Clinical Risk Management - download pdf or read online

By Charles Vincent

ISBN-10: 0727913921

ISBN-13: 9780727913920

The purpose of this booklet is to minimize the hazards of scientific remedy and increase the protection of sufferers in all parts of healthcare. the 1st part discusses human mistakes, the occurrence of damage to sufferers, and the advance or possibility administration. Chapters within the moment part speak about the relief of possibility in scientific perform in key scientific specialties. The 3rd part discusses good points of the healthcare platforms which are necessary to secure perform, akin to communique of probability to sufferers, the layout of apparatus, supervision and coaching, and potent teamwork. The fourth part describes the best way to placed threat administration into perform, together with the powerful and delicate dealing with of proceedings and claims, the care of injured sufferers and the employees concerned, and the reporting, research and research of great incidents.

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4 Bogner MS. Human error in medicine. Hillsdale, NJ: Erlbaum, 1994. 5 Vincent C. Clinical risk management. London: BMJ Publications, 1995. 6 Hollnagel E. Reliability of cognition: foundations of human reliability analysis. London: Academic Press, 1993. 7 Gaba DM. Human error in anaesthetic mishaps. Int Anesth Clin 1989;27:137–47. 29 CLINICAL RISK MANAGEMENT 8 Runciman W, Sellen A, Webb RK, et al. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care 1993;21:506–19. 9 Reason J.

Preoperative assessment of patients with known or suspected coronary disease. N Engl J Med 1995;333:1750–6. 23 Mangano DT. Perioperative cardiac morbidity. Anesthesiology 1990;72:153–84. 24 Fleisher LA, Eagle KA. Screening for cardiac disease in patients having noncardiac surgery. Ann Intern Med 1996;124:767–72. 25 Lee TH, Marcantonio ER, Mangione CM, et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation 1999;100:1043–9.

In this chapter, we use both terms together when making general statements. Other examples of process-related terms like errors include mishaps and mistakes. Examples of other outcome-related terms like adverse events include negligent events, preventable adverse events, iatrogenic injuries, and complications. 3 Although Reason and others have made fundamental insights into the causes of errors, most research in healthcare has focused on the consequences of errors the actual injury that occurred, often called an adverse event or complication.

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Clinical Risk Management by Charles Vincent


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