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Medical Error and Patient Safety

Human Factors in Medicine

Medical Error and Patient Safety by George A. Peters
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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
CRC Press; November 2007
254 pages; ISBN 9781420064797
Read online, or download in secure PDF format
Title: Medical Error and Patient Safety
Author: George A. Peters; Barbara J. Peters
 
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