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E-grāmata: Improving Patient Safety: Tools and Strategies for Quality Improvement

Edited by , Edited by , (University of Missouri, Columbia, USA)
  • Formāts: 298 pages
  • Izdošanas datums: 15-Jan-2019
  • Izdevniecība: Productivity Press
  • Valoda: eng
  • ISBN-13: 9780429647116
  • Formāts - EPUB+DRM
  • Cena: 40,06 €*
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  • Formāts: 298 pages
  • Izdošanas datums: 15-Jan-2019
  • Izdevniecība: Productivity Press
  • Valoda: eng
  • ISBN-13: 9780429647116

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Based on the IOM's estimate of 44,000 deaths annually, medical errors rank as the eighth leading cause of death in the U.S. Clearly medical errors are an epidemic that needs to be contained. Despite these numbers, patient safety and medical errors remain an issue for physicians and other clinicians. This book bridges the issues related to patient safety by providing clinically relevant, vignette-based description of the areas where most problems occur. Each vignette highlights a particular issue such as communication, human facturs, E.H.R., etc. and provides tools and strategies for improving quality in these areas and creating a safer environment for patients.

Preface ix
Editors xi
List of Contributors
xiii
1 Introduction to Patient Safety and Medical Errors
1(6)
Nakul Katyal
2 Developing an Outline for Patient Safety Curriculum
7(6)
Nakul Katyal
3 Understanding System Errors
13(1)
Section 1 Human Factors Engineering
14(24)
Clinical Vignette 1 Every Sound Alarms
14(6)
Danish Kherani
Clinical Vignette 2 Man and His Machine
20(12)
Ahmer Asif
Clinical Vignette 3 Expensive Gift
32(6)
Anudeep Yelam
Section 2 Communication Issues
38(57)
Clinical Vignette 1 Doctors Are from Mars and Nurses Are from Venus!
38(16)
Tripti Chopade
Clinical Vignette 2 Different Paths Yet the Same Goal
54(17)
Tripti Chopade
Clinical Vignette 3 It Was Erik's Fault!
71(14)
Tripti Chopade
Clinical Vignette 4 You Are Not Alone!
85(10)
Tripti Chopade
Section 3 Culture of Patient Safety
95(87)
Clinical Vignette 1 A Husband's Worst Nightmare
95(5)
Emily Bailey
Clinical Vignette 2: A Big No-No
100(6)
Emily Bailey
Clinical Vignette 3 Alice in Wonderland
106(12)
Nidhi Shankar Kikkeri
Laura Qi
Shivaraj Nagalli
Clinical Vignette 4 A Doctor's Curse
118(6)
Suganiya Srikanthan
Clinical Vignette 5 The Real Price of Smoking?
124(16)
Ahmer Asif
Clinical Vignette 6 A Rainy Night
140(9)
Nidhi Shankar Kikkeri
Laura Qi
Clinical Vignette 7 Customer Service 101
149(9)
Keerthana Kumar
Clinical Vignette 8 The Empty Crash Cart
158(6)
Keerthana Kumar
Clinical Vignette 9 A Punch in the Face
164(7)
Sireesha Murala
Clinical Vignette 10 As the Kings So Are the Subjects
171(5)
Sireesha Murala
Clinical Vignette 11 The Encrypted Message
176(6)
Keerthana Kumar
Section 4 Electronic Medical Records and Patient Safety
Clinical Vignette 1 Rubik's Cube
182(6)
Anudeep Yelam
Clinical Vignette 2 A Hurried Miss
188(3)
Anudeep Yelam
Clinical Vignette 3 A Case of Mistaken Identity
191(4)
Anudeep Yelam
4 Understanding Diagnostic Errors
195(42)
Clinical Vignette 1 Is First Love the True Love?
196(7)
Harleen Kaur
Clinical Vignette 2 Experience Is the Teacher of All Things or Is It?
203(8)
Harleen Kaur
Clinical Vignette 3 The Man with the Black Coat
211(7)
Harleen Kaur
Clinical Vignette 4 Don't Question Me!
218(5)
Harleen Kaur
Clinical Vignette 5 Trouble with the Curve
223(7)
Harleen Kaur
Clinical Vignette 6 The New Epidemic
230(7)
Harleen Kaur
5 Understanding Human/Provider Errors
237(26)
Clinical Vignette 1 Does Age Bring Wisdom?
238(7)
Harleen Kaur
Clinical Vignette 2 The Zero-Sum Game
245(9)
Harleen Kaur
Clinical Vignette 3 Do We Owe our Patients our Lives?
254(9)
Harleen Kaur
6 Tools and Strategies for Quality Improvement and Patient Safety: A Primer for Healthcare Providers
263(12)
Anudeep Yelam
Raghav Govindarajan
Index 275
Raghav Govindarajan, MD is a board certified neurologist and neuromuscular physician with a deep and personal interest in patient safety and medical errors. He was a victim of a medication error which caused long term complications affecting his liver, consequences he still faces today. With this personal experience as well as that of his patients, he has a strong passion for patient safety with particular interest in avoiding communication errors. He is currently an assistant professor and an associate clerkship director of neurology at the University of Missouri. In his current position, he has close interaction with medical students and residents with whom he constantly shares patient safety stories and lessons learned from it. Dr. Govindarajan has a strong background in teaching having won 10 teaching and mentorship awards. He also has been awarded the "Golden Doc" award by the Arnold P. Gold Foundation for providing compassionate and patient-centered care, in addition to the compassionate care award by the Schwartz Foundation. He is the founding member and advisor of Gold Humanism Honor Society at the University of Missouri. Dr. Govindarajan has strong leadership experience having been elected as president-elect of his county medical society and serves as the director of clinical quality improvement and outcomes, physician leader of Clinical Quality Improvement Workgroup and physician leader of the committee. He is the author of numerous articles and case reports in peer-reviewed journals.



Harleen Kaur, MD is a clinical researcher at University of Missouri Columbia, Department of neurology. She has strong passion patient safety and quality improvement which was triggered after experiencing a personal tragic event that affected the care of one of her loved ones. In addition to multiple publications and presentations she has a strong passion for patient centered care.









Anudeep Yelam, MD is a clinical researcher at University of Missouri Columbia, Department of neurology. He has a significant experience working as a volunteer physician in multiple rural hospitals providing care to the underserved population. It is this experience in rural medicine that prompted his interest in developing system based care and use of technology to improve the quality of care in rural settings.