{"text_format":"2","workbook":"xls","n_sheets":1,"sheets":["report2"],"not_rendered":{"charts":0,"images":0,"macros":0,"external_links":1,"defined_names":1,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"run_cost":"one","rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900","formulas":"cached_only"}

{"sheet":"report2","index":0,"n_rows":30,"n_cols":5,"rows_kept":30,"cut":false,"hidden":false,"merged":[[0,2,0,3],[0,4,0,5],[1,2,1,3],[1,4,1,5],[2,2,2,3],[3,2,3,3],[4,2,4,3],[5,2,5,3],[6,2,6,3],[10,2,10,3],[18,2,18,3],[19,2,19,3],[23,2,23,3]],"flags":["formulas_cached_only"]}
[null,"1.","Record Nr.",null,"UNINA9910300085103321"]
[null,null,"Titolo",null,"Patient Safety : A Case-Based Comprehensive Guide / / edited by Abha Agrawal"]
[null,null,"Pubbl/distr/stampa",null,"New York, NY : , : Springer New York : , : Imprint : Springer, , 2014"]
[null,null,"ISBN",null,"1-4614-7419-1"]
[null,null,"Edizione",null,"[1st ed. 2014.]"]
[null,null,"Descrizione fisica",null,"1 online resource (412 p.)"]
[null,null,"Disciplina",null,"502.85"]
[{"$nulls":4},"610"]
[{"$nulls":4},"610.289"]
[{"$nulls":4},"610.6"]
[null,null,"Soggetti",null,"Medicine - Practice"]
[{"$nulls":4},"Family medicine"]
[{"$nulls":4},"Primary care (Medicine)"]
[{"$nulls":4},"Medical informatics"]
[{"$nulls":4},"Practice and Hospital Management"]
[{"$nulls":4},"General Practice / Family Medicine"]
[{"$nulls":4},"Primary Care Medicine"]
[{"$nulls":4},"Health Informatics"]
[null,null,"Lingua di pubblicazione",null,"Inglese"]
[null,null,"Formato",null,"Materiale a stampa"]
[null,null,null,"Livello bibliografico","Monografia"]
[null,null,null,"Note generali","Description based upon print version of record."]
[null,null,null,"Nota di bibliografia","Includes bibliographical references and index."]
[null,null,"Nota di contenuto",null,"\"\"Preface\"\"; \"\"Error in Medicine\"\"; \"\"Why This Book?\"\"; \"\"Principles of Patient Safety\"\"; \"\"â€œThe Soil, Not the Seedâ€?\"\"; \"\"From â€œIâ€? to â€œWeâ€?\"\"; \"\"â€œJust Cultureâ€?\"\"; \"\"Whatâ€?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\"\""]
[{"$nulls":4},"\"\"Case 1: Respiratory Arrest Due to Inadvertent Administration of Paralytic Agent\"\"\"\" Case 2: Pulmonary Embolism Due to Delay in Heparin Ordering and Administration\"\"; \"\" Discussion\"\"; \"\"Crew Resource Management\"\"; \"\" The Team STEPPS approach\"\"; \"\" SBAR\"\"; \"\" Critical Language\"\"; \"\" Conclusion and Key Lessons Learned\"\"; \"\"References\"\"; \"\"Chapter 3: Handoff and Care Transitions\"\"; \"\"Introduction\"\"; \"\" Case "]
[{"$nulls":4},"Studies\"\"; \"\"Case 1: Poor Management of Postpartum Hemorrhage\"\"; \"\"Clinical Summary\"\"; \"\" Case 2: Opioid-Induced Respiratory Depression in a Head Injury Patient\"\"; \"\"Clinical Summary\"\""]
[{"$nulls":4},"\"\" Root Cause Analysis\"\"\"\"Case 1\"\"; \"\"What Happened?\"\"; \"\" Why Did It Happen?\"\"; \"\"Communication Failure\"\"; \"\"Inadequate Training\"\"; \"\"Poor Staff Allocation\"\"; \"\" How Can It Be Prevented?\"\"; \"\" Case 2\"\"; \"\"What Happened?\"\"; \"\" Why Did It Happen?\"\"; \"\" Poor Staffing Level and Inadequate Supervision\"\"; \"\"Communication Failures\"\"; \"\"Lack of Guidelines\"\"; \"\"How Can It Be Prevented?\"\"; \"\" Discussion\"\"; \"\"Transition of Care: A Point of Vulnerability\"\"; \"\" Barriers to Effective Handoff Communication\"\"; \"\"The Diversity of Teams\"\"; \"\"Time and Resource Constraints\"\""]
[{"$nulls":4},"\"\" 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\"\""]
[{"$nulls":4},"\"\" SUPERB/SAFETY Model\"\""]
[null,null,null,"Sommario/riassunto","Despite 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."]