Practical Patient Safety

by Reynard, John; Reynolds, John; Stevenson, Peter

• ISBN13: 9780199239931
• ISBN10: 0199239932
• Edition: 1st
• Format: Paperback
• Copyright: 2009-06-01
• Publisher: Oxford University Press

Summary

Following recent high profile cases of surgical error in the Uk and USA, patient safety has become a key issue in healthcare, now placed at the heart of junior doctor's training. Errors made by doctors are very similar to those made in other high risk organizations, such as aviation, nuclear and petrochemical industries. Practical Patient Safety aims to demonstrate how core principles of safety from these industries can be applied in surgical and medical practice, in particular through training for health care professionals and healthcare managers. While theoretical aspects of risk management form the backdrop, the book focuses on key techniques and principles of patient safety in a practical way, giving the reader practical advice on how to avoid personal errors, and more importantly, how to start patient safety training within his or her department or hospital.

Author Biography

John Reynard is a consultant urological surgeon in the Nuffield Department of Surgery in Oxford and an honorary consultant urologist to the National Spinal Injury Centre at Stoke Mandeville Hospital. He read physiological sciences at Lady Margaret Hall in Oxford and competed his clinical studies at the London Hospital Medical College, qualifying in 1987. After basic surgical training in London and research at the Bristol Urological Institute he specialized in urology at St Bartholomew's and The Royal London Hospitals, completing his training in Christchurch in New Zealand before returning to Oxford. Along with Peter Stevenson he has delivered Patients Safety Training to medical students and junior doctors in Oxford since 2003, and is member of the Clinical Human Factors Group - an organisation consisting of airline patients, human factors experts, and doctors dedicated to the promotion of human factors training in healthcare. John Reynolds studied medicine at Downing College Cambridge and St Catherine's College Oxford, and qualified in 1981. He was Clinical Lecturer in Clinical Pharmacology at Oxford University from 1990 to 1997 and obtained his DPhil in neuropharmacology in 1996. In 1997 he was appointed as a consultant physician and clinical pharmacologist at the John Radcliffe Hospital in Oxford. As a practicing general physician he has a full time clinical commitment to acute general medicine at the John Radcliffe Hospital. He has also been very actively involved in local prescribing both in a management role and in post-graduate education. He is a member of the Oxfordshire Area Prescribing Committee, the local Cancer Therapeutics Committee, Antimicrobial Prescribing Committee, and the Oxfordshire Priorities Forum, and he chairs the Oxford Radcliffe Hospitals Medicines Advisory Committee. Peter Stevenson is a commercial pilot flying wide-body airliners on long-haul routes for a major British airline. In the early 1990s he developed and presented Crew Resource Management (CRM) training courses for pilots in his airline. These courses were based around learning the lessons from dozens of air disasters in the 1970s and 1980s. In 2000 he helped the Post Graduate Medical Education Centres of two NHS hospitals to create a healthcare version of the CRM course. He has prepared and delivered a programme of Patient Safety Training for medical students at the Nuffield Department of Surgery at the University of Oxford from 2003 onwards.

Table of Contents

The scale of the problem

Clinical errors: What are they?

Safety culture in high reliability organisations

Case studies

Error management

Communication failure

Situation awareness

Professional culture

When carers deliberately cause harm

Patient safety toolbox

Glossary

Conclusion

Appendices

Table of Contents provided by Publisher. All Rights Reserved.