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Medical Errors and Patient Safety
Is the reporting of medical errors changing? This book shows with real cases from health care and beyond that most errors come from flaws in the system. It also shows why they don't get reported and how medical error disclosure around the world is shifting away from blaming people, to a \"no-fault\" model that seeks to improve the whole system of care.
The book intends to provide an introduction to medical errors that result in preventable adverse events. It will examine issues that stymie efforts made to reduce preventable adverse events and medical errors, and will moreover highlight their impact on clinical laboratories and other areas, including educational, bioethical, and regulatory issues. Varying error rates of 0.1-9.3% in clinical diagnostic laboratories have been reported in the literature. While it is suggested that fewer errors occur in the laboratory than in other hospital settings, the quantum of laboratory tests used in healthcare entails that even a small error rate may reflect a large number of errors. The interdependence of surgical specialties, emergency rooms, and intensive care units - all of which are prone to higher rates of medical errors - with clinical diagnostic laboratories entails that reducing error rates in laboratories is essential to ensuring patient safety in other critical areas of healthcare.
The author maintains that many such errors are preventable provided that appropriate attention is paid to systemic factors involved in laboratory errors. This book identifies possible intelligent system approaches that can be adopted to help control and eliminate these errors. It is a valuable tool for physicians, clinical biochemists, research scientists, laboratory technologists and anyone interested in reducing adverse events at all levels of healthcare processes.
eBook
Catastrophic care : how American health care killed my father--and how we can fix it
\"A visionary and completely original investigation that will change the way we think about health care: how and why it is failing, why expanding insurance coverage will only make things worse, and how it can be transformed into a transparent, affordable, successful system. In 2007, David Goldhill's father died from a series of infections acquired in a well-regarded New York hospital. The bill was for several hundred thousand dollars--and Medicare paid it. These circumstances left Goldhill angry and determined to understand how it was possible that world-class technology and well-trained personnel could result in such simple, inexcusable carelessness--and how a business that failed so miserably could be rewarded with full payment. Catastrophic Care is the eye-opening result. Goldhill explicates a health-care system that now costs nearly $2.5 trillion annually, bars many from treatment, provides inconsistent quality of care, offers negligible customer service, and in which an estimated 200,000 Americans die each year from errors. Above all, he exposes the fundamental fallacy of our entire system--that Medicare and insurance coverage make care cheaper and improve our health--and suggests a comprehensive new approach that could produce better results at more acceptable costs immediately by giving us, the patients, a real role in the process. \"-- Provided by publisher.
Book
Health IT and Patient Safety
IOM's 1999 landmark study To Err is Human estimated that between 44,000 and 98,000 lives are lost every year due to medical errors. This call to action has led to a number of efforts to reduce errors and provide safe and effective health care. Information technology (IT) has been identified as a way to enhance the safety and effectiveness of care. In an effort to catalyze its implementation, the U.S. government has invested billions of dollars toward the development and meaningful use of effective health IT.
Designed and properly applied, health IT can be a positive transformative force for delivering safe health care, particularly with computerized prescribing and medication safety. However, if it is designed and applied inappropriately, health IT can add an additional layer of complexity to the already complex delivery of health care. Poorly designed IT can introduce risks that may lead to unsafe conditions, serious injury, or even death. Poor human-computer interactions could result in wrong dosing decisions and wrong diagnoses. Safe implementation of health IT is a complex, dynamic process that requires a shared responsibility between vendors and health care organizations. Health IT and Patient Safety makes recommendations for developing a framework for patient safety and health IT. This book focuses on finding ways to mitigate the risks of health IT-assisted care and identifies areas of concern so that the nation is in a better position to realize the potential benefits of health IT.
Health IT and Patient Safety is both comprehensive and specific in terms of recommended options and opportunities for public and private interventions that may improve the safety of care that incorporates the use of health IT. This book will be of interest to the health IT industry, the federal government, healthcare providers and other users of health IT, and patient advocacy groups.
eBook
Patient safety
This book provides readers with both a foundation of theoretical knowledge regarding patient safety as well as evidence-based strategies for preventing errors in various clinical settings.The authorsí goal is to help clinicians and administrators gain the skills and knowledge they need to develop safe patient practices in their organizations.
eBook
Patient Safety
Americans should be able to count on receiving health care that is safe.
To achieve this, a new health care delivery system is needed - a system that both prevents errors from occurring, and learns from them when they do occur. The development of such a system requires a commitment by all stakeholders to a culture of safety and to the development of improved information systems for the delivery of health care. This national health information infrastructure is needed to provide immediate access to complete patient information and decision-support tools for clinicians and their patients. In addition, this infrastructure must capture patient safety information as a by-product of care and use this information to design even safer delivery systems. Health data standards are both a critical and time-sensitive building block of the national health information infrastructure.
Building on the Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Patient Safety puts forward a road map for the development and adoption of key health care data standards to support both information exchange and the reporting and analysis of patient safety data.
eBook
Patient Safety Informatics
Improving patient safety and the quality of healthcare poses many challenges, and information technology (IT) can support the measures necessary to address these. Unfortunately, the risk of adverse drug events (ADEs) rises alongside the increasing sophistication of the health IT systems incorporated into hospital environments. These pose a risk to the safety of patients and incur considerable extra healthcare costs. Approaches introduced to eliminate ADEs raise a number of concerns, not least that the successful transferability and use of such tools into real clinical settings is only possible by means of a holistic, validated and qualitative approach. This book is a collection of papers presented at the second workshop organized in the context of the EU-funded Patient Safety through Intelligent Procedures in medication (PSIP) project and held in May 2011 in Paris. The workshop provides an opportunity for experts active in the field to share ideas and experiences arising from many different perspectives. The 29 papers address current, novel methods and applications which have achieved concrete results and are relevant to the domain of patient safety as a whole, and are grouped into four main sections: designing IT systems for patient safety; methods and technologies for developing patient safety systems; novel applications to validate patient safety informatics and impact assessment studies for patient safety informatics outcomes.Significant progress has been made in the field, but even greater challenges must still be faced if a successful transfer of research ideas and outcomes into clinical practice is to be accomplished. A new focus in healthcare IT is called for; one which specifically addresses the issue of patient safety.
eBook