LEADER 05959nam 22007455 450 001 9910300085103321 005 20230327180120.0 010 $a1-4614-7419-1 024 7 $a10.1007/978-1-4614-7419-7 035 $a(CKB)3710000000024864 035 $a(EBL)1466296 035 $a(OCoLC)861558942 035 $a(SSID)ssj0001049571 035 $a(PQKBManifestationID)11992828 035 $a(PQKBTitleCode)TC0001049571 035 $a(PQKBWorkID)11019600 035 $a(PQKB)10786937 035 $a(MiAaPQ)EBC1466296 035 $a(DE-He213)978-1-4614-7419-7 035 $a(PPN)176098003 035 $a(EXLCZ)993710000000024864 100 $a20131002d2014 u| 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aPatient Safety $eA Case-Based Comprehensive Guide /$fedited by Abha Agrawal 205 $a1st ed. 2014. 210 1$aNew York, NY :$cSpringer New York :$cImprint: Springer,$d2014. 215 $a1 online resource (412 p.) 300 $aDescription based upon print version of record. 311 $a1-4614-7418-3 320 $aIncludes bibliographical references and index. 327 $a""Preface""; ""Error in Medicine""; ""Why This Book?""; ""Principles of Patient Safety""; ""a???The Soil, Not the Seeda???""; ""From a???Ia??? to a???Wea???""; ""a???Just Culturea???""; ""Whata???s in the Book?""; ""Book Chapters""; ""Who Is This Book for?""; ""References""; ""Acknowledgements""; ""Contents""; ""Contributors""; ""Part I Concepts ""; ""Chapter 1: Patient Identification""; ""Introduction""; "" Case Studies: Clinical Summary""; ""Case 1: Wrong Patient Brought to Dermatology Clinic""; "" Case 2: Blood Drawn from Wrong Patient""; "" Case Study Analyses"" 327 $a""Case 1: Respiratory Arrest Due to Inadvertent Administration of Paralytic Agent"""" Case 2: Pulmonary Embolism Due to Delay in Heparin Ordering and Administration""; "" Discussion""; ""Crew Resource Management""; "" The Team STEPPS approach""; "" SBAR""; "" Critical Language""; "" Conclusion and Key Lessons Learned""; ""References""; ""Chapter 3: Handoff and Care Transitions""; ""Introduction""; "" Case Studies""; ""Case 1: Poor Management of Postpartum Hemorrhage""; ""Clinical Summary""; "" Case 2: Opioid-Induced Respiratory Depression in a Head Injury Patient""; ""Clinical Summary"" 327 $a"" Root Cause Analysis""""Case 1""; ""What Happened?""; "" Why Did It Happen?""; ""Communication Failure""; ""Inadequate Training""; ""Poor Staff Allocation""; "" How Can It Be Prevented?""; "" Case 2""; ""What Happened?""; "" Why Did It Happen?""; "" Poor Staffing Level and Inadequate Supervision""; ""Communication Failures""; ""Lack of Guidelines""; ""How Can It Be Prevented?""; "" Discussion""; ""Transition of Care: A Point of Vulnerability""; "" Barriers to Effective Handoff Communication""; ""The Diversity of Teams""; ""Time and Resource Constraints"" 327 $a"" Delegating Care: The Importance of Supervision"""" Improvement Strategies""; ""Standardization""; ""The Role of Information Technology""; ""The Role of Supervision During Handoff""; "" Conclusion and Key Lessons Learned""; ""References""; ""Chapter 4: Graduate Medical Education and Patient Safety""; ""Introduction""; "" Case Studies""; ""Case 1: Poor Outcome Due to Suboptimal Supervision and Failure to Call for Help""; ""Clinical Summary""; "" Analysis and Discussion""; "" Clinical Supervision""; "" Measuring Clinical Supervision""; "" Best Practices in Clinical Supervision"" 327 $a"" SUPERB/SAFETY Model"" 330 $aDespite the evolution and growing awareness of patient safety, many medical professionals are not a part of this important conversation.  Clinicians often believe they are too busy taking care of patients to adopt and implement patient safety initiatives and that acknowledging medical errors is an affront to their skills. Patient Safety provides clinicians with a better understanding of the prevalence, causes and solutions for medical errors; bringing best practice principles to the bedside.  Written by experts from a variety of backgrounds, each chapter features an analysis of clinical cases based on the Root Cause Analysis (RCA) methodology, along with case-based discussions on various patient safety topics.  The systems and processes outlined in the book are general and broadly applicable to institutions of all sizes and structures.  The core ethic of medical professionals is to ?do no harm?.  Patient Safety is a comprehensive resource for physicians, nurses and students, as well as healthcare leaders and administrators for identifying, solving and preventing medical error. 606 $aPractice of medicine 606 $aFamily medicine 606 $aPrimary care (Medicine) 606 $aHealth informatics 606 $aPractice and Hospital Management$3https://scigraph.springernature.com/ontologies/product-market-codes/H68000 606 $aGeneral Practice / Family Medicine$3https://scigraph.springernature.com/ontologies/product-market-codes/H24003 606 $aPrimary Care Medicine$3https://scigraph.springernature.com/ontologies/product-market-codes/H51000 606 $aHealth Informatics$3https://scigraph.springernature.com/ontologies/product-market-codes/H28009 615 0$aPractice of medicine. 615 0$aFamily medicine 615 0$aPrimary care (Medicine). 615 0$aHealth informatics. 615 14$aPractice and Hospital Management. 615 24$aGeneral Practice / Family Medicine. 615 24$aPrimary Care Medicine. 615 24$aHealth Informatics. 676 $a502.85 676 $a610 676 $a610.289 676 $a610.6 702 $aAgrawal$b Abha$4edt$4http://id.loc.gov/vocabulary/relators/edt 906 $aBOOK 912 $a9910300085103321 996 $aPatient Safety$91522328 997 $aUNINA