Patient Safety and Healthcare Improvement at a Glance

Contributors vii
 
Preface xi
 
Acknowledgements xii
 
How to use your revision guide xiii
 
Part 1 The essence of patient safety 1
 
1 Basics of patient safety 2
Kaveh G. Shojania and Sukhmeet S. Panesar
 
2 Understanding systems 4
Carl Macrae
 
3 Quality and safety 6
Ranjit Singh and Gurdev Singh
 
4 Human factors 8
Ken Catchpole
 
5 Teamwork and communication 12
Sukhmeet S. Panesar, Sarah A. Salvilla, Martin Bromiley and Jane Reid
 
6 Reporting and learning from errors 14
Tara Lamont
 
7 Research in patient safety 16
Lilly D. Engineer and Peter Pronovost
 
Part 2 Understanding and interpreting risk 19
 
8 Risk-based patient safety metrics 20
Elizabeth Allen and Sukhmeet S. Panesar
 
9 Root cause analysis 24
Donna Forsyth and Sundeep Thusu
 
10 Measuring safety culture 26
Debra de Silva
 
Part 3 Risks to patient care 31
 
11 Medication errors 32
Sarah P. Slight, Tony Avery and David W. Bates
 
12 Surgical errors 36
Sukhmeet S. Panesar, Bhupinder Mann, Rajan Madhok and Andrew Carson-Stevens
 
13 Diagnostic errors 40
Ashley N. D. Meyer, Velma L. Payne, Hardeep Singh and Mark L. Graber
 
14 Maternal and child health errors 44
Susan Leavitt Gullo and Pierre Barker
 
15 Slips, trips and falls 47
Susan Poulton and Frances Healey
 
16 Patient safety in paediatrics 50
Peter Lachman and Jane Runnacles
 
17 Technology in healthcare and e-iatrogenesis 54
Kathrin M. Cresswell
 
18 Nosocomial infections 58
Imran Qureshi and Sukhmeet S. Panesar
 
19 Mental health errors 60
Amar Shah and Kevin Cleary
 
20 Patient safety in primary care 64
Andrew Carson-Stevens and Adrian Edwards
 
Part 4 Quality improvement 67
 
21 Improving the quality of clinical care 68
Andrew Carson-Stevens and Maureen Bisognano
 
22 Science of improvement 70
Clifford Norman and C. Jane

Sukhmeet S. Panesar is Honorary Fellow, Centre for Population Health Sciences, The University of Edinburgh, Edinburgh, UK
 
Andrew Carson-Stevens is Clinical Lecturer in Healthcare Improvement, Cochrane Institute of Primary Care and Public Health, Cardiff University School of Medicine, Cardiff, UK
 
Sarah A. Salvilla is Honorary Fellow, Centre for Population Health Sciences, The University of Edinburgh, Edinburgh, UK
 
Aziz Sheikh is Professor of Primary Care Research and Development, Co-Director of Centre for Population Health Sciences, The University of Edinburgh, Edinburgh, UK; Visiting Professor of Medicine, Harvard Medical School, Harkness Fellow in Health Policy and Practice, Brigham and Women's Hospital, Harvard Medical School, Boston, USA