An Introduction to Patient Safety and Medical Errors | |
The Nature and Frequency of Medical Errors and Adverse Events | p. 3 |
Basic Principles of Patient Safety | p. 17 |
Safety Versus Quality | p. 27 |
Types of Medical Errors | |
Medication Errors | p. 41 |
Surgical Errors | p. 53 |
Diagnostic Errors | p. 67 |
Human Factors and Errors at the Person-Machine Interface | p. 75 |
Transition and Handoff Errors | p. 85 |
Teamwork and Communication Errors | p. 99 |
Nosocomial Infections | p. 109 |
Other Complications of Healthcare | p. 119 |
Patient Safety in the Ambulatory Setting | p. 127 |
Solutions | |
Information Technology | p. 135 |
Reporting Systems, Incident Investigations, and Other Methods of Understanding Safety Issues | p. 153 |
Creating a Culture of Safety | p. 169 |
Workforce Issues | p. 179 |
Training Issues | p. 189 |
The Malpractice System | p. 199 |
Accountability | p. 209 |
Laws and Regulations | p. 217 |
The Role of Patients | p. 225 |
Organizing a Safety Program | p. 237 |
Key Books, Reports, Series, and Web Sites on Patient Safety | p. 257 |
Glossary of Selected Terms in Patient Safety | p. 262 |
Selected Milestones in the Field of Patient Safety | p. 280 |
The Joint Commission's National Patient Safety Goals (Hospital Version, 2007) | p. 282 |
Agency for Healthcare Research and Quality's (AHRQ) Patient Safety Indicators (PSIs) | p. 283 |
The National Quality Forum's List of 28 "Never Events" | p. 284 |
Things Patients and Families Can Do, and Questions They Can Ask, to Improve Their Chances of Remaining Safe in the Hospital | p. 287 |
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