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Patient Safety, Law Policy and Practice: Law, Policy And Practice
by John Tingle Pippa BarkPatient safety is an issue which in recent years has grown to prominence in a number of countries’ political and health service agendas. The World Health Organisation has launched the World Alliance for Patient Safety. Millions of patients, according to the Alliance, endure prolonged ill-health, disability and death caused by unreliable practices, services, and poor health care environments. At any given time 1.4 million people worldwide are suffering from an infection acquired in a health facility. Patient Safety, Law Policy and Practice explores the impact of legal systems on patient safety initiatives. It asks whether legal systems are being used in appropriate ways to support state and local managerial systems in developing patient safety procedures, and what alternative approaches can and should be utilized. The chapters in this collection explore the patient safety managerial structures that exist in countries where there is a developed patient safety infrastructure and culture. The legal structures of these countries are explored and related to major in-country patient safety issues such as consent to treatment protocols and guidelines, complaint handling, adverse incident reporting systems, and civil litigation systems, in order to draw comparisons and conclusions on patient safety.
Patient Safety: A Case-based Innovative Playbook for Safer Care
by Abha Agrawal Jay BhattThis book aims to serve as a playbook and a guide for the creation of a safer healthcare system in the contemporary healthcare ecosystem. It meets this goal through examinations of clinical case studies that illustrate core principles of patient safety, coverage of a broad range of medical errors including medication errors, and solutions to reducing medical errors that are widely applicable in many settings. Throughout the book, the chapters offer viewpoints from healthcare leaders, accomplished practitioners, and experts in patient safety. In addition to highlighting important concepts in patient safety, the book also provides a vision of patient safety in the subsequent decade. Furthermore, it will describe what changes need to “fall into place” between now and the next 10-15 years to have that future realized. The book presents and analyzes a number of cases to illustrate the most common types of medical errors and to help readers learn the key clinical, organizational, and systems issues in patient safety. Patient Safety, 2nd edition, is an invaluable text for all physicians, healthcare workers, policymakers, and residents who are working towards a more equitable and effective healthcare system.
Patient Safety: An Engineering Approach
by B.S. DhillonWith unintended harm during hospital care costing billions of dollars to the world economy, not to mention millions of deaths each year, it's no wonder the issue is equally front and center in the minds of healthcare providers and the public. Although the issue has been tackled in journal articles and conference proceedings, there are very few book
Patient Safety: Enhancing Patient Safety
by Charles VincentWhen you are ready to implement measures to improve patient safety, this is the book to consult. Charles Vincent, one of the world's pioneers in patient safety, discusses each and every aspect clearly and compellingly. He reviews the evidence of risks and harms to patients, and he provides practical guidance on implementing safer practices in health care. The second edition puts greater emphasis on this practical side. Examples of team based initiatives show how patient safety can be improved by changing practices, both cultural and technological, throughout whole organisations. Not only does this benefit patients; it also impacts positively on health care delivery, with consequent savings in the economy. Patient Safety has been praised as a gateway to understanding the subject. This second edition is more than that – it is a revelation of the pervading influence of health care errors, and a guide to how these can be overcome. "... The beauty of this book is that it describes the complexity of patient safety in a simple coherent way and captures the breadth of issues that encompass this fascinating field. The author provides numerous ways in which the reader can take this subject further with links to the international world of patient safety and evidence based research... One of the most difficult aspects of patient safety is that of implementation of safer practices and sustained change. Charles Vincent, through this book, provides all who read it clear examples to help with these challenges" From a review in Hospital Medicine by Dr Suzette Woodward, Director of Patient Safety. Access 'Essentials of Patient Safety – Free Online Introduction': www.wiley.com/go/vincent/patientsafety/essentials
Patient Safety: Investigating and Reporting Serious Clinical Incidents
by Russell KelseyThe second edition of this well-received book, the first to provide detailed guidance on how to conduct incident investigations in primary care, has been thoroughly revised and updated throughout to reflect the current nomenclature for different aspects of the investigatory process in the UK and the latest format for incident reporting. Key features: Explains how to recognise a serious clinical incident, how to conduct a root cause analysis (RCA) investigation, and how and when duty of candour applies Covers the technical aspects of serious incident recognition and report writing Includes a wealth of practical advice and 'top tips', including how to manage the common pitfalls in writing reports Offers practical advice as well as some new and innovative tools to help make the RCA process easier to follow Explores the all-important human factors in clinical incidents in detail, with multiple examples and worked-through cases studies as well as in-depth sample reports and analysis. At a time of increasing regulatory scrutiny and medico-legal risk, in which failure to manage appropriately can have serious consequences both for service organisations and for individuals involved, this concise and convenient book continues to provide a master class for anyone performing RCA and aiming to demonstrate learning and service improvement in response to serious clinical incidents. It is essential reading for any clinical or governance leads in primary care, including GP practices, 'out-of-hours', urgent care centres, prison health and NHS 111. It also offers valuable insights to any clinician who is in training or working at the coal face who wishes to understand how serious clinical incidents are investigated and managed.
Patient Safety: Investigating and Reporting Serious Clinical Incidents
by Russell KelseyAt a time of increasing regulatory scrutiny and medico-legal risk, managing serious clinical incidents within primary care has never been more important. Failure to manage appropriately can have serious consequences both for service organisations and for individuals involved. This is the first book to provide detailed guidance on how to conduct incident investigations in primary care. The concise guide: explains how to recognise a serious clinical incident, how to conduct a root cause analysis investigation, and how and when duty of candour applies covers the technical aspects of serious incident recognition and report writing includes a wealth of practical advice and 'top tips', including how to manage the common pitfalls in writing reports offers practical advice as well as some new and innovative tools to help make the RCA process easier to follow explores the all-important human factors in clinical incidents in detail, with multiple examples and worked-through cases studies as well as in-depth sample reports and analysis. This book offers a master class for anyone performing RCA and aiming to demonstrate learning and service improvement in response to serious clinical incidents. It is essential reading for any clinical or governance leads in primary care, including GP practices, 'out-of-hours', urgent care centres, prison health and NHS 111. It also offers valuable insights to any clinician who is in training or working at the coal face who wishes to understand how serious clinical are investigated and managed.
Patient Safety: Perspectives on Evidence, Information and Knowledge Transfer
by Lorri ZippererPatient Safety: Perspectives on Evidence, Information and Knowledge Transfer provides background on the patient safety movement, systems safety, human error and other key philosophies that support change and innovation in the reduction of medical error. The book draws from multidisciplinary areas within the acute care environment to share models that support the proactive changes necessary to provide safe care delivery. The publication discusses how the tenets of safety (described in the beginning of the book) can be actively applied in the field to make evidence, information and knowledge (EIK) sharing processes reliable, effective and safe. This is a wide-ranging and important book that is designed to raise awareness of the latent risks for patient safety that are present in the EIK identification, acquisition and distribution processes, structures, and systems of many healthcare institutions across the world. The expert contributors offer systemic, evidence-based improvement processes, assessment concepts and innovative activities to identify these risks to minimize their potential to adversely impact care. These ideas are presented to create opportunities for the field to design and use strategies that enable meaningful implementation and management of EIK. Their thoughts will enable healthcare staff to see EIK as a tangible element contributing toward sustainable patient safety improvements.
Patient Safety: The PROACT Root Cause Analysis Approach
by Robert J. LatinoAre you ready and willing to get to the root causes of problems? As Medicare, Medicaid, and major insurance companies increasingly deny payment for never events, it has become imperative that hospitals and doctors develop new ways to prevent these avoidable catastrophes from recurring. Proactive tools such as root cause analysis (RCA), basic failur
Patient Safety: The Relevance of Logic in Medical Care (Studies In Medical Philosophy Ser. #5)
by Alexander L. GungovIn our time of well-publicized health care travails, in the U.S. and the UK and elsewhere, matters of financing too often subsume the dimension of patient care. In his latest book, Alexander L. Gungov studies a vital but neglected aspect of patient safety. Of the thousands of medical errors committed on a daily basis, in the bulk of unfortunate clinical decisions, a significant share pertains to various logical flows and epistemological fallacies. By focusing on the logical dimensions of clinical medicine, Gungov promotes awareness of the logical and epistemological traps that lie in the day-to-day care of patients. Such a focus not only allows us to avoid falling into them, but demonstrates the practical value of looking at medicine from a new philosophical perspective. That perspective involves a broad and unusual collection of philosophers. The discussion takes its starting point from J. S. Mill’s inductive methods and Giambattista Vico’s verum-factum principle, but then sets out a unique combination of Charles Sanders Peirce’s abductive reasoning, Immanuel Kant’s reflective judgment, as well as G. W. F. Hegel’s and D. P. Verene’s speculative thinking, all marshalled to present a novel philosophical account of clinical diagnostics. Interpretation of practical examples elucidate the logical aspect of medical errors and suggests strategies of overcoming them. The book as a whole demonstrates the value of Hans-Georg Gadamer’s hermeneutical insights into the enigmatic character of health. This much-needed book will be of interest to medical practitioners, health policy makers, patients and their families, and advanced students and scholars in medicine, the medical humanities, medical epistemology, and the philosophy of medicine in general.
Patient Self Referral: A Guide for Therapists
by Lesley Holdsworth Valerie Webster Parminder JudgeThis exciting series is unique in providing advice on management, leadership and development for those in the Allied Health Professions (AHP). This practical and comprehensive guide contains all the information you need to set up a self referral service successfully, including answers to frequently asked questions, sample referral forms, a sample poster, datasets, guides for consistency, an anticipated referral calculator tool and a complete glossary of terms. "Over the last ten years we have lost count of the inquiries we've fielded from all over the United Kingdom and from many other countries worldwide. We've been contacted by a wide range of healthcare providers, clinical staff from a variety of professions; therapists, nurses and doctors, service managers, professional bodies and healthcare policy makers and the questions have been the same. This is a practical guide that should help to take you relatively stress-free through the very important key stages of preparation. It will provide useful hints and tips to assist you in your decision making and will ensure as successful and painless a transition as possible." - Lesley Holdsworth and Valerie Webster, in the Introduction.
Patient Studies in Valvular, Congenital and Rarer Forms of Cardiovascular Disease
by Franklin B. SaksenaTest your knowledge or prepare for Boards with this collection of unusual and challenging patient studies focused on detecting valvular, congenital or vascular disease. Contains over 90 case histories with self-test questions designed to test the reader's knowledge and reinforce clinical best practices Focuses on diseases of valvular, vascular or congenital origin, and on comparatively rare disorders/diseases, rather than coronary artery disease, to help readers improve their skills at interpreting and making decisions based on physical examination and basic, non-invasive imaging modalities Each case is paired with original materials - e.g. x-rays, echocardiograms, lab reports, charts - so readers can work through their diagnosis using the same information as the physician who treated the patient originally An ideal companion for those approaching board review or recertification or who want to improve skills in physical diagnosis of cardiovascular disease
Patient Surveillance After Cancer Treatment
by Yoshihiko Maehara Julie A. Margenthaler Riccardo A. Audisio David Y. Johnson Craig C. Earle Katherine S. Virgo John F Thompson Frank E Johnson George P BrowmanPatient Surveillance After Cancer Treatment covers the history of cancer patient surveillance after curative-intent treatment, the rationale, the methodologies used in the past and at present, the methodologies that will probably emerge in the future, the costs of surveillance, the definitions of various terms used in the field, and how those who are interested in the topic can get more information about it from the internet. The secondary focus of the book is to publicize the need for well-designed, adequately powered randomized clinical trials comparing two (or more) surveillance strategies for each type of cancer. The audience includes all oncologists, cancer researchers, medical economists and policy makers in government and insurance companies, and finally, interested patients. This book is part of the Current Clinical Oncology series, which provides cutting-edge knowledge of cancer diagnosis, management, and treatment. World renowned experts share their insights in all the major fields of clinical oncology. From the fundamentals of pathophysiology to the latest developments in experimental and novel therapies, Current Clinical Oncology is an indispensable resource for today's practicing oncologist.
Patient Treatment Adherence: Concepts, Interventions, and Measurement
by Hayden B. Bosworth Eugene Z. Oddone Morris WeinbergerThis new book summarizes the adherence literature for a number of specific health behaviors and populations. It provides a comprehensive source on the conceptualization, interventions, and measurement of treatment adherence and a synthesis of the research across demographic and chronic diseases. The text presents problems associated with treatment adherence; theoretical models that have commonly been used to understand, predict, and/or improve adherence; adherence with specific behaviors including exercise, diet, rehabilitation, medication, and psychological therapies; and strategies in enhancing adherence.Because chronic diseases involve similar behaviors, the handbook is organized by specific behaviors and special populations, and not by disease. Every chapter is sub-organized by specific diseases to ensure easy access for the readers and features a discussion of adherence across demographic and chronic conditions, a review of previous interventions directed at the particular behavior or population, questions and scoring algorithms for widely used measures of treatment adherence, a discussion of the clinical research, and where appropriate, policy implications. Patient Treatment Adherence addresses: practical recommendations to improve adherence; the impact of non-adherence including costs and health-related quality of life; methodological issues such as assessing cost-effectiveness; and the use of technological advances to improve adherence.Intended for health service professionals, health, clinical, social, and cognitive psychologists, primary care physicians, pharmacists, and policy-makers, this text is also an excellent resource for graduate courses on health psychology and public health.
Patient Zero: A Curious History of the World's Worst Diseases
by Lydia Kang Nate PedersenFrom the masters of storytelling-meets-science and co-authors of Quackery, Patient Zero tells the long and fascinating history of disease outbreaks—how they start, how they spread, the science that lets us understand them, and how we race to destroy them before they destroy us. Written in the authors&’ lively and accessible style, chapters include page-turning medical stories about a particular disease or virus—smallpox, Bubonic plague, polio, HIV—that combine &“Patient Zero&” narratives, or the human stories behind outbreaks, with historical examinations of missteps, milestones, scientific theories, and more. Learn the tragic stories of Patient Zeros throughout history, such as Mabalo Lokela, who contracted Ebola while on vacation in 1976, and the Lewis Baby on London&’s Broad Street, the first to catch cholera in an 1854 outbreak that led to a major medical breakthrough. Interspersed are origin stories of a different sort—how a rye fungus in 1951 turned a small village in France into a phantasmagoric scene reminiscent of Burning Man. Plus the uneasy history of human autopsy, how the HIV virus has been with us for at least a century, and more.
Patient Zero: Solving the Mysteries of Deadly Epidemics
by Marilee PetersEngrossing true stories of the pioneers of epidemiology who risked their lives to find the source of deadly diseases. Throughout history, more people have died in disease epidemics than in wars or other disasters. The courageous, trail-blazing defenders against these diseases faced a terrifying personal gamble. Often they were ignored, laughed at, or even fired from their jobs. But they kept hunting for answers, putting the pieces of the epidemic puzzle together. As they looked for clues to the origin of a disease, scientists searched for the unknown “patient zero”—the first person to have contracted it. Patient Zero brilliantly brings to life the main characters and events to tell the gripping tale of how each of seven diseases spread. The result is spine-chilling as Peters follows the scientists who solved the intricate mystery of the killer epidemics. Patient Zero reminds us that millions of people owe their lives to the work of these pioneer epidemiologists, work that continues to this day.
Patient Zero: Solving the Mysteries of Deadly Epidemics (G - Reference, information and Interdisciplinary Subjects)
by Marilee PetersEngrossing true stories of the pioneers of epidemiology who risked their lives to find the source of deadly diseases—now revised to include updated information and a new chapter on Covid-19. <p><p>More people have died in disease epidemics than in wars or other disasters, but the process of identifying these diseases and determining how they spread is often a terrifying gamble. Epidemiologists have been ignored, mocked, or silenced all while trying to protect the population and identify “patient zero”—the first person to have contracted the disease, and a key piece in solving the epidemic puzzle. <p><p> Patient Zero tracks the gripping tales of eight epidemics and pandemics—how they started, how they spread, and the fight to stop them. This revised edition combines a brand-new design with updated information and features diseases such as Spanish Influenza, Ebola, and AIDS, as well as a new chapter on Covid-19.
Patient and Public Involvement Toolkit
by Douglas Badenoch Carl Heneghan Rafael Perera Julia Cartwright Sally CroweProviding information to implement a new core healthcare requirement - patient involvementIncluding real case scenarios to illustrate the principles of effective PPIFollowing the unique Toolkit series format of flowcharts and layouts that guide the reader through each section
Patient and Public Involvement in Health and Social Care Research: An Introduction to Theory and Practice
by Jurgen Grotz Mary Ledgard Fiona PolandThis book provides a comprehensive overview of the latest theory and practice on Patient and Public Involvement (PPI) in research. Its seven chapters cover the historical and conceptual background; the various ways implementation can be approached and how they are put into practice; ethical considerations and critical perspectives, including on the potentially negative impacts of PPI; approaches to meaningful evaluation; a step by-step guide to planning PPI and conclusions with considerations for future research. Drawing on current literature, this book provides an essential reference work for research students and all who want to better understand PPI in practice. It offers exercises to address key questions, case examples and a checklist for planning PPI and includes a valuable glossary of terms.
Patient and Staff Voices in Primary Care: Learning from Dr Ockrim and her Glasgow Medical Practice
by Kenneth E CollinsThis unique work represents the recording and analysis of oral history interviews conducted by the pioneering general practitioner Dr Hetty Ockrim with over seventy patients, as well as office staff and members of the nursing team, between 1989 and 1992 in her former practice in the Ibrox/Govan areas of Glasgow, places of significant socio-economic deprivation. Her focus in undertaking this study was on personal and social, rather than just clinical, issues. The interviews are accompanied by background and commentary for the study, reflecting the full breadth of general practice. Many of the interviewees had memories stretching back before the NHS, providing a unique historical perspective of service development, as well as invaluable directions for improving current and future general practice. Key Features Provides a historical context for the developments in health over several decades prior to the study Shows how oral history methods have increasingly been used in medical history research and explores the benefits of this approach Covers many of the themes of the oral history which enabled and encouraged patients to comment on what was important to them in their encounters with health care Follows the increasing acceptance of women in medicine, demonstrating how women doctors were viewed by patients within the practice compared to changes in wider society Presents a ‘history from below’, using voices that are not normally heard in the medical discourse, illustrating the importance of the doctor–patient interface Supporting a wider understanding of what patient narratives can tell us about the delivery of health care from the perspective of the patients, the front-line users of health services, the book show how oral history can provide an understanding of health care more broadly, key at a time when social inequality is once again widening in many regions.
Patient with Acute Thoracic Myelopathy due to Degenerative Disease (Elements in Emergency Neurosurgery)
by James M. Robins Deb PalWhilst thoracic myelopathy secondary to degenerative disease is relatively uncommon, left untreated it carries significant morbidity. It is thus of critical importance that patients are correctly diagnosed and managed expediently and effectively. Unfortunately, the management of thoracic myelopathy can be challenging, not least due to the technical difficulty accessing the site of compression and indeed optimum management is also debated. In this Element the authors present background, clinical features, diagnosis, and pitfalls and then a handy management algorithm for this critical neurosurgical condition.
Patient with Suspected Cauda Equina Syndrome (Elements in Emergency Neurosurgery)
by Gabriel Metcalf-Cuenca Patrick F. StathamCauda equina syndrome is the clinical syndrome seen when there is acute compression of the cauda equina nerve roots and is a rare neurosurgical emergency. The approximate incidence in patients presenting with low back pain is 0.27% but delays in investigation and treatment can result in life-changing permanent disability. The best practice for patients presenting with potential cauda equina syndrome is urgent MRI imaging at the presenting hospital to avoid delays in diagnosis. Patients with a positive finding of cauda equina compression should proceed to decompressive surgery to restore the diameter of the spinal canal urgently to reduce the risk of developing a permanent deficit.
Patient's Healthcare Portfolio: A Practitioner’s Guide to Providing Tool for Patients
by Rebecca Mendoza Saltiel BuschAs the healthcare market moves toward an era of patient engagement, population health and patient advocates, practitioners need a practical how-to guide that helps facilitate their teaching with patients and family members on not just writing down or accumulating a personal health record, but an interactive process that converts the personal health information into a data-driven decision-making process. Through numerous forms, templates and real life examples, the author provides the tools to help patients gather critical health information while minimizing their exposure to medical and financial errors.
Patient, Empower Thyself!
by Claudia CometaPatient, Empower Thyself! confidently challenges the healthcare status quo and inspires readers to create a new health paradigm based on peace and empowerment.In a healthcare landscape fraught with bureaucracy, patients often find themselves receiving less than quality care. In Patient, Empower Thyself!, healthcare advocate Claudia Cometa, PharmD, provides an invaluable resource for navigating the complexities of language, belief, and cultural differences that make receiving proper medical treatment difficult to find. Drawing on personal and professional experience, Cometa discerns between fact and opinion in a healthcare environment that favors data and scientific evidence over compassion and empathy. Patient, Empower Thyself! not only identifies obstacles to receiving proper healthcare but provides solutions, offering hope for those navigating the often confusing and frustrating US medical system. Armed with strategies for instilling a sense of empowerment, readers will emerge better equipped to advocate for themselves and their loved ones. Whether you&’re a patient, a caregiver, or a healthcare professional, Patient, Empower Thyself! is an indispensable guide for achieving the quality care every individual deserves
Patient-Centered Assisted Reproduction: How to Integrate Exceptional Care with Cutting-Edge Technology
by Denny Sakkas Alice D Domar Thomas L TothAddress the future of innovative reproductive technologies with experts in the fields of IVF, fertility preservation and laboratory advances. This essential resource examines the changing roles of IVF, and moves beyond the basics of reproductive medicine. This book introduces the optimization of care, to improve patient outcomes, whilst facing ethical challenges that accompany new technologies, and applying the patient-centered care model to improve both patient and staff retention. By showcasing the future of the field in terms of clinical practice and innovative laboratory technologies, this guide will support clinics worldwide to provide high-quality customer experience, maintaining a competitive edge, following increasing standardization of clinical and laboratory protocols. This invaluable guide features chapters on patient evaluation, predictive modelling, advances in pharmacology, and laboratories of the future. Written by research and clinical leaders from around the world, it describes ground-breaking innovative treatments and technologies, encompassing the care model in a holistic way.
Patient-Centered Cancer Treatment Planning: Improving the Quality of Oncology Care
by The National Academy of SciencesEach year approximately 1. 5 million people are diagnosed with cancer in the United States, most of whom inevitably face difficult decisions concerning their course of care. Recognizing challenges associated with cancer treatment, the National Coalition for Cancer Survivorship (NCCS) and the National Cancer Policy Forum (NCPF) of the Institute of Medicine (IOM) hosted a public workshop in Washington, DC on February 28 and March 1, 2011, entitled Patient-Centered Cancer Treatment Planning: Improving the Quality of Oncology Care. This workshop summary includes an overview of patient-centered care and cancer treatment planning, as well as subject areas on shared decision making, communication in the cancer care setting, and patient experiences with cancer treatment. Best practices, models of treatment planning, and tools to facilitate their use are also discussed, along with policy changes that may promote patient-centeredness by enhancing patient's understanding of and commitment to the goals of treatment through shared decision-making process with their healthcare team from the moment of diagnosis onward. Moreover, Patient-Centered Cancer Treatment Planningemphasizes treatment planning for patients with cancer at the time diagnosis.