Preface |
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ix | |
Editors |
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xi | |
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xiii | |
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1 Introduction to Patient Safety and Medical Errors |
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1 | (6) |
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2 Developing an Outline for Patient Safety Curriculum |
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7 | (6) |
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3 Understanding System Errors |
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13 | (1) |
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Section 1 Human Factors Engineering |
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14 | (24) |
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Clinical Vignette 1 Every Sound Alarms |
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14 | (6) |
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Clinical Vignette 2 Man and His Machine |
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20 | (12) |
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Clinical Vignette 3 Expensive Gift |
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32 | (6) |
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Section 2 Communication Issues |
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38 | (57) |
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Clinical Vignette 1 Doctors Are from Mars and Nurses Are from Venus! |
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38 | (16) |
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Clinical Vignette 2 Different Paths Yet the Same Goal |
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54 | (17) |
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Clinical Vignette 3 It Was Erik's Fault! |
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71 | (14) |
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Clinical Vignette 4 You Are Not Alone! |
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85 | (10) |
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Section 3 Culture of Patient Safety |
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95 | (87) |
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Clinical Vignette 1 A Husband's Worst Nightmare |
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95 | (5) |
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Clinical Vignette 2: A Big No-No |
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100 | (6) |
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Clinical Vignette 3 Alice in Wonderland |
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106 | (12) |
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Clinical Vignette 4 A Doctor's Curse |
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118 | (6) |
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Clinical Vignette 5 The Real Price of Smoking? |
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124 | (16) |
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Clinical Vignette 6 A Rainy Night |
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140 | (9) |
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Clinical Vignette 7 Customer Service 101 |
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149 | (9) |
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Clinical Vignette 8 The Empty Crash Cart |
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158 | (6) |
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Clinical Vignette 9 A Punch in the Face |
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164 | (7) |
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Clinical Vignette 10 As the Kings So Are the Subjects |
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171 | (5) |
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Clinical Vignette 11 The Encrypted Message |
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176 | (6) |
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Section 4 Electronic Medical Records and Patient Safety |
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Clinical Vignette 1 Rubik's Cube |
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182 | (6) |
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Clinical Vignette 2 A Hurried Miss |
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188 | (3) |
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Clinical Vignette 3 A Case of Mistaken Identity |
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191 | (4) |
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4 Understanding Diagnostic Errors |
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195 | (42) |
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Clinical Vignette 1 Is First Love the True Love? |
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196 | (7) |
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Clinical Vignette 2 Experience Is the Teacher of All Things or Is It? |
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203 | (8) |
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Clinical Vignette 3 The Man with the Black Coat |
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211 | (7) |
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Clinical Vignette 4 Don't Question Me! |
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218 | (5) |
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Clinical Vignette 5 Trouble with the Curve |
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223 | (7) |
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Clinical Vignette 6 The New Epidemic |
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230 | (7) |
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5 Understanding Human/Provider Errors |
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237 | (26) |
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Clinical Vignette 1 Does Age Bring Wisdom? |
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238 | (7) |
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Clinical Vignette 2 The Zero-Sum Game |
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245 | (9) |
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Clinical Vignette 3 Do We Owe our Patients our Lives? |
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254 | (9) |
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6 Tools and Strategies for Quality Improvement and Patient Safety: A Primer for Healthcare Providers |
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263 | (12) |
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Index |
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275 | |