Patientsäkerhet

Vårdhygien är samlingsnamnet för alla de rutiner och åtgärder som görs för att minska antalet vårdrelaterade infektioner. Enligt forskning borde 30 procent eller fler av de vårdrelaterade infektionerna kunna förebyggas. Vårdhygien hamnar i fokus när spridningen av antibiotikaresistenta bakterier ökar och nya typer av samhällsfarliga epidemiska infektionssjukdomar uppstår.

I boken beskrivs de mikroorganismer som orsakar vårdrelaterade infektioner, principer för antibiotikabehandling, antibiotikaresistenta bakterier, infektionsrisker vid olika typer av behandlingar och ingrepp, förebyggande åtgärder, hur smittspridning går till inom sjukvården, åtgärder för att förhindra smitta, rutiner som ska fungera – som till exempel städning, tvätthantering och desinfektion. Vidare görs en genomgång av hur smittskydd och vårdhygien är organiserat i Sverige, av lagar och förordningar, föreskrifter och allmänna råd och slutligen vart en patient som har synpunkter eller klagomål kan vända sig.

Boken riktar sig till studerande och yrkesverksamma inom hälso- och sjukvården. Den kan med fördel även läsas av beslutsfattare inom hälso- och sjukvården, journalister och allmänhet för att ge ökad kunskap på området.

Om författarenGöran Hedin är legitimerad läkare, specialist i klinisk mikrobiologi, medicine doktor och även magister i smittskydd och vårdhygien. Han har forskat om laboratoriemetoder för att upptäcka antibiotikaresistens hos bakterier och smittspridningsvägar inom sjukvården.

Sin nuvarande yrkesroll har han inom klinisk mikrobiologi men han har även arbetat som hygienläkare, bland annat på Karolinska universitetssjukhuset, Stockholm. Inom CEN, den europeiska standardiseringsorganisationen, representerar han Sverige som specialist på desinfektionsmedel.

Sagt om boken"En god introduktion till det breda ämnet vårdhygien", menar Jon Edman Wallér, doktorand, ST-läkare i klinisk mikrobiologi och vårdhygien, i Lakartidningen.se 2021-01-18.

"Boken är ytterst genomarbetad och detaljerad. Vissa avsnitt övergår lekmannens nivå men ansatsen och bredden i framställningen i kombination med angelägenhetsgraden gör Vårdhygien till obligatorisk läsning inom vård och omsorg." Helhetsbetyg: 4. Publicerat i BTJ-häftet nr 21, 2020. Skrivet av lektör Matts Lindberg.

Säker vård är avgörande för all hälso- och sjukvård och omsorg. Den här boken ger läsaren bakgrunden till och verktygen för en säker vård. Den förklarar förfarandet med utgångspunkt från centrala teorier och modeller. Patientsäkerhet är ett område under snabb och ständig utveckling. Boken betonar att patientsäkerhetsarbetet är flerdimensionellt och beroende av flera kunskapsområden, allt från kunskaper om hur individer och team påverkar säker vård till hur vi kan använda systemmodeller för att förstå och lära av både goda och dåliga händelser, och därmed minska antalet vårdskador.Första delen av boken beskriver den teoretiska grunden till vad säker vård är och hur säkerhetsarbetet i vården styrs av lagar och förordningar. Den presenterar teorier och modeller som förklarar hur säkerhet säkerställs. Andra delen beskriver hur säkerhetsarbetet går till i praktiken och hur personalen ska gå till väga för att arbeta säkert. Patientfall är genomgående knutna till teoretiska avsnitt som uppmanar till egen reflektion.Boken är en grundbok för studenter inom hälso- och sjukvårdsutbildningarna, men kan även användas som handbok för yrkesverksamma för att besvara frågor som uppkommer i den dagliga verksamheten.

Hälso- och sjukvård ska bedrivas så att kravet på god vård uppfylls. En god vård förutsätter att vårdgivaren tillsammans med personalen strävar efter att förebygga vårdskador för att uppnå en hög patientsäkerhet. De grundläggande bestämmelserna om patientsäkerhet finns i patientsäkerhetslagen (2010:659).

I Patientsäkerhetslagen. En kommentar beskrivs innebörden och bakgrunden till bestämmelserna i patientsäkerhetslagen. Ett stort antal rättsfall redovisas för att belysa viktiga rättsfrågor och tillämpningen av lagen.

Boken riktar sig till alla som kommer i kontakt med patientsäkerhetsfrågor inom hälso- och sjukvården, t.ex. vårdgivare, hälso- och sjukvårdspersonal, kvalitetssamordnare och jurister, liksom till utbildningar för sådana yrken.

Den första upplagan skrevs av Lars-Åke Johnsson. Från och med upplaga 2 svarar Ebba Sverne Arvill och Anders Printz gemensamt för innehållet. De har tillsammans även gett ut Hälso- och sjukvårdslagen och Patientens rätt och vårdens ansvar.

THE INSIDE STORY OF THE DR MUNJED AL MUDERIS DEFAMATION TRIAL - a brilliantly told testament to the power of investigative journalism to hold institutions and individuals accountableIt all started when a daughter asked her father 'Are there any risks?'.Investigative journalist Charlotte Grieve had a very personal reason to be interested in celebrated orthopaedic surgeon Dr Munjed Al Muderis. Her father had lost his leg almost sixty years before a chance meeting with Dr Al Muderis, who raised concerns about her father's ongoing mobility. The famous doctor told him that osseointegration surgery would keep him out of a wheelchair. Her mother suggested a second opinion. The collision of the personal and professional would spark an investigation that led to a $20 million defamation trial.Charlotte uncovered serious concerns about the doctor's surgical practice and evidence that he routinely failed to adequately inform patients of the risks involved in his signature procedure. Doctors have a duty of care, but they also legally have a duty to warn. It means that they must warn patients of any risks. When that is not done, vulnerable people have to live with the consequences.Dr Al Muderis would go on to spend millions trying to prevent Charlotte from warning the public about his failures. Though pressured to drop her investigation, Charlotte stood firm. In the defamation trial, thirty-five of his patients, dozens of doctors, surgeons and health professionals would take the stand, defending their stories, their lives, their truths.Compelling and masterfully written, Duty to Warn is the inside story of a young journalist fighting to uncover the facts whilst coming up against a powerful individual determined to stop her. It delivers a rare window into legal and ethical reckoning in medicine and in journalism. Ultimately, it is a story about the duty to warn, what it means, and the catastrophic outcomes that can ensue when a doctor fails to uphold their ethical responsibilities.'This is no dry courtroom drama. How Grieve came to the story through the experiences of her father brings a personal touch to an important story' SYDNEY MORNING HERALD

This blue-chip guide adds quality to the pharmaceutical clinical development process by detailing the need for, and stressing the importance of, an independent audit of clinical data to protect participants and validate study results.Examines the use of personal computers, the Internet, and third-party organizations to assist in data validation!Positioning the audit as the only reliable tool to verify that a drug has been shown to be safe and effective in clinical trials, The Clinical Audit in Pharmaceutical Development recommends establishing auditing and quality assurance at the beginning of a clinical study describes Good Clinical Practices (GCPs) and the role of regulatory agencies in the review, validation, and auditing processes outlines the clinical process, from trial design through report writing compares and contrasts United States and international regulatory statutes identifies monitoring as the key to guaranteeing high-quality data focuses on the role of the clinical audit in achieving unity in a multinational study discusses the worldwide influence of the US Food and Drug Administration audit analyzes findings from previous FDA clinical audits to reveal trends and future directions provides guidelines for fraud detection and considers the ramifications of falsified data and more!Confirming that all clinical information has been properly collected and reported, The Clinical Audit in Pharmaceutical Development is a crucial reference for clinical and research pharmacists and pharmacologists; biostatisticians; clinical research associates, coordinators, and investigators; quality control, quality assurance, and regulatory compliance managers; and upper-level undergraduate and graduate students in these disciplines.

This text covers tumescent liposuction and fat transfer techniques and how they have developed into extremely safe, reliable, and efficacious procedures. Thirty-five respected surgeons discuss the safety of tumescent liposuction techniques, an anatomical approach to tumescent liposuction surgery, and the latest and greatest surgical tips from the experts.

"This unique Fast Fact serves as a quick resource for foundational, relevant data, knowledge, and vital information, not only about the nature of medical errors, but why they occur. More importantly, Hunt shows us how to comprehensively address problems: highlighting the need for both academic and clinical professional development, emphasizing approaches, as theory-informed practices; acknowledging importance of human caring, power, relationship, and such practices as mindful presence"—Jean Watson, PhD, RN, AHN-BC, FAAN, LL(AAN)Founder, Watson Caring Science InstituteDistinguished Professor/Dean Emerita, University of Colorado DenverThis practical resource helps nurses develop the skills they need to avoid medical errors and promote patient safety. Based on the most current research and guidance from principal scientific/academic boards, the text identifies the most significant errors and their causes and describes how nurses can develop and improve critical thinking, logic, and clinical judgement to improve patient outcomes.This book presents an overview of common preventable issues and their causes, including medication errors, patient falls, pressure ulcers, infections, and surgical errors. It focuses on strategies for becoming a safe practitioner through education and competency development, while highlighting major national safety initiatives with improved outcomes. This Fast Facts discusses several theories that promote quality of care and concrete methods for fostering critical thinking and reasoning. It examines prioritization and delegation as a way to develop skills in addition to scope of practice, intuition, ethics, leadership, and emotional intelligence. The final chapter addresses patient safety using a holistic approach encompassing cultural humility and artificial intelligence. Each chapter includes an introduction, learning objectives, an illustrative case vignette, discussion questions, concise "tips from the field," special topics, Fast Facts boxes, suggested assignments, and resources for further study.Key Features:Helps nurse managers to prioritize and address specific safety and medical errors immediatelyDelivers practical tips on improving patient care and outcomesProvides step-by-step guidance on preventing medication errors—the leading cause of adverse eventsPresents multiple strategies to develop critical thinking and judgmentOffers interviews with patient safety experts for context and applicationIncludes case studies, tips from the field, Fast Facts boxes, tables, discussion questions, suggested assignments, and more

This practical resource helps nurses develop the skills they need to avoid medical errors and promote patient safety. Based on the most current research and guidance from principal scientific/academic boards, the text identifies the most significant errors and their causes and describes how nurses can develop and improve critical thinking, logic, and clinical judgement to improve patient outcomes.This book presents an overview of common preventable issues and their causes, including medication errors, patient falls, pressure ulcers, infections, and surgical errors. It focuses on strategies for becoming a safe practitioner through education and competency development, while highlighting major national safety initiatives with improved outcomes. This book discusses several theories that promote quality of care and concrete methods for fostering critical thinking and reasoning. It examines prioritization and delegation as a way to develop skills in addition to scope of practice, intuition, ethics, leadership, and emotional intelligence. The final chapter addresses patient safety using a holistic approach encompassing cultural humility and artificial intelligence. Each chapter includes an introduction, learning objectives, an illustrative case vignette, discussion questions, concise ""tips from the field,"" special topics, and more.Key Features:Helps nurse managers to prioritize and address specific safety and medical errors immediately.Delivers practical tips on improving patient care and outcomes. Provides step-by-step guidance on preventing medication errors—the leading cause of adverse events. Presents multiple strategies to develop critical thinking and judgment. Offers interviews with patient safety experts for context and application. Includes case studies, tips from the field, Fast Facts boxes, tables, discussion questions, suggested assignments, and more.

Experts from the top hospitals in America's largest cities provide their insights into the disease states, injuries, patient populations, practice barriers, and societal conditions which present disproportionality in urban emergency departments. Distilling the authors' special expertise and skills in a clear and user-friendly way, this book enables the reader to recognize the impact of healthcare disparities on patient well-being and identify and manage the needs of special patient populations, including victims of substance abuse and intimate partner violence. Clinical chapters define conditions through case studies, discussing their prevalence in the urban setting, and offer expert advice for immediate and effective management. In addition, the book helpfully provides context and valuable tips for best practice and introduces new ways of thinking about the diseases and the problems discussed. Essential reading for clinicians looking to improve their knowledge of urban emergency medicine, from students through to senior attending practitioners.

Complementing existing literature on measuring health outcomes that is largely conceptual, this book focuses on simple, practical advice for measuring outcomes in a variety of settings. Written in an engaging conversational tone, readers will learn why measuring health outcomes is necessary in clinical practice and how these measures may vary between people and across care structures. Covering how to identify measurements as well as collect and analyze the data, the chapters lead readers through a series of logical steps to scaling up a measurement program. The workbook style allows readers to record their own notes and thoughts throughout the book, while the list of action steps at the end of chapters are tangible starting points for developing a measurement program of their own. Explores how to measure and think about outcomes in a way that sees the whole person, not just the medical or behavioral condition they have.

Protests are becoming more frequent and unpredictable, often creating complex challenges for emergency healthcare providers. Road closures, surging crowds, and sudden outbreaks of violence can strain resources and compromise safety. When demonstrations escalate, injuries from chemical irritants, kinetic impact projectiles, tasers, dog bites, and stampedes demand rapid and informed responses. This concise guide equips healthcare professionals with practical strategies for delivering timely, high-quality care in pre-hospital and hospital settings during civil unrest. Using lessons learnt from real world events this guide teaches readers to recognize common protest-related injury patterns, implement effective treatment plans, and maintain personal safety amid volatile conditions. Beyond immediate care, this book also addresses post-protest considerations, including trauma-informed approaches and psychological first aid for both patients and healthcare providers alike. Whether on the frontlines or in the emergency department this resource will prepare readers to navigate turbulent events with confidence, compassion, and care.

Drugs are often counterfeited to reduce manufacture costs, while still marketing it at as an authentic product. Increased incidence of drug counterfeiting is most noticeable in developing countries, which may not have the resources to supply counterfeit detection devices on a large scale. It is important to consider the problems caused and to propose options for controlling and reducing the prevalence of counterfeit medications. Various technologies are needed to identify the chemical properties of a questioned medicinal product, which can then be used to determine its authenticity. This volume focuses on current technological approaches that are able to detect counterfeited pharmaceuticals.FeaturesFocuses on current technological approaches that are able to detect counterfeited pharmaceuticalsAssesses the chemical methods of identifying counterfeit medicinal products and explains the theoretical underpinnings of the methodsProvides case study type examples of the application for analysis of suspected counterfeit pharmaceuticalsDiscusses the detection and analysis of counterfeit drugs, and appropriate tools for combating this issueThe editor draws on his experience as a respected chemist and prolific author in the field to provide this unique text on drug counterfeiting detection

This step-by-step guide takes the reader through the complex process of investigating serious incidents in health, social care, and criminal justice environments, acknowledging differences of culture and context that shape an investigation. Taking a multi-disciplinary approach, Part 1 begins by exploring the key principles of investigation, including ethical and legal perspectives, the involvement of families and carers, and being aware of unconscious bias, among other issues. Part 2 outlines in detail the conduct of investigations, from planning to processing the findings, before moving on to Part 3, carrying them out in diverse settings. Further chapters then look at investigating within diverse environments before moving on to to Part 4 which deals with reviewing and analysing the evidence collected and writing up the investigation. This final part also examines the pivotal issue of learning from the investigation and disseminating the report. The inclusion of case studies, models of good practice, and vignettes enables the reader to view each stage of the process in context and drive the transformation of practice. This practical resource is designed to support health and social care professionals who undertake investigations as part of their role, including nurses, allied health practitioners, social workers, doctors, and psychologists, as well as military personnel and law enforcers. It is an essential companion.

This step-by-step guide takes the reader through the complex process of investigating serious incidents in health, social care, and criminal justice environments, acknowledging differences of culture and context that shape an investigation. Taking a multi-disciplinary approach, Part 1 begins by exploring the key principles of investigation, including ethical and legal perspectives, the involvement of families and carers, and being aware of unconscious bias, among other issues. Part 2 outlines in detail the conduct of investigations, from planning to processing the findings, before moving on to Part 3, carrying them out in diverse settings. Further chapters then look at investigating within diverse environments before moving on to to Part 4 which deals with reviewing and analysing the evidence collected and writing up the investigation. This final part also examines the pivotal issue of learning from the investigation and disseminating the report. The inclusion of case studies, models of good practice, and vignettes enables the reader to view each stage of the process in context and drive the transformation of practice. This practical resource is designed to support health and social care professionals who undertake investigations as part of their role, including nurses, allied health practitioners, social workers, doctors, and psychologists, as well as military personnel and law enforcers. It is an essential companion.

A Practitioner’s Guide to Cybersecurity and Data Protection offers an accessible introduction and practical guidance on the crucial topic of cybersecurity for all those working with clients in the fields of psychology, neuropsychology, psychotherapy, and counselling.With expert insights, it provides essential information in an easy-to-understand way to help professionals ensure they are protecting their clients’ data and confidentiality, and protecting themselves and their patients from cyberattacks and information breaches, along with guidance on ethics, data protection, cybersecurity practice, privacy laws, child protection, and the rights and freedoms of the people the practitioners work with. Explaining online law, privacy, and information governance and data protection that goes beyond the GPDR, it covers key topics including: contracts and consent; setting up and managing safe spaces; children's data rights and freedoms; email and web security; and considerations for working with other organisations.Illustrated with examples from peer-reviewed research and practice, and with practical ‘top tips’ to help you implement the advice, this practical guide is a must-read for all working-from-home practitioners in clinical psychology, developmental psychology, neuropsychology, counselling, and hypnotherapy.

A Practitioner’s Guide to Cybersecurity and Data Protection offers an accessible introduction and practical guidance on the crucial topic of cybersecurity for all those working with clients in the fields of psychology, neuropsychology, psychotherapy, and counselling.With expert insights, it provides essential information in an easy-to-understand way to help professionals ensure they are protecting their clients’ data and confidentiality, and protecting themselves and their patients from cyberattacks and information breaches, along with guidance on ethics, data protection, cybersecurity practice, privacy laws, child protection, and the rights and freedoms of the people the practitioners work with. Explaining online law, privacy, and information governance and data protection that goes beyond the GPDR, it covers key topics including: contracts and consent; setting up and managing safe spaces; children's data rights and freedoms; email and web security; and considerations for working with other organisations.Illustrated with examples from peer-reviewed research and practice, and with practical ‘top tips’ to help you implement the advice, this practical guide is a must-read for all working-from-home practitioners in clinical psychology, developmental psychology, neuropsychology, counselling, and hypnotherapy.

Safety and security are important issues both for hospital staff members and their patients. Written by healthcare gurus, Charles Schnabolk and Ben Scaglione, this book is an expose on the current state of healthcare and the dangers and risks associated with being a patient navigating within the healthcare environment. The authors address the risks and threats hospitals and healthcare staff endure while treating patients and working in the healthcare field. They discuss the potential hazards associated with patient treatment and care. From wrong-site surgeries to acquired infections, the book includes some of the top patient risks as outlined by the Joint Commission’s National Patient Safety Goals and discusses other less acknowledged risks, ones not immediately known to the public, like loss of personal property, sexual assault, and the physical as well as mental abuse that patients may suffer while housed or visiting within the healthcare environment. Also included is a discussion of newer hazards brought on by current technology like cyber security. The authors describe the challenges hospitals have associated with hackers and staff who wish to destroy or steal medical records. Hackers who hold hospitals hostage and seek monies in return for stolen access to medical records captured during a hack into the hospital’s virtual network. Staff who steal medical record information which they look to sell to the highest bidder on the dark web for use in compromising the financial information of those patients who use hospital’s services. Most hospitals in the U.S. have a long list of procedures, rules, and regulations to keep staff and patients safe including, but not limited to staff assaults, abuse, and bullying. The violence staff has endured while working within hospitals, clinics, and the Emergency Department has been increasing over the years peaking post- Covid-19 to levels never seen before. The book discusses the violence that has plagued healthcare for decades. According to the Joint Commission, healthcare workers are around four times as likely to experience workplace violence compared to workers in other industries. Talking about the unknown abuse that occurs between nurses and doctors in the care of patients during surgeries and medical treatments. The authors address these issues and many more while providing current information on each topic and suggesting resolutions and mitigation strategies that assist in reducing the potential for the identified risks from occurring again.

Safety and security are important issues both for hospital staff members and their patients. Written by healthcare gurus, Charles Schnabolk and Ben Scaglione, this book is an expose on the current state of healthcare and the dangers and risks associated with being a patient navigating within the healthcare environment. The authors address the risks and threats hospitals and healthcare staff endure while treating patients and working in the healthcare field. They discuss the potential hazards associated with patient treatment and care. From wrong-site surgeries to acquired infections, the book includes some of the top patient risks as outlined by the Joint Commission’s National Patient Safety Goals and discusses other less acknowledged risks, ones not immediately known to the public, like loss of personal property, sexual assault, and the physical as well as mental abuse that patients may suffer while housed or visiting within the healthcare environment. Also included is a discussion of newer hazards brought on by current technology like cyber security. The authors describe the challenges hospitals have associated with hackers and staff who wish to destroy or steal medical records. Hackers who hold hospitals hostage and seek monies in return for stolen access to medical records captured during a hack into the hospital’s virtual network. Staff who steal medical record information which they look to sell to the highest bidder on the dark web for use in compromising the financial information of those patients who use hospital’s services. Most hospitals in the U.S. have a long list of procedures, rules, and regulations to keep staff and patients safe including, but not limited to staff assaults, abuse, and bullying. The violence staff has endured while working within hospitals, clinics, and the Emergency Department has been increasing over the years peaking post- Covid-19 to levels never seen before. The book discusses the violence that has plagued healthcare for decades. According to the Joint Commission, healthcare workers are around four times as likely to experience workplace violence compared to workers in other industries. Talking about the unknown abuse that occurs between nurses and doctors in the care of patients during surgeries and medical treatments. The authors address these issues and many more while providing current information on each topic and suggesting resolutions and mitigation strategies that assist in reducing the potential for the identified risks from occurring again.

Communications research in aviation is widely regarded by many in the healthcare community as the 'gold standard' to emulate. Yet healthcare and aviation differ in many ways, as do the vital communications shared among members of clinical teams. Aviation team communication should, then, be understood in terms of what lessons will benefit those who work in healthcare. In Improving Healthcare Team Communication, renowned experts provide insights from 'sharp end' operator research in high-hazard sectors that shed light on the performance of cognitive tasks including resource availability assessment, allocation, anticipation, prediction, trade-off decisions, speculation and negotiation. The book reports on recent field research to address what is known, and what needs to be learned, about team communication among operators. Students, clinicians and healthcare managers can find answers in it to the questions they face daily. How can healthcare information be better shared? What can we expect from its improvement, and how do we get there? Lessons learned from team communication research and experience in aviation and healthcare will point the way to improved patient safety.

Surgeons start their career in the expectation that it will bring personal satisfaction through an unparalleled sense of achievement and professional growth. Nonetheless, a career in surgery carries with it serious challenges: surgical training is rigorous, both emotionally and physically, and demands that the surgeon adjust to unpredictability. Chronic levels of stress can affect surgical performance, the quality of family relationships, and even the nature of the doctor–patient relationship. Unmanaged stress has been shown to contribute to physical illness, emotional problems, absenteeism, poor job performance, drug abuse, and negative social attitudes.With a background in both surgery and psychological medicine, Dr Shiralkar examines the psychosocial burden of being a surgeon and offers insights into the role of intra-human factors in surgery. He reveals surgical performance from a psychological perspective and highlights the factors that cause unsatisfactory performance. He also offers solutions to rectify the problem and prevent burnout. The book will be invaluable to all those embarking on a surgical career, as well as to established surgeons in all specialties who wish to understand how to identify and manage the factors that could lead to career-limiting levels of stress.

This practical and evidence-based workbook offers a series of assessment, implementation and evaluation activities for professionals working in critical care contexts. Designed to improve the quality of care delivery, it looks both at collaboration between professionals and between patients and/or family members. Collaborative Practice in Critical Care Settings: identifies the issues relating to the "current state" of collaboration in critical care through a series of assessment activities; provides a series of interventional activities which can address shortfalls of collaboration previously identified; and offers advice on generating evidence for the effects of any interventions implemented. The activities presented in this book are based on extensive empirical research, ensuring this book takes into account the everyday work environment of professionals in critical care units. It is suitable for practitioners and educators, as well as patient safety leads and managers.

This practical and evidence-based workbook offers a series of assessment, implementation and evaluation activities for professionals working in critical care contexts. Designed to improve the quality of care delivery, it looks both at collaboration between professionals and between patients and/or family members. Collaborative Practice in Critical Care Settings: identifies the issues relating to the "current state" of collaboration in critical care through a series of assessment activities; provides a series of interventional activities which can address shortfalls of collaboration previously identified; and offers advice on generating evidence for the effects of any interventions implemented. The activities presented in this book are based on extensive empirical research, ensuring this book takes into account the everyday work environment of professionals in critical care units. It is suitable for practitioners and educators, as well as patient safety leads and managers.

An accessible and richly illustrated guidebook to the most important methodologies and frameworks for improving safety and quality, written specifically for clinicians in anaesthesia and perioperative medicine. The book begins with chapters on design and the use of simulation to set the stage for successful quality improvement (QI) efforts before providing an in-depth look at the individual tools, reporting and use of databases. The following chapters then discuss the use of these tools and theories in practical projects. Finally, the book considers the difficult topic of people, communication and behaviour, importantly addressing the human factors that can make or break QI efforts. The book skilfully blends expert knowledge and valuable examples from years of experience and trials from varied providers to demonstrate the successful paths to improve patient outcomes. For clinicians, nurses and trainees in anaesthesia and perioperative medicine seeking tools and strategies to lead and participate in QI projects.

A difficult and recalcitrant phenomenon, medical error causes pervasive and expensive problems in terms of patient injury, ineffective treatment, and rising healthcare costs. Simple heightened awareness can help, but it requires organized, effective remedies and countermeasures that are reasonable, acceptable, and adaptable to see a truly significant drop in the intolerable rate of medical mistakes. Only with better understanding, knowledge, and directed techniques can there be rapid and marked improvement in medical error management discipline. Since medical error is situation specific and involves diverse variables in equipment, environment, and human performance, the correct choice of preventive and corrective techniques is critical. Providing a wealth of useful ideas, concepts, and techniques, Medical Error and Patient Safety: Human Factors in Medicine uses abroad perspective to present more than 500 remedies that can be applied and tailored to your unique circumstances. This detailed review of so many measures enables you to correctly identify needs and undertake appropriate actions to achieve a success that can be measured in avoided injuries, improved healthcare, and reduced cost. Thought provoking and useful, this book considers the potential for error and the possibility for improvement in every aspect of healthcare. After an introduction to general concepts and approaches, it examines vulnerabilities in medical services, including emergency services, healthcare facilities, and infection control. It covers risks in medical devices and product design; human factors such as fatigue and stress; management errors; errors in communication at all levels of the healthcare hierarchy; as well as mistakes in drug delivery including faulty labels and warnings. The authors also compare and contrast several analytical methods, their interpretation, and their translation into a plan of action.

The first text to focus solely on quality and safety in radiotherapy, this work encompasses not only traditional, more technically oriented, quality assurance activities, but also general approaches of quality and safety. It includes contributions from experts both inside and outside the field to present a global view. The task of assuring quality is no longer viewed solely as a technical, equipment-dependent endeavor. Instead, it is now recognized as depending on both the processes and the people delivering the service. Divided into seven broad categories, the text covers: Quality Management and Improvement includes discussions about lean thinking, process control, and access to services.Patient Safety and Managing Error looks at reactive and prospective error management techniques.Methods to Assure and Improve Quality deals broadly with techniques to monitor, assure, and improve quality. People and Quality focuses on human factors, changing roles, staffing, and training. Quality Assurance in Radiotherapy addresses the general issues of quality assurance with descriptions of the key systems used to plan and treat patients and includes specific recommendations on the types and frequencies of certain tests. Quality Control: Equipment and Quality Control: Patient-Specific provides explicit details of quality control relating to equipment and patient-specific issues.Recently, a transformation of quality and safety in radiotherapy has begun to take place. Among the key drivers of this transformation have been new industrial and systems engineering approaches that have come to the forefront in recent years following revelations of system failures. This book provides an approach to quality that is long needed, one that deals with both human and technical aspects that must be the part of any overall quality improvement program.

Pediatric Evaluation and Management Coding Revisions: Facility and Office Services is filled with expert guidance to help you prepare for the changes coming to Current Procedural Terminology (CPT ®) facility-based evaluation and management coding in 2023. It also reviews the major updates that were made to office-based evaluation and management coding in 2021. This all-in-one reference contains curated content from four chapters of Coding for Pediatrics 2023 as well as more than 10 articles from the AAP Pediatric Coding Newsletter. In-depth explanation and examples help coders and pediatricians assess how their practices will be affected in terms of documentation and code selection, as well as any changes that might need to be made to their current coding practices. Users can earn a certificate of completion upon successfully passing an online quiz.

In a world where human disconnection is so prevalent, Prognosis HOPE restores humanity to healthcare and brings hope back to both caregivers and care-seekers.Patients don’t always get the care they deserve and it’s time for both caregivers and care-seekers to stand up and demand that change. Before becoming a registered nurse, Angie Felts was hit by a drunk driver. She sustained a traumatic brain injury that put her life on hold for nearly twenty years and provides a unique perspective on the dehumanization present in healthcare today. In a candid, yet entertaining way, Angie shares her personal story, along with the stories of her mentors, colleagues, and patients, to demonstrate her method for human connection: Prognosis HOPE. A four-step method that is simple and easy to implement, Prognosis HOPE puts patients back in the driver’s seat and enables medical professionals to return to their true callings as healers by celebrating human connection instead of getting bogged down by a diagnosis or complicated care plan. Angie empowers readers to see that they can change their own lives and leads both caregivers and care-seekers back to humanity through joining forces and sharing in the human experience.