Adverse events occur in healthcare with worrying and surprising frequency and, of these, a substantial portion are preventable. This highly-readable book, translated and update from the original Dutch edition, presents 15 model case studies which have been carefully designed to explore common themes in medical errors and offer learnings from those events that will guide practice to prevent similar tragedies unfolding in future. Using 15 years of experience working in patient safety, the author makes concrete recommendations around assessment, attitude and performance, and provides a concise and accessible methodology for working safely.
Author | Ian Leistikow |
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Table Of Content | Introduction Chapter 1 – Worst Case Scenario Chapter 2 – your own observation is flawed Chapter 3 – Assumption is the mother of all screw-ups Chapter 4 – be prepared Chapter 5 – Speak up Chapter 6 – What am I missing here? Chapter 7 – Nine Red Flags Chapter 8 – HALT Chapter 9 – Photo or film Chapter 10 – Risk accumulation Chapter 11 – Just Culture Chapter 12 – Blind faith Chapter 13 – Bias Chapter 14 – Professional performance Chapter 15 – Open Disclosure Chapter 16 – Epilogue Chapter 17 – Summary |
Publish Date | 22 Feb 2017 |