Factors, and is committed to the department's well-being, mainly by providing baked goods for meetings. In her free time, Francesca enjoys cycling, running and baking, as well as camping with her young family. Fran Ives is a Chartered Human Factors Specialist and Fellow of the Chartered Institute of Ergonomics and Human Factors. She began her career in the automotive and nuclear industries before moving into healthcare in 2004, where she has led national programmes to embed Human Factors into patient safety and implementation science. Fran has supported the development of chartered Human Factors professionals in healthcare and has held leadership roles within the Chartered Institute of Ergonomics and Human Facto...

Sommaire:

• 1.: Clinical error: The scale of the problem, what is safety and, approaches to error analysis
• 2.: Safety management
• 3.: The healthcare safety investigation branch - what we did and what we learnt
• 4.: Learning from accidents: storytelling
• 5.: Human systems integration in robotic assisted surgery
• 6.: Non-technical skills
• 7.: Safety critical communication
• 8.: Clinical crisis management and preparedness
• 9.: Professional culture
• 10.: Human factors training and simulation
• 11.: A clinician's personal patient safety toolbox
• 12.: A clinical lead's departmental safety management plan
• 13.: The criminalisation of unintentional error
• 14.: Ergonomic principles in the human-machine interface