ABSTRACT

In recent decades most of the international effort given over to studying and improving the safety of patient care has been focused in acute hospital settings. To some extent this was always something of a puzzle to those of us with a direct interest in this important issue...Now, however, the tide is slowly turning. Policymakers, healthcare leader

part I|91 pages

Understanding Systems

chapter Chapter 3|9 pages

Safety culture

chapter Chapter 4|10 pages

The wisdom hierarchy

chapter Chapter 5|8 pages

Measuring harm

chapter Chapter 6|8 pages

Systems thinking

chapter 7|11 pages

Task analysis

chapter 8|8 pages

Process mapping

part II|73 pages

People and Improvement

chapter Chapter 11|11 pages

Patient and public involvement: part 2

chapter Chapter 12|6 pages

Clinician engagement

chapter Chapter 13|9 pages

Professionalism

chapter Chapter 14|11 pages

Peer review

chapter Chapter 15|7 pages

Professional appraisal

chapter Chapter 16|11 pages

Multi-source feedback

chapter Chapter 17|7 pages

Practice management

chapter Chapter 18|9 pages

General practice nursing

part III|53 pages

Learning for Improvement

chapter Chapter 19|8 pages

Safety skills

chapter Chapter 21|11 pages

Practice-based small group learning

chapter Chapter 22|8 pages

Protected learning time

chapter Chapter 23|7 pages

Consultation skills

chapter Chapter 24|7 pages

The power of apology

part IV|50 pages

Managing Patient Safety

chapter Chapter 25|9 pages

Managing human error

chapter Chapter 26|6 pages

Diagnostic error

chapter Chapter 27|9 pages

Medication error *

chapter Chapter 28|7 pages

Medicines reconciliation: a case study

chapter Chapter 29|9 pages

Safe results handling

chapter Chapter 30|8 pages

Never Events

part V|89 pages

Improvement Methods

chapter Chapter 32|11 pages

Criterion audit

chapter Chapter 33|13 pages

Care bundles

chapter Chapter 34|11 pages

The Plan-Do-Study-Act method

chapter Chapter 35|11 pages

The trigger review method

chapter Chapter 36|14 pages

Measuring safety climate

chapter Chapter 37|9 pages

Improving out-of-hours care

chapter Chapter 38|8 pages

Care improvement: a personal reflection

chapter |2 pages

Epilogue