Russell Kelsey

Patient Safety (eBook, PDF)

Investigating and Reporting Serious Clinical Incidents

• Format: PDF

Produktbeschreibung

At a time of increasing regulatory scrutiny and medico-legal risk, managing serious clinical incidents within primary care has never been more important. Failure to do so can be catastrophic for individuals as well as organisations, whether you be clinician, service manager or trainee.

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Produktdetails

• Verlag: Taylor & Francis
• Seitenzahl: 222
• Erscheinungstermin: 30. November 2016
• Englisch
• ISBN-13: 9781498781176
• Artikelnr.: 47382845

Autorenporträt

Dr Russell Kelsey is Regional Medical Director of North and West, Health Care Division, Care UK, the largest independent provider of NHS care in the UK. His role encompasses clinical governance for provision of out of hours and NHS 111 services to a region with a patient population of over 5 million.

Inhaltsangabe

About the Author. Introduction: Why do we still miss appendicitis? Clinical
incident investigation: Background and context. How do we recognise patient
safety incidents that need in-depth investigation? Recognising serious
patient safety incidents using the SIRT: Case studies. A culture of
complaint: Openness, candour and blame. RCA: Understanding what happened.
RCA: Understanding how. RCA: Understanding why. Understanding why: System
factors. Understanding why: Human error, Part 1. Understanding why: Human
error, Part 2: Situational awareness and high-pressure environments. Root
cause. Learning and recommendations. Solution design and changing cultures.
Writing reports. Glossary. Index.