Medical Error and Patient Safety: Human Factors in Medicine, 1st Edition (Hardback) book cover

Medical Error and Patient Safety

Human Factors in Medicine, 1st Edition

By George A. Peters, Barbara J. Peters

CRC Press

256 pages | 2 B/W Illus.

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Hardback: 9781420064780
pub: 2007-11-01
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Description

A difficult and recalcitrant phenomenon, medical error causes pervasive and expensive problems in terms of patient injury, ineffective treatment, and rising healthcare costs. Simple heightened awareness can help, but it requires organized, effective remedies and countermeasures that are reasonable, acceptable, and adaptable to see a truly significant drop in the intolerable rate of medical mistakes. Only with better understanding, knowledge, and directed techniques can there be rapid and marked improvement in medical error management discipline.

Since medical error is situation specific and involves diverse variables in equipment, environment, and human performance, the correct choice of preventive and corrective techniques is critical. Providing a wealth of useful ideas, concepts, and techniques, Medical Error and Patient Safety: Human Factors in Medicine uses abroad perspective to present more than 500 remedies that can be applied and tailored to your unique circumstances. This detailed review of so many measures enables you to correctly identify needs and undertake appropriate actions to achieve a success that can be measured in avoided injuries, improved healthcare, and reduced cost.

Thought provoking and useful, this book considers the potential for error and the possibility for improvement in every aspect of healthcare. After an introduction to general concepts and approaches, it examines vulnerabilities in medical services, including emergency services, healthcare facilities, and infection control. It covers risks in medical devices and product design; human factors such as fatigue and stress; management errors; errors in communication at all levels of the healthcare hierarchy; as well as mistakes in drug delivery including faulty labels and warnings. The authors also compare and contrast several analytical methods, their interpretation, and their translation into a plan of action.

Reviews

“This book authored by George A. Peters and Barbara J. Peters is a useful resource for any patient, attorney or physician who wishes to understand the potential for error as well as improvement in the current state of healthcare in America. This resource identifies the vulnerable areas of our healthcare system as well as the tragic outcomes of such vulnerabilities.

“Not only does this resource cover areas of risk via current medical devices, but it also identifies risks related to human factors, health care management, health care communication among providers, as well as frequent error in medication/drug delivery.

“Finally, these authors present remedies for such errors and objectives for current healthcare patient safety.

“This is an excellent resource for any health care provider, patient or attorney representing the patient’s best interest related to health care in America.

— Janabeth Fleming Taylor, R.N., R.N.C., - ATLA Paralegal of the Year 2002; Attorney's Medical Services, Inc., Corpus Christi, Texas

Table of Contents

Introduction

                Common Understanding

                Sophisticated Knowledge

                Current Urgency

                Time to Rebuild

                Our Approach

                A New Meaning for Error

                Multidisciplinary Orientation

General Concepts

                Causation

                Bias

                Performance Criteria

                Transparency

                Harmonization

                Teamwork

                Rationalization

                Assurance Techniques

                Management of Error

                Caveats

Medical Services

                Theoretical Assumptions

                Medication Errors

                Infection Control

                Emergency Services

                Handovers and Interactions 

                Health Care Facilities

                Limitations of Service

                Caveats

                               

Medical Devices

Risks

                Error Reduction

External Requirements

Communications

Product Design

Critical Comments

Conclusions

Caveats  

Analysis

Corrective Action

Preventive Action

                System Analysis

                Human Error Control  

Risk Assessment

                Mistaken Beliefs

Observational Demeanor

Correct Terminology

Complete Process

Post Control Measures

Operational Discipline

Error Troubleshooting

Traceability

Industrial Engineering

Quality Assurance                                              

Other Disciplines

Government and Industry Reviews

                In-House Teams

Personality Factors

Caveats

Human Factors

                Hospital Beds

                Fatigue

                Defiant Actions

                Stress

                Situation Awareness    

                Reduction and Integration

                Patient Handling

                Drug Altered Behavior

                Macroergonomics

                Team Training

                Human Factors Experts

Cultural Changes

Sentinel Events

Scope of Activities

Caveats

Management Errors

                Introduction

                Illustrative Error Sources

                Transformational Issues

                Management  Principles

                Management Concerns

                Caveats

Communications

                Interactivity

                Acknowledged Problems

                Supplemental Techniques

                Important Variables

                Communicating Consent

                Misreading Symptoms

                Caveats

               

Drug  Delivery

                Containers

                Labels

                Warnings

                Mental Processes

                Pill Matching

                Instructions

                Regulation

                Prescription Directions      

                Security and Counterfeiting                  

                Recalls

                Possible Problems                    

                Networking and Privacy Protection

                Patient Concerns                 

                 Caveats

               

Appendix

                Standards Organizations

                Marks of Approval

                Selected Standards and Regulations

References and Recommended Reading

Subject Index

Subject Categories

BISAC Subject Codes/Headings:
MED035000
MEDICAL / Health Care Delivery
TEC017000
TECHNOLOGY & ENGINEERING / Industrial Health & Safety