Russell Kelsey

Patient Safety (eBook, PDF)

Investigating and Reporting Serious Clinical Incidents

• Format: PDF

Produktbeschreibung

The second edition of this well-received book, the first to provide detailed guidance on how to conduct incident investigations in primary care, has been thoroughly revised and updated throughout to reflect the current nomenclature for different aspects of the investigatory process in the UK and the latest format for incident reporting.

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Produktdetails

• Verlag: Taylor & Francis
• Seitenzahl: 249
• Erscheinungstermin: 28. August 2023
• Englisch
• ISBN-13: 9781000913675
• Artikelnr.: 68491119

Autorenporträt

Dr Russell Kelsey is a GP and independent investigator of serious clinical incidents. He has developed a highly successful and popular CPD accredited training course on SI recognition and Root Cause Analysis investigation.

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.