- Hardcover: 200 pages
- Publisher: Joint Commission Resources (24 Mar 2011)
- Language English
- ISBN-10: 159940415X
- ISBN-13: 978-1599404158
- Product Dimensions: 25.9 x 18.5 x 2.3 cm
- Amazon Bestsellers Rank: 3,584,277 in Books (See Top 100 in Books)
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Product Description
Review
Wu and colleagues present the art and science of analyzing close calls--cases in which we could have harmed or killed a patient but didn't through some combination of good luck and good catches in a clear and accessible manner. This superb book tells us why analyzing close calls is so important to patient safety and shows us how to do it. It should be on the bookshelf of everyone interested in keeping patients safe --Robert M. Wachter, M.D., University of California, San Francisco
This succinct and focused book, which demonstrates how close calls have been used to solve safety problems, is a must read for anyone with responsibility for patient safety. --Evan M. Benjamin, M.D., F.A.C.P., Senior Vice President for Healthcare Quality, Baystate Health, Springfield, Massachusetts
Learning from close calls is critical to safety but hard to do in practice. This book brings the concepts and ideas to life in rich examples that reveal the errors, the system failures, the heroic recoveries, and the many roads to system safety. It is invaluable for all clinical teams as they seek to put principles into practice to ensure the safety of their patients. --Charles Vincent, Ph.D., Professor of Clinical Safety Research, Imperial College of Science, Technology and Medicine, London
This succinct and focused book, which demonstrates how close calls have been used to solve safety problems, is a must read for anyone with responsibility for patient safety. --Evan M. Benjamin, M.D., F.A.C.P., Senior Vice President for Healthcare Quality, Baystate Health, Springfield, Massachusetts
Learning from close calls is critical to safety but hard to do in practice. This book brings the concepts and ideas to life in rich examples that reveal the errors, the system failures, the heroic recoveries, and the many roads to system safety. It is invaluable for all clinical teams as they seek to put principles into practice to ensure the safety of their patients. --Charles Vincent, Ph.D., Professor of Clinical Safety Research, Imperial College of Science, Technology and Medicine, London
Product Description
Because close calls, often termed near misses, don't raise the same concerns about malpractice liability and may be less emotionally charged than errors that cause serious harm, they are a unique source of learning for individuals and organizations striving to keep patients safe. This book tells how to take advantage of these lessons to prevent today's close call from turning into tomorrow's catastrophic event. Special Features Foreword by human error expert James Reason, Ph.D. Authoritative tutorials on what the literature tells us about the concept of close calls and their identification, relationship with errors, and use in assessing and improving the safety and reliability of health care. 15 detailed case studies from a variety of clinical disciplines and specialties to show how health care organizations use close calls to identify and solve patient safety problems
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