By John Williams, Charles Vincent
The purpose of this ebook is to lessen the dangers of clinical remedy and increase the protection of sufferers in all parts of healthcare. the 1st part discusses human errors, the occurrence of damage to sufferers, and the advance or threat administration. Chapters within the moment part talk about the relief of danger in medical perform in key scientific specialties. The 3rd part discusses positive factors of the healthcare platforms which are necessary to secure perform, equivalent to conversation of danger to sufferers, the layout of apparatus, supervision and coaching, and powerful teamwork. The fourth part describes tips to positioned chance administration into perform, together with the potent and delicate dealing with of court cases and claims, the care of injured sufferers and the employees concerned, and the reporting, research and research of significant incidents.
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The purpose of this booklet is to minimize the dangers of clinical therapy and increase the security of sufferers in all components of healthcare. the 1st part discusses human errors, the occurrence of injury to sufferers, and the improvement or threat administration. Chapters within the moment part talk about the aid of threat in medical perform in key clinical specialties.
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Extra info for Clinical risk management : enhancing patient safety
Karl Weick, a social scientist at the University of Michigan, has made two very insightful observations about the adaptive processes discussed above. 19,23 It is dynamic because it is achieved by the timely adjustments and compensations of a large number of people at the “sharp end”. It is a non-event because safe outcomes attract little notice. 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).
The investigators also estimated the total costs of adverse events (including direct healthcare costs and indirect costs such as lost household production and time off work). The cost in 1996 US dollars was $37·2 billion for all adverse events and $20·7 billion for preventable adverse events. 12 In summary, these large population-based studies give us a view of the public health impact of errors and adverse events. For example, the most recent data from the Utah and Colorado study suggest that in 1997 approximately 44 000 persons died from preventable adverse events.
However, this study is historically important because it developed the methodology used by the three more recent population-based studies described below. The Harvard Medical Practice Study The Harvard Medical Practice Study (HMPS)4 reviewed patient records of 30 121 randomly chosen hospitalisations from 51 randomly chosen acute care, non-psychiatric hospitals in New York State in 1984. Their goal was to better understand the epidemiology of patient injury and to inform medical malpractice reform efforts.