Understanding Patient Safety, Third Edition - Wachter, Robert
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Présentation Understanding Patient Safety, Third Edition de Wachter, Robert Format Broché
- Livre Médecine, Pharmacie, Paramédical, Médecine vétérinaire
Résumé : SECTION I: AN INTRODUCTION TO PATIENT SAFETY AND MEDICAL ERRORS Chapter 1 - New ways of detecting errors, including Trigger Tools and electronic methods of monitoring - New measures of patient safety - Safety rating systems The Nature and Frequency of Medical Errors and Adverse Events Adverse Events, Preventable Adverse Events, and Errors The Challenges of Measuring Errors and Safety The Frequency and Impact of Errors Key Points References and Additional Readings Chapter 2 Basic Principles of Patient Safety The Modern Approach to Patient Safety: Systems Thinking and the Swiss Cheese Model Errors at the Sharp End: Slips versus Mistakes Complexity Theory and Complex Adaptive Systems General Principles of Patient Safety Improvement Strategies Key Points References and Additional Readings Chapter 3 - Challenges in prioritizing patient safety given the increased pressure to decrease waste, and improve value, patient experience and access Safety, Quality, and Value What is Quality? The Epidemiology of Quality Problems Catalysts for Quality Improvement The Changing Quality Landscape Quality Improvement Strategies Commonalities and Differences Between Quality and Patient Safety Value: Connecting Quality (and Safety) to the Cost of Care Key Points References and Additional Readings SECTION II: TYPES OF MEDICAL ERRORS Chapter 4 Medication Errors Some Basic Concepts, Terms, and Epidemiology Strategies to Decrease Medication Errors Key Points References and Additional Readings Chapter 5 - Procedural safety, including role of video review and simulators Surgical Errors Some Basic Concepts and Terms Volume-Outcome Relationships Patient Safety in Anesthesia Wrong-Site/Wrong-Patient Surgery Retained Sponges and Instruments Surgical Fires Safety in Nonsurgical Bedside Procedures Key Points References and Additional Readings Chapter 6 - Update on diagnostic errors (in light of a 2015 IOM report) Diagnostic Errors Some Basic Concepts and Terms Missed Myocardial Infarction: A Classic Diagnostic Error Cognitive Errors: Iterative Hypothesis Testing, Bayesian Reasoning, and Heuristics Improving Diagnostic Reasoning Communication and Information Flow Issues in Diagnostic Errors Overdiagnosis The Policy Context for Diagnostic Errors Key Points References and Additional Readings Chapter 7 Human Factors and Errors at the Person-Machine Interface Introduction Human Factors Engineering Usability Testing and Heuristic Analysis Applying Human Factors Engineering Principles Key Points References and Additional Readings Chapter 8 - Better understanding of the challenges of handoffs and signouts, new best practices Transition and Handoff Errors Some Basic Concepts and Terms Best Practices for Person-to-Person Handoffs Site-to-Site Handoffs: The Role of the System Best Practices for Site-to-Site Handoffs Other Than Hospital Discharge Preventing Readmissions: Best Practices for Hospital Discharge Key Points References and Additional Readings Chapter 9 Teamwork and Communication Errors Some Basic Concepts and Terms The Role of Teamwork in Healthcare Fixed Versus Fluid Teams Teamwork and Communication Strategies Key Points References and Additional Readings Chapter 10 Healthcare-Associated Infections General Concepts and Epidemiology Surgical Site Inf... Biographie: SECTION I: AN INTRODUCTION TO PATIENT SAFETY AND MEDICAL ERRORS Chapter 1 - New ways of detecting errors, including Trigger Tools and electronic methods of monitoring - New measures of patient safety - Safety rating systems The Nature and Frequency of Medical Errors and Adverse Events Adverse Events, Preventable Adverse Events, and Errors The Challenges of Measuring Errors and Safety The Frequency and Impact of Errors Key Points References and Additional Readings Chapter 2 Basic Principles of Patient Safety The Modern Approach to Patient Safety: Systems Thinking and the Swiss Cheese Model Errors at the Sharp End: Slips versus Mistakes Complexity Theory and Complex Adaptive Systems General Principles of Patient Safety Improvement Strategies Key Points References and Additional Readings Chapter 3 - Challenges in prioritizing patient safety given the increased pressure to decrease waste, and improve value, patient experience and access Safety, Quality, and Value What is Quality? The Epidemiology of Quality Problems Catalysts for Quality Improvement The Changing Quality Landscape Quality Improvement Strategies Commonalities and Differences Between Quality and Patient Safety Value: Connecting Quality (and Safety) to the Cost of Care Key Points References and Additional Readings SECTION II: TYPES OF MEDICAL ERRORS Chapter 4 Medication Errors Some Basic Concepts, Terms, and Epidemiology Strategies to Decrease Medication Errors Key Points References and Additional Readings Chapter 5 - Procedural safety, including role of video review and simulators Surgical Errors Some Basic Concepts and Terms Volume-Outcome Relationships Patient Safety in Anesthesia Wrong-Site/Wrong-Patient Surgery Retained Sponges and Instruments Surgical Fires Safety in Nonsurgical Bedside Procedures Key Points References and Additional Readings Chapter 6 - Update on diagnostic errors (in light of a 2015 IOM report) Diagnostic Errors Some Basic Concepts and Terms Missed Myocardial Infarction: A Classic Diagnostic Error Cognitive Errors: Iterative Hypothesis Testing, Bayesian Reasoning, and Heuristics Improving Diagnostic Reasoning Communication and Information Flow Issues in Diagnostic Errors Overdiagnosis The Policy Context for Diagnostic Errors Key Points References and Additional Readings Chapter 7 Human Factors and Errors at the Person-Machine Interface Introduction Human Factors Engineering Usability Testing and Heuristic Analysis Applying Human Factors Engineering Principles Key Points References and Additional Readings Chapter 8 - Better understanding of the challenges of handoffs and signouts, new best practices Transition and Handoff Errors Some Basic Concepts and Terms Best Practices for Person-to-Person Handoffs Site-to-Site Handoffs: The Role of the System Best Practices for Site-to-Site Handoffs Other Than Hospital Discharge Preventing Readmissions: Best Practices for Hospital Discharge Key Points References and Additional Readings Chapter 9 Teamwork and Communication Errors Some Basic Concepts and Terms The Role of Teamwork in Healthcare Fixed Versus Fluid Teams Teamwork and Communication Strategies Key Points References and Additional Readings Chapter 10 Healthcare-Associated Infections General Concepts and Epidemiology Surgical Site Inf... Sommaire: SECTION I: AN INTRODUCTION TO PATIENT SAFETY AND MEDICAL ERRORS Chapter 1 - New ways of detecting errors, including Trigger Tools and electronic methods of monitoring - New measures of patient safety - Safety rating systems The Nature and Frequency of Medical Errors and Adverse Events Adverse Events, Preventable Adverse Events, and Errors The Challenges of Measuring Errors and Safety The Frequency and Impact of Errors Key Points References and Additional Readings Chapter 2 Basic Principles of Patient Safety The Modern Approach to Patient Safety: Systems Thinking and the Swiss Cheese Model Errors at the Sharp End: Slips versus Mistakes Complexity Theory and Complex Adaptive Systems General Principles of Patient Safety Improvement Strategies Key Points References and Additional Readings Chapter 3 - Challenges in prioritizing patient safety given the increased pressure to decrease waste, and improve value, patient experience and access Safety, Quality, and Value What is Quality? The Epidemiology of Quality Problems Catalysts for Quality Improvement The Changing Quality Landscape Quality Improvement Strategies Commonalities and Differences Between Quality and Patient Safety Value: Connecting Quality (and Safety) to the Cost of Care Key Points References and Additional Readings SECTION II: TYPES OF MEDICAL ERRORS Chapter 4 Medication Errors Some Basic Concepts, Terms, and Epidemiology Strategies to Decrease Medication Errors Key Points References and Additional Readings Chapter 5 - Procedural safety, including role of video review and simulators Surgical Errors Some Basic Concepts and Terms Volume-Outcome Relationships Patient Safety in Anesthesia Wrong-Site/Wrong-Patient Surgery Retained Sponges and Instruments Surgical Fires Safety in Nonsurgical Bedside Procedures Key Points References and Additional Readings Chapter 6 - Update on diagnostic errors (in light of a 2015 IOM report) Diagnostic Errors Some Basic Concepts and Terms Missed Myocardial Infarction: A Classic Diagnostic Error Cognitive Errors: Iterative Hypothesis Testing, Bayesian Reasoning, and Heuristics Improving Diagnostic Reasoning Communication and Information Flow Issues in Diagnostic Errors Overdiagnosis The Policy Context for Diagnostic Errors Key Points References and Additional Readings Chapter 7 Human Factors and Errors at the Person-Machine Interface Introduction Human Factors Engineering Usability Testing and Heuristic Analysis Applying Human Factors Engineering Principles Key Points References and Additional Readings Chapter 8 - Better understanding of the challenges of handoffs and signouts, new best practices Transition and Handoff Errors Some Basic Concepts and Terms Best Practices for Person-to-Person Handoffs Site-to-Site Handoffs: The Role of the System Best Practices for Site-to-Site Handoffs Other Than Hospital Discharge Preventing Readmissions: Best Practices for Hospital Discharge Key Points References and Additional Readings Chapter 9 Teamwork and Communication Errors Some Basic Concepts and Terms The Role of Teamwork in Healthcare Fixed Versus Fluid Teams Teamwork and Communication Strategies Key Points References and Additional Readings Chapter 10 Healthcare-Associated Infections General Concepts and Epidemiology Surgical Site Inf...
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