medical error and harm understanding prevention and control

Download Book Medical Error And Harm Understanding Prevention And Control in PDF format. You can Read Online Medical Error And Harm Understanding Prevention And Control here in PDF, EPUB, Mobi or Docx formats.

Medical Error And Harm

Author : Milos Jenicek
ISBN : 1439836957
Genre : Business & Economics
File Size : 80. 23 MB
Format : PDF, Mobi
Download : 453
Read : 979

Get This Book


Recent debate over healthcare and its spiraling costs has brought medical error into the spotlight as an indicator of everything that is ineffective, inhumane, and wasteful about modern medicine. But while the tendency is to blame it all on human error, it is a much more complex problem that involves overburdened systems, constantly changing technology, increasing specialization, and a cycle of continual funding shortfalls made even more acute by resource-wasting inefficiencies. Medical Error and Harm: Understanding, Prevention and Control, presents the work of long time physician and teacher Milos Jenicek, a pioneering expert on epidemiology, evidence-based medicine, and critical thinking and decision making in the health sciences. Providing an extraordinarily comprehensive overview of the subject that is as thorough and scientifically organized as it is accessible and free of rhetoric, Dr. Jenicek — Presents a short history of error in general across various domains of human activity and endeavor, including concepts, methodologies of study, and management applications Provides semantic and taxonomic classifications of challenges in medical error and harm, two distinct domains Explores approaches used to investigate and ameliorate challenges in medicine and other health sciences Explains why, when, and how studies and decisions regarding errors should be carried out, such as whether risk assessment should be undertaken in the diagnosis, treatment, or prognosis stage Covers essential strategies for mitigating errors in the broader framework of medical care, specifically in community medicine and public health Considers the ever-growing role of physicians in tort law and litigation The book also discusses whether dealing with errors is a learned skill and looks at how much of the problem with medical error is caused by the medical community’s failure to teach, learn, and understand everything there is to know about medical error, including the often neglected importance of critical thinking skills. Understanding and correcting this shortfall is a primary responsibility of every health professional, one they can begin to realize with the study of these pages.

After Harm

Author : Nancy Berlinger
ISBN : 0801881676
Genre : Medical
File Size : 62. 84 MB
Format : PDF, ePub
Download : 969
Read : 1107

Get This Book


Medical error is a leading problem of health care in the United States. Each year, more patients die as a result of medical mistakes than are killed by motor vehicle accidents, breast cancer, or AIDS. While most government and regulatory efforts are directed toward reducing and preventing errors, the actions that should follow the injury or death of a patient are still hotly debated. According to Nancy Berlinger, conversations on patient safety are missing several important components: religious voices, traditions, and models. In After Harm, Berlinger draws on sources in theology, ethics, religion, and culture to create a practical and comprehensive approach to addressing the needs of patients, families, and clinicians affected by medical error. She emphasizes the importance of acknowledging fallibility, telling the truth, confronting feelings of guilt and shame, and providing just compensation. After Harm adds important human dimensions to an issue that has profound consequences for patients and health care providers.

To Err Is Human

Author : Committee on Quality of Health Care in America
ISBN : 9780309068376
Genre : Medical
File Size : 41. 98 MB
Format : PDF, ePub, Docs
Download : 304
Read : 1223

Get This Book


Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDS--three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequence--but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agenda--with state and local implications--for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errors--which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health care--it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocates--as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine

Writing Reading And Understanding In Modern Health Sciences

Author : Milos Jenicek
ISBN : 9781482226461
Genre : Business & Economics
File Size : 24. 29 MB
Format : PDF, Mobi
Download : 786
Read : 1080

Get This Book


Medical articles are one of the main vehicles of knowledge translation and evidence communication in the health sciences. Their correct structure and style alone are no longer enough to convey a clear understanding of the intended message. Readers must be able to understand the very essence of the article message. That is the purpose of this book. Writing, Reading, and Understanding in Modern Health Sciences: Medical Articles and Other Forms of Communication will help the authors of medical articles communicate more effectively in today's practice and health research environment. It explores the most effective practices for communicating using three main medical literature formats: through scientific articles, articles where the subject is not based on the practice of the scientific method, and business reports. Describing how to think beyond the prevailing IMRAD article format, this book focuses on the nature, content, domains of thought, and meanings of medical articles. The ideas and underlying propositions in this book are complementary to specific requirements appropriate for each type of medical journal. After reading this book you will better understand: How to write what is considered the most important type of medical article, the research-based medical article How to write an evidence-based argumentative medical article The challenges of clinical case reporting The general framework of medical and research ethics Classification of medical articles and their underlying studies from the causal standpoint Supplying you with the understanding required to write more effective medical articles, the book includes details about essay-type articles, research-based articles, thesis as introduction sections, definitions as part of the material and methods sections, modern argumentation and critical thinking underlying results and their discussion and conclusions about them. It also examines qualitative research and case study methodologies from other domains. A must-read for all writers, readers, and users of medical articles, this book supplies the tools you need to write compelling medical reports that can help to improve the practice, research, and quality of healthcare at all levels.

Handbook Of Research On Healthcare Administration And Management

Author : Wickramasinghe, Nilmini
ISBN : 9781522509219
Genre : Medical
File Size : 89. 52 MB
Format : PDF, ePub, Mobi
Download : 441
Read : 297

Get This Book


Effective healthcare delivery is a vital concern for citizens and communities across the globe. The numerous facets of this industry require constant re-evaluation and optimization of management techniques. The Handbook of Research on Healthcare Administration and Management is a pivotal reference source for the latest scholarly material on emerging strategies and methods for delivering optimal healthcare opportunities and solutions. Highlighting issues relating to decision making, process optimization, and technological applications, this book is ideally designed for policy makers, administrators, students, professionals, and researchers interested in achieving superior healthcare solutions.

Preventing Medication Errors

Author : Committee on Identifying and Preventing Medication Errors
ISBN : 9780309101479
Genre : Medical
File Size : 28. 77 MB
Format : PDF, ePub, Docs
Download : 771
Read : 839

Get This Book


In 1996 the Institute of Medicine launched the Quality Chasm Series, a series of reports focused on assessing and improving the nation's quality of health care. Preventing Medication Errors is the newest volume in the series. Responding to the key messages in earlier volumes of the series-To Err Is Human (2000), Crossing the Quality Chasm (2001), and Patient Safety (2004)-this book sets forth an agenda for improving the safety of medication use. It begins by providing an overview of the system for drug development, regulation, distribution, and use. Preventing Medication Errors also examines the peer-reviewed literature on the incidence and the cost of medication errors and the effectiveness of error prevention strategies. Presenting data that will foster the reduction of medication errors, the book provides action agendas detailing the measures needed to improve the safety of medication use in both the short- and long-term. Patients, primary health care providers, health care organizations, purchasers of group health care, legislators, and those affiliated with providing medications and medication- related products and services will benefit from this guide to reducing medication errors.

Resident Duty Hours

Author : Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety
ISBN : 9780309127769
Genre : Medical
File Size : 21. 5 MB
Format : PDF, ePub, Docs
Download : 958
Read : 1217

Get This Book


Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue. Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning. All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety.

Improving Diagnosis In Health Care

Author : National Academies of Sciences, Engineering, and Medicine
ISBN : 9780309377690
Genre : Medical
File Size : 20. 3 MB
Format : PDF, ePub
Download : 805
Read : 1309

Get This Book


Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001) finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

A Primer On Clinical Experience In Medicine

Author : Milos Jenicek, MD
ISBN : 9781466515581
Genre : Law
File Size : 26. 31 MB
Format : PDF, ePub, Docs
Download : 593
Read : 400

Get This Book


Mastery of quality health care and patient safety begins as soon as we open the hospital doors for the first time and start acquiring practical experience. The acquisition of such experience includes much more than the development of sensorimotor skills and basic knowledge of the sciences. It relies on effective reasoning, decision making, and communication shared by all health professionals, including physicians, nurses, dentists, pharmacists, physiotherapists, and administrators. A Primer on Clinical Experience in Medicine: Reasoning, Decision Making, and Communication in Health Sciences is about these essential skills. It describes how physicians and health professionals reason, make decisions, and practice medicine. Covering the basic considerations related to clinical and caregiver reasoning, it lays out a roadmap to help those new to health care as well as seasoned veterans overcome the complexities of working for the well-being of those who trust us with their physical, mental, and spiritual health. The book provides a step-by-step breakdown of the reasoning process for clinical work and clinical care. It examines both general and medical ways of thinking, reasoning, argumentation, fact finding, and using evidence. Outlining the fundamentals of decision making, it integrates coverage of clinical reasoning, risk assessment, diagnosis, treatment, and prognosis in evidence-based medicine. It also: Describes how to evaluate the success (effectiveness and cure) and failure (error and harm) of clinical and community actions Considers communication with patients and outlines strategies, successes, failures, and possible remedies—including offices, bedside, intervention, and care settings Examines strategies, successes, failures, and possible remedies for communication with peers—including interpersonal communication, morning reports, rounds, and research gatherings The book describes vehicles, opportunities, and environments for enhanced professional communication, including patient interviews, clinical case reports, and morning reports. It includes numerous examples that demonstrate the importance of sound reasoning, decision making, and communication and also considers future implications for research, management, planning, and evaluation.

Handbook Of Institutional Pharmacy Practice

Author : Thomas R. Brown
ISBN : 9781585281145
Genre : Medical
File Size : 41. 67 MB
Format : PDF, ePub
Download : 451
Read : 862

Get This Book


This comprehensive text provides fundamental information on a broad spectrum of essential topics in health-system pharmacy practice. From an overview of health delivery systems and hospital pharmacy through various practice settings such as home care, long term care, hospice and palliative care, ambulatory care, and managed care this text focuses on various elements important to health-system pharmacies. The Handbook of Institutional Pharmacy Practice is the first step in developing a career in pharmacy and provides opportunities for study in career enhancement. New chapters included in the FOURTH EDITION: Integrity of the Drug Supply Overview of the History of Hospital Pharmacy in the United States Interprofessional Teams/Collaborative Practice Models Development, Implementation and Monitoring Therapeutic Plans and Evidence-Based Medicine

Top Download:

Best Books