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Medical Error and Harm: Understanding, Prevention, and Control [Hardcover]

Milos Jenicek

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Book Description

7 July 2010 1439836949 978-1439836941 1

Recent debate over healthcare and its spiraling costs has brought medical error into the spotlight as an indicator of everything that is ineffective, inhumane, and wasteful about modern medicine. But while the tendency is to blame it all on human error, it is a much more complex problem that involves overburdened systems, constantly changing technology, increasing specialization, and a cycle of continual funding shortfalls made even more acute by resource-wasting inefficiencies.

Medical Error and Harm: Understanding, Prevention and Control, presents the work of long time physician and teacher Milos Jenicek, a pioneering expert on epidemiology, evidence-based medicine, and critical thinking and decision making in the health sciences. Providing an extraordinarily comprehensive overview of the subject that is as thorough and scientifically organized as it is accessible and free of rhetoric, Dr. Jenicek —

  • Presents a short history of error in general across various domains of human activity and endeavor, including concepts, methodologies of study, and management applications
  • Provides semantic and taxonomic classifications of challenges in medical error and harm, two distinct domains
  • Explores approaches used to investigate and ameliorate challenges in medicine and other health sciences
  • Explains why, when, and how studies and decisions regarding errors should be carried out, such as whether risk assessment should be undertaken in the diagnosis, treatment, or prognosis stage
  • Covers essential strategies for mitigating errors in the broader framework of medical care, specifically in community medicine and public health
  • Considers the ever-growing role of physicians in tort law and litigation

The book also discusses whether dealing with errors is a learned skill and looks at how much of the problem with medical error is caused by the medical community’s failure to teach, learn, and understand everything there is to know about medical error, including the often neglected importance of critical thinking skills. Understanding and correcting this shortfall is a primary responsibility of every health professional, one they can begin to realize with the study of these pages.


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… authored by a well-known physician and professor at the DeGroote School of Medicine in Ontario, Canada. Dr Jenicek begins with a review of human errors in general and then continues with a review of medical errors and the negative outcomes that follow … . The author reviews the history of medical errors and definitions by using an epidemiologic approach. He starts with a review of errors that cause traffic accidents and industrial injuries. … He also explores possible causes of medical errors, including human error or lapses in judgment and the rapid technologic growth currently observed in medicine, especially in the subspecialty areas. The author also presents numerous frameworks that can be used to identify the medical error type, possible causes, and various solutions. … Finally, he discusses medical-legal consequences of errors and how tort law has evolved over time.
Shauna Ely Tarrac MSN, RN, CIC, CNOR, in the AORN Journal, April 2011

Jenicek makes a valiant effort to impose some order on the diverse nomenclature of lathology and delves into the difficult task of taxonomy of this subject.
—John P. A. Ioannidis, in The Lancet

About the Author

McMaster University, Hamilton, Ontario, Canada

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