To Err Is Human Book

To Err Is Human

  • Author : Institute of Medicine
  • Publisher : National Academies Press
  • File Size : 16,5 Mb
  • Release Date : 2000-03-01
  • Genre: Medical
  • Pages : 312
  • ISBN 10 : 9780309068376


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Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is tha

Bozo Sapiens Book

Bozo Sapiens

  • Author : Michael Kaplan
  • Publisher : Bloomsbury Publishing USA
  • File Size : 19,7 Mb
  • Release Date : 2010-08-24
  • Genre: Science
  • Pages : 302
  • ISBN 10 : 9781608190911


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A lighthearted survey of the science of mistakes by the authors of Chances Are reveals how the human race is hard-wired to get things wrong in countless ways, citing such examples as successful racy advertisements for inferior products, our inclinations to favor dysfunctional relationship partners and the socially unacceptable behaviors of leaders. Reprint.

Crossing the Quality Chasm Book

Crossing the Quality Chasm

  • Author : Institute of Medicine
  • Publisher : National Academies Press
  • File Size : 20,7 Mb
  • Release Date : 2001-08-19
  • Genre: Medical
  • Pages : 360
  • ISBN 10 : 9780309072809


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Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

An Essay on Criticism Book

An Essay on Criticism

  • Author : Alexander Pope
  • Publisher : Unknown
  • File Size : 18,7 Mb
  • Release Date : 1713
  • Genre: 1701-1800
  • Pages : 48
  • ISBN 10 : BL:A0017876820


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Human Error in Medicine Book

Human Error in Medicine

  • Author : Marilyn Sue Bogner
  • Publisher : CRC Press
  • File Size : 14,5 Mb
  • Release Date : 2018-02-06
  • Genre: Technology & Engineering
  • Pages : 529
  • ISBN 10 : 9781351440202


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This edited collection of articles addresses aspects of medical care in which human error is associated with unanticipated adverse outcomes. For the purposes of this book, human error encompasses mismanagement of medical care due to: * inadequacies or ambiguity in the design of a medical device or institutional setting for the delivery of medical care; * inappropriate responses to antagonistic environmental conditions such as crowding and excessive clutter in institutional settings, extremes in weather, or lack of power and water in a home or field setting; * cognitive errors of omission and commission precipitated by inadequate information and/or situational factors -- stress, fatigue, excessive cognitive workload. The first to address the subject of human error in medicine, this book considers the topic from a problem oriented, systems perspective; that is, human error is considered not as the source of the problem, but as a flag indicating that a problem exists. The focus is on the identification of the factors within the system in which an error occurs that contribute to the problem of human error. As those factors are identified, efforts to alleviate them can be instituted and reduce the likelihood of error in medical care. Human error occurs in all aspects of human activity and can have particularly grave consequences when it occurs in medicine. Nearly everyone at some point in life will be the recipient of medical care and has the possibility of experiencing the consequences of medical error. The consideration of human error in medicine is important because of the number of people that are affected, the problems incurred by such error, and the societal impact of such problems. The cost of those consequences to the individuals involved in medical error, both in the health care providers' concern and the patients' emotional and physical pain, the cost of care to alleviate the consequences of the error, and the cost to society in dollars and in lost personal con

Keeping Patients Safe Book

Keeping Patients Safe

  • Author : Institute of Medicine
  • Publisher : National Academies Press
  • File Size : 11,6 Mb
  • Release Date : 2004-03-27
  • Genre: Medical
  • Pages : 485
  • ISBN 10 : 9780309187367


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Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.

Health IT and Patient Safety Book

Health IT and Patient Safety

  • Author : Institute of Medicine
  • Publisher : National Academies Press
  • File Size : 18,8 Mb
  • Release Date : 2012-03-15
  • Genre: Computers
  • Pages : 234
  • ISBN 10 : 9780309221153


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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.

Blue Threat Book

Blue Threat

  • Author : Tony Kern
  • Publisher : Unknown
  • File Size : 10,6 Mb
  • Release Date : 2009-09
  • Genre: Attention
  • Pages : 256
  • ISBN 10 : 0984206302


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Cross cultural Perspectives in Medical Ethics Book

Cross cultural Perspectives in Medical Ethics

  • Author : Robert M. Veatch
  • Publisher : Jones & Bartlett Learning
  • File Size : 19,6 Mb
  • Release Date : 2000
  • Genre: Cross-cultural comparison
  • Pages : 404
  • ISBN 10 : 0763713325


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Cross- Cultural Perspectives in Medical Ethics, Second Edition, is an anthology of the latest and best readings on the medical ethics of as many of the major religious, philosophical, and medical traditions that are available today.

Human Error Book
Score: 4
From 3 Ratings

Human Error

  • Author : James Reason
  • Publisher : Cambridge University Press
  • File Size : 17,9 Mb
  • Release Date : 1990-10-26
  • Genre: Psychology
  • Pages : 324
  • ISBN 10 : 0521314194


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This 1991 book is a major theoretical integration of several previously isolated literatures looking at human error in major accidents.

To Err Is Human  to Forgive Divine Book

To Err Is Human to Forgive Divine

  • Author : Andrew Anthony Bufalo
  • Publisher : All American Books
  • File Size : 20,5 Mb
  • Release Date : 2004-01
  • Genre: Humor
  • Pages : 225
  • ISBN 10 : 0974579343


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"In order to survive in the Marine Corps it helps to have a good sense of humor. This book is filled with jokes made at the expense of everyone: terrorists, officers, politicians, air-wingers, allies and of course... our sister services!"--Back cover.

Understanding Patient Safety  Second Edition Book

Understanding Patient Safety Second Edition

  • Author : Robert Wachter
  • Publisher : McGraw Hill Professional
  • File Size : 20,6 Mb
  • Release Date : 2012-05-23
  • Genre: Medical
  • Pages : 320
  • ISBN 10 : 9780071808125


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Complete coverage of the core principles of patient safety Understanding Patient Safety, 2e is the essential text for anyone wishing to learn the key clinical, organizational, and systems issues in patient safety. The book is filled with valuable cases and analyses, as well as up-to-date tables, graphics, references, and tools -- all designed to introduce the patient safety field to medical trainees, and be the go-to book for experienced clinicians and non-clinicians alike. Features NEW chapter on the critically important role of checklists in medical practice NEW case examples throughout Expanded coverage of the role of computers in patient safety and outcomes Expanded coverage of new patient initiatives from the Joint Commission

The Poet s Mistake Book

The Poet s Mistake

  • Author : Erica McAlpine
  • Publisher : Princeton University Press
  • File Size : 6,7 Mb
  • Release Date : 2020-06-09
  • Genre: Literary Criticism
  • Pages : 297
  • ISBN 10 : 9780691203768


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What our tendency to justify the mistakes in poems reveals about our faith in poetry—and about how we read Keats mixed up Cortez and Balboa. Heaney misremembered the name of one of Wordsworth's lakes. Poetry—even by the greats—is rife with mistakes. In The Poet's Mistake, critic and poet Erica McAlpine gathers together for the first time numerous instances of these errors, from well-known historical gaffes to never-before-noticed grammatical incongruities, misspellings, and solecisms. But unlike the many critics and other readers who consider such errors felicitous or essential to the work itself, she makes a compelling case for calling a mistake a mistake, arguing that denying the possibility of error does a disservice to poets and their poems. Tracing the temptation to justify poets' errors from Aristotle through Freud, McAlpine demonstrates that the study of poetry's mistakes is also a study of critical attitudes toward mistakes, which are usually too generous—and often at the expense of the poet's intentions. Through remarkable close readings of Wordsworth, Keats, Browning, Clare, Dickinson, Crane, Bishop, Heaney, Ashbery, and others, The Poet's Mistake shows that errors are an inevitable part of poetry's making and that our responses to them reveal a great deal about our faith in poetry—and about how we read.

Advances in Patient Safety Book

Advances in Patient Safety

  • Author : Kerm Henriksen
  • Publisher : Unknown
  • File Size : 14,7 Mb
  • Release Date : 2005
  • Genre: Accidents
  • Pages : 526
  • ISBN 10 : CHI:70548902


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v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

Preventing Medication Errors Book

Preventing Medication Errors

  • Author : Institute of Medicine
  • Publisher : National Academies Press
  • File Size : 8,5 Mb
  • Release Date : 2007-01-11
  • Genre: Medical
  • Pages : 481
  • ISBN 10 : 9780309101479


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In 1996 the Institute of Medicine launched the Quality Chasm Series, a series of reports focused on assessing and improving the nation's quality of health care. Preventing Medication Errors is the newest volume in the series. Responding to the key messages in earlier volumes of the seriesâ€"To Err Is Human (2000), Crossing the Quality Chasm (2001), and Patient Safety (2004)â€"this book sets forth an agenda for improving the safety of medication use. It begins by providing an overview of the system for drug development, regulation, distribution, and use. Preventing Medication Errors also examines the peer-reviewed literature on the incidence and the cost of medication errors and the effectiveness of error prevention strategies. Presenting data that will foster the reduction of medication errors, the book provides action agendas detailing the measures needed to improve the safety of medication use in both the short- and long-term. Patients, primary health care providers, health care organizations, purchasers of group health care, legislators, and those affiliated with providing medications and medication- related products and services will benefit from this guide to reducing medication errors.