Patient Safety (eBook)

Charles Vincent, Professor of Clinical Safety Research Imperial College London Director National Institute for Health Research Centre for Patient Safety and Service Quality, Imperial College Healthcare Trust

Preface ix

The nature of the book xi

Inspiration acknowledgements and thanks xiii

Section One The Evolution of Patient Safety

Chapter 1 Medical harm: a brief history 3

Chapter 2 The emergence of patient safety 14

Chapter 3 Integrating safety and quality 31

Section Two The Hazards of Healthcare

Chapter 4 The nature and scale of error and harm 49

Chapter 5 Reporting and learning systems 75

Chapter 6 Measuring safety 96

Section Three From Accident Analysis to System Design

Chapter 7 Human error and systems thinking 119

Chapter 8 Understanding how things go wrong 141

Section Four The Aftermath

Chapter 9 Caring for patients harmed by treatment 171

Chapter 10 Supporting staff after serious incidents 192

Section Five Design Technology and Standardization

Chapter 11 Clinical interventions and process improvement 211

Chapter 12 Design for patient safety 230

Chapter 13 Using information technology to reduce error 246

Section Six People Create Safety

Chapter 14 Creating a culture of safety 269

Chapter 15 Patient involvement in patient safety 290

Chapter 16 Procedures violations and migrations 307

Chapter 17 Safety skills 321

Chapter 18 Teams create safety 341

Section Seven The Journey to Safety

Chapter 19 Safe organizations: bringing it all together 371

Chapter 20 High performing healthcare systems 390

Index 405

"Therefore I believe that this book should be read by
anyone involved in, or responsible for healthcare."
(Bulletin Royal College of Path, 1 July 2011)

"This is a superb book. I can strongly recommend it to all
doctors, to medical students, to other clinical staff and to
managers who have to try and make sense of the chaotic complexity
of healthcare. The author's expertise is demonstrated throughout,
and his examples are drawn from UK, American, European healthcare
systems, with appropriate comparison across to other industries
where they are useful." (href="http://www.amazon.com/gp/pdp/profile/A2ACLHSG57PAL2/ref=cm_cr_pr_pdp">Dr.
Nicholas P. G. Davies (Halifax, UK) posted January 1,
2011)

"This book is a tremendous asset in advancing the field of
patient safety. The book is well-referenced and current and
provides a comprehensive yet very readable summary of patient
safety. It will serve well anyone who is involved in patient care.
In describing this book, the words, "expert", "indispensable", and
"worthwhile" come to mind. This is a significant update of the
previous edition." (Doody's, 7 October 2011)

"The sections on 'designing out' hospital acquired
infection are helpful for infection control staff and architects.
Prescribers and pharmacists benefit from seeing how IT can reduce
medication errors". (ENT & Audiology News, 1 July 2011)"This
book is an outstanding comprehensive overview an summary of the key
issues relating to patient safety, as one might hope and expect
from one of the leading international experts and researchers in
this field." (Casebook, 1 May 2011)

"I would recommend this book to all occupational health
professionals working in health care, particularly those who sit on
clinical risk, infection prevention control or health and safety
committees." (Occupational Medicine, 4 June 2011)

"This book is highly recommended or anyone in health care with
an interest in patient safety. Every practitioner will get
something from it." (The Association For Perioperative Practice, 1
March 2011)

"This book is directed to those involved in health care and
patient safety. It can be used in the classroom setting to
illustrate human error and correction methods to provide a safer
patient experience. In the institutional setting, this text would
be a useful addition to the medical library, as well as personal
libraries of physicians, pharmacists, nurses, or other health-care
providers interested in patient safety."

(The Journal of Pharmacy Technology, 1 March 2011)"This book is
essential reading for everyone in health care, but in particular it
is a must read for those starting out, training to be the future
doctors, nurses, managers and other health-care practitioners."
(British Journal of Hospital Medicine, 1 January 2011)

"The first edition was superb. This sounds even better."

--Lucian Leape, Adjunct Professor of Health Policy,
Harvard University

"This is the one book on patient safety I would take to my
desert island to ensure that the health service delivered to me
there, by whatever means, minimised the risk of error and
harm."

--Sir Muir Gray, Chief Knowledge Officer to the NHS

"The beauty of Vincent's book is the unique insight given on the
subject by the foremost researcher on patient safety in the
UK."

--Aneez Esmail, Professor of General Practice,
University of Manchester

"Patient Safety by Charles Vincent is a wise, balanced,
insightful and motivating overview. I should have read it
earlier"

--Phil Hammond, Author of Trust me I'm still a
doctor