Incluye referencias bibliográficas e índice

Foreword I; Foreword II; Foreword III: What Pilots Can Teach Hospitals and Healthcare About Patient Safety; Culture: The Building Block for Successful Partnering with Patients; Preface; Acknowledgements and Dedications; Contents; About the Editors; Contributors; Part I: Fundamentals of Systems and Safety Science; 1: The Burning Platform: Improving Surgical Quality and Keeping Patients Safe; Introduction; Threats to Patient Safety; Avoidable Errors; Variation; Overuse; Underuse; Disparities in Surgical Care; Measuring Surgical Quality; Conclusions; References.

Part I. Fundamentals of systems and safety science. 1. The burning platform: improving surgical quality and keeping patients safe - 2. Risk factors and epidemiology of surgical safety - 3. Concepts and models of safety, resilience, and reliability - 4. Surgery through a human factors and ergonomics lens - 5. The relationship between teamwork and patient safety - 6. Enterprise risk management in healthcare -- 7. The patient experience: an essential component of high-value care and service -- 8. Patients and families as coproducers of safe and reliable outcomes -- 9. Tools and strategies for continuous quality improvement and patient safety -- 10. The future and challenges of surgical technology implementation and patient safety -- Part 2. Job and organizational design. 11. Organizational and cultural determinants of surgical safety -- 12. The role of architecture and physical environment in hospital safety design -- 13. Building surgical expertise through the science of continuous learning and training -- 14. Promoting occupational wellness and combating professional burnout in the surgical workforce -- 15. Executive leadership and surgical quality: a guide for senior hospital leaders - 16. Information technology infrastructure, management, and implementation: the rise of the emergent clinical information system and the chief medical information officer -- 17. Redesigning hospital alarms for reliable and safe care -- 18. Implementation science: translating research into practice for sustained impact -- Part 3. 19. The leadership role: designing perioperative surgical services for safety and efficiency -- 20. Operating room management, measures of OR efficiency, and cost-effectiveness -- 21. The science of delivering safe and reliable anesthesia care -- 22. Enhanced recovery after surgery: ERAS -- 23. The next frontier: ambulatory and outpatient surgical safety and quality -- 24. Human factors and operating room design challenges -- 25. Diagnostic error in surgery and surgical services-- 26. Preventing perioperative 'never events' -- 27. Healthcare-associated infections in surgical practice -- 28. Safer medication administration through design and ergonomics -- 28. Safer medication administration through design and ergonomics -- 29. Preventing venous thromboembolism across the surgical care continuum -- 30. Preventing perioperative positioning and equipment injuries -- 31. Challenges in preventing electrical, thermal, and radiation injuries -- 32. Improving clinical performances by analyzing surgical skills and operative errors -- Part 4. Approaches to managing risks. 33. Perioperative risk and management of surgical patients-- 34. Managing the complex high-risk surgical patient -- 35. Geriatric surgical quality and wellness -- 36. Patient transitions and handovers across the continuum of surgical care -- 37. Failure to rescue and failure to perceive patients in crisis -- 38. A quiet revolution: communicating and resolving patient harm -- 39. It's my fault: understanding the role of personal accountability, mental models and systems in managing sentinel events -- 40. Capturing, reporting, and learning from adverse events -- 41. How not to run an incident investigation -- 42. Multi-institutional learning and collaboration to improve quality and safety -- 43. Lessons learned from anesthesia registries about surgical safety and reliability -- 44. Use of data from surgical registries to improve outcomes -- Part 5. Regulation, policy, and the future of surgical care. 45 How regulators assess and accredit safety and quality in surgical services -- 46. The perioperative surgical home: the new frontier -- 47. Surgical graduate medical education program accreditation and the clinical learning environment: patient safety and health care quality -- 48. Affordable Care Act: public legislation -- 49. Surgical quality and patient safety in rural settings -- 50. Global surgery: progress and challenges in surgical quality and patient services -- 51. International perspectives on safety, quality, and reliability of surgical care -- 52. Surgical safety in developing countries: Middle East, North Africa, and Gulf Countries -- 53. Future directions of surgical safety -- Epilogue -- Index.

2: Risk Factors and Epidemiology of Surgical Safety A Framework to Study Errors and Harm; The Scale of Harm in Surgery; Solutions to Prevent Errors and Harm in the Perioperative Arena; Surveillance and Monitoring of Surgical Safety; References; 3: Concepts and Models of Safety, Resilience, and Reliability; Introduction; Normal Accident Theory; Complexity Science; Safety Drift and Procedural Violations; Safety Drift; Features of Drift; Possible Means to Reduce Potential for Drift; Procedural Violations; Stretching the Limits of Adaptive Capacity; Resilience.

Defining Teams, Teamwork, and Multi-Team Systems Models of Teams and Teamwork; Healthcare Specific Models; Practical Principles for Effective Teaming in Surgery; Membership and Team Life Span Considerations; Interventions to Develop and Support Effective Teaming in Surgery; Conclusions; References; 6: Enterprise Risk Management in Healthcare; Overview of Enterprise Risk Management; Principles of Risk Management; Risk Management in Healthcare Organizations; Identifying Risk; Measuring Risk; Culture; Avoiding a Culture of Fear; Defining a Culture of Prevention.

Four Pillars of Resilience Limitations of Resilience; Principles of High Reliability; Concept and Characteristics of High Reliability; Common Characteristics of High Reliability; Different Characteristics; Limitations; Surgical Microsystems; Characteristics of Surgical Microsystems; Conclusions; References; 4: Surgery Through a Human Factors and Ergonomics Lens; Introduction; Humans and Automation; Human Factors in Device Design; Cognition in Context; Performance-Shaping Factors; Summary; References; 5: The Relationship Between Teamwork and Patient Safety; Introduction.

Role of the Chief Risk Officer Medicolegal Aspects of Patient Safety; Information Technology/Security/HIPAA; Understanding Health Information Privacy; Entities and Business Associates; Office for Civil Rights Pilot Privacy, Security, and Breach Notification Audit Program; Case 1: A Children's Hospital Fined 40,000 for Data Breach; Case 2: Academic Medical Center Fined 1,500,000 for Deficiencies in HIPAA Compliance Program; How the OCR Enforces the HIPAA Privacy and Security Rules; Security Risk Assessment; Business Associates and Risk Assessments; Common CMS Audit Findings.

This book focuses exclusively on the surgical patient and on the perioperative environment with its unique socio-technical and cultural issues. It covers preoperative, intraoperative, and postoperative processes and decision making and explores both sharp-end and latent factors contributing to harm and poor quality outcomes. It is intended to be a resource for all healthcare practitioners that interact with the surgical patient. This book provides a framework for understanding and addressing many of the organizational, technical, and cultural aspects of care to one of the most vulnerable patients in the system, the surgical patient. The first section presents foundational principles of safety science and related social science. The second exposes barriers to achieving optimal surgical outcomes and details the various errors and events that occur in the perioperative environment. The third section contains prescriptive and proactive tools and ways to eliminate errors and harm. The final section focuses on developing continuous quality improvement programs with an emphasis on safety and reliability. Surgical Patient Care: Improving Safety, Quality and Value targets an international audience which includes all hospital, ambulatory and clinic-based operating room personnel as well as healthcare administrators and managers, directors of risk management and patient safety, health services researchers, and individuals in higher education in the health professions. It is intended to provide both fundamental knowledge and practical information for those at the front line of patient care. The increasing interest in patient safety worldwide makes this a timely global topic. As such, the content is written for an international audience and contains materials from leading international authors who have implemented many successful programs.