Studies in the US suggest that about 4 per cent of hospital patients are unintentionally harmed by treatment. These many thousands of "accidents" have received little research attention. This book assumes that medicine may benefit and learn from approaches to safety in other areas and will be a core resource for this topic. The role of new technologies, both as hazards and in improving safety, is an essential new challenge which the book addresses. The chapters are ordered to accord with their principal emphasis, beginning with conceptual foundations and moving towards safety management. The first chapter gives an overview of approaches to safety in the psychological and organisational literature and provides essential background information for readers who may not be familiar with the safety literature. The next chapters demonstrate the need to take a long, temporal perspective. Finally, two chapters reflect on the nature of safety management and its particular application in healthcare.
Lorri A. Zipperer ...reflects sensitivity to a wide range of perspectives. ...an intriguing and educational volume. The ideas here deserve to be found by readers as they further explore and articulate the complex issues involved in patient safety. Anesthesia Patient Safety Foundation Newsletter, Vol 16, No. 1 This highly topical book addresses many of the urgent problems faced by hospitals today, with regard to unintentional in-house 'accidents' in the course of treatment. ...These chapters are carefully crafted to convey clear understanding of complex, often emotive issues, through lucid texts, comprehensive yet concise, with full source references and in most cases structured to include an introduction and conclusions. Excellent graphics support the texts where appropriate. Occupational Safety and Health
Foreword - the NeTWork Seminar Series: past successes and future projects (Wilpert). Introduction (Vincent, de Mol). Approaches to safety (Fahlbruch, Wilpert). The concept of human error: is it useful for the design of safe systems in healthcare? (Rasmussen). Analysis of human errors in anaesthesia. Our methodological approach: from general observations to targeted studies in simulator (Nyssen). Critical incident reporting. Approaches in anaesthesiology (Staender et al.). A systems approach to medical error (Bogner). Clinical accident analysis: understanding the interactions between the task, individual, team and organisation (Taylor-Adams, Vincent). Adverse events in cardiac surgery: the role played by human and organisational factors (Carthey). Enhancing team performance (Marsch et al.). Organisational interfaces, risk potentials and quality losses in nursing: a multi-level approach (Bussing). Controlling the risks of mechanical heart valve failure using product life cycle based safety management (Cromheecke et al.). Early evaluation of new technologies: the case for mobile multimedia communications in emergency medicine (van den Anker, Lichtveld). Minimisation of risk in medical systems by system design for safety (Voges). Medical error and responsibility in managed healthcare (Baram). Approaching safety in healthcare: from medical errors to healthy organisations (Hale). Name index. Subject index.