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Patient Safety: An Engineering Approach [Kõva köide]

(University of Ottawa, Canada.)
  • Formaat: Hardback, 234 pages, kõrgus x laius: 234x156 mm, kaal: 590 g, 3 Tables, black and white; 30 Illustrations, black and white
  • Ilmumisaeg: 08-Nov-2011
  • Kirjastus: CRC Press Inc
  • ISBN-10: 1439873860
  • ISBN-13: 9781439873861
Teised raamatud teemal:
Patient Safety: An Engineering ApproachSuurem pilt
  • Formaat: Hardback, 234 pages, kõrgus x laius: 234x156 mm, kaal: 590 g, 3 Tables, black and white; 30 Illustrations, black and white
  • Ilmumisaeg: 08-Nov-2011
  • Kirjastus: CRC Press Inc
  • ISBN-10: 1439873860
  • ISBN-13: 9781439873861
Teised raamatud teemal:
Püsilink: https://www.kriso.ee/db/9781439873861.html
Märksõnad:
With unintended harm during hospital care costing billions of dollars to the world economy, not to mention millions of deaths each year, its no wonder the issue is equally front and center in the minds of healthcare providers and the public. Although the issue has been tackled in journal articles and conference proceedings, there are very few books on the topic. And none consider how methods and techniques developed in the area of engineering can handle safety and human error-related problems. Until now.

Written by an expert with vast know-how in engineering management, design, reliability, safety, and quality, Patient Safety: An Engineering Approach brings together the pertinent information scattered throughout books and journals, eliminating the need to consult many different and diverse sources to find what you need. B.S. Dhillon draws on his real-world experience to demonstrate how to handle patient safety-related problems using engineering techniques and backs this up with references for further reading at the end of each chapter. He sets the stage with introductory chapters on mathematical, patient safety, and human factors concepts essential to understanding materials presented in subsequent chapters.

Dhillons clear, concise discussion of the topics presents the information in such a way that no previous knowledge is required to understand the contents, yet he does not present it at a merely rudimentary level. He brings a fresh approach and engineering perspective to the issues, giving you a new tool kit for performing patient safety-related analysis, designing better medical systems/devices, and handling patient safety-related problems from an engineering perspective.

Arvustused

" an outstanding book covering the most up-to-date research translated into simple, easy-to-use methods, procedures and indicators. Dr. Dhillon is an international authority in the field of reliability, safety and human factors engineering and authored over 38 books covering various design and engineering aspects. The highlight of this book is that Dr. Dhillon is applying time-tested, proven engineering best practices to the field of patient safety and is invaluable to healthcare practitioners, administrators, academicians and researchers. It is an excellent, down-to-earth, easy-to-use pragmatic book with up-to-date coverage of literature." -- Dr. Subramanyam Rayapati, IBM " an outstanding book covering the most up-to-date research translated into simple, easy-to-use methods, procedures and indicators. Dr. Dhillon is an international authority in the field of reliability, safety and human factors engineering and authored over 38 books covering various design and engineering aspects. The highlight of this book is that Dr. Dhillon is applying time-tested, proven engineering best practices to the field of patient safety and is invaluable to healthcare practitioners, administrators, academicians and researchers. It is an excellent, down-to-earth, easy-to-use pragmatic book with up-to-date coverage of literature." -- Dr. Subramanyam Rayapati, IBM

Preface xv
Author xix
1 Introduction
1(12)
1.1 Background
1(1)
1.2 Patient Safety Facts and Figures
1(2)
1.3 Terms and Definitions
3(2)
1.4 Useful Information on Patient Safety
5(3)
1.4.1 Journals
5(1)
1.4.2 Conference Proceedings
5(1)
1.4.3 Books
6(1)
1.4.4 Organizations
7(1)
1.5 Scope of the Book
8(1)
1.6 Problems
9(1)
1.7 References
9(4)
2 Patient Safety Mathematics
13(18)
2.1 Introduction
13(1)
2.2 Range, Mode, Median, Arithmetic Mean, and Mean Deviation
13(3)
2.2.1 Range
14(1)
2.2.2 Mode
14(1)
2.2.3 Median
14(1)
2.2.4 Arithmetic Mean
15(1)
2.2.5 Mean Deviation
15(1)
2.3 Sets and Boolean Algebra Laws
16(1)
2.3.1 Sets
16(1)
2.3.2 Boolean Algebra Laws
17(1)
2.4 Probability Definition and Properties
17(2)
2.5 Probability Density Function, Cumulative Distribution Function, and Expected Value Definitions
19(3)
2.5.1 Probability Density Function
19(1)
2.5.2 Cumulative Distribution Function
20(1)
2.5.3 Expected Value
21(1)
2.6 Probability Distributions
22(2)
2.6.1 Exponential Distribution
22(1)
2.6.2 Weibull Distribution
23(1)
2.6.3 Normal Distribution
24(1)
2.7 Laplace Transform Definition, Common Laplace Transforms, and Final-Value Theorem
24(3)
2.8 Solving First-Order Differential Equations Using Laplace Transforms
27(2)
2.9 Problems
29(1)
2.10 References
30(1)
3 Safety and Human Factors Basics
31(18)
3.1 Introduction
31(1)
3.2 Need for Safety and Safety-Related Facts and Figures
31(2)
3.3 Common Causes of Work Injuries and Classifications of Product Hazards
33(1)
3.4 Common Mechanical Injuries
34(1)
3.5 Accident Causation Theories
35(2)
3.5.1 The Human Factors Accident Causation Theory
35(1)
3.5.2 The Domino Accident Causation Theory
36(1)
3.6 Safety Management Principles
37(1)
3.7 Human Factors Objectives and Disciplines Contributing to Human Factors
38(1)
3.8 Human and Machine Characteristics
39(1)
3.9 General Human Behaviors
39(2)
3.10 Human Sensory Capabilities
41(2)
3.10.1 Touch
41(1)
3.10.2 Sight
41(1)
3.10.3 Noise
42(1)
3.10.4 Vibration
42(1)
3.11 Human Factors-Related Formulas
43(3)
3.11.1 Character Height Estimation: Formula I
43(1)
3.11.2 Rest Period Estimation: Formula II
44(1)
3.11.3 Brightness Contrast Estimation: Formula III
44(1)
3.11.4 Noise Reduction Estimation: Formula IV
45(1)
3.11.5 Glare Constant Estimation: Formula V
46(1)
3.11.6 Inspector Performance Estimation: Formula VI
46(1)
3.12 Problems
46(1)
3.13 References
47(2)
4 Methods for Performing Patient Safety Analysis
49(22)
4.1 Introduction
49(1)
4.2 Failure Modes and Effect Analysis (FMEA)
49(3)
4.2.1 FMEA Advantages
51(1)
4.3 Root Cause Analysis (RCA)
52(1)
4.3.1 RCA Advantages and Disadvantages
53(1)
4.4 Hazard Operability Analysis (HAZOP)
53(1)
4.5 Interface Safety Analysis (ISA)
54(2)
4.6 Preliminary Hazard Analysis (PHA)
56(1)
4.7 Technic of Operations Review (TOR)
56(1)
4.8 Job Safety Analysis (JSA)
57(1)
4.9 Six Sigma Methodology
58(1)
4.10 Pareto Diagram
59(1)
4.11 Fault Tree Analysis (FTA)
59(6)
4.11.1 Common Fault Tree Symbols and Fault Tree Analysis Steps
60(1)
4.11.2 Probability Evaluation of Fault Trees
61(3)
4.11.3 Fault Tree Analysis Benefits and Drawbacks
64(1)
4.12 Markov Method
65(3)
4.13 Problems
68(1)
4.14 References
68(3)
5 Patient Safety Basics
71(18)
5.1 Introduction
71(1)
5.2 Patient Safety Goals
71(2)
5.3 Causes of Patient Injuries and Examples of Factors Endangering Patient Safety at Various Levels of Health Care
73(1)
5.4 Patient Safety Culture, Factors Contributing to Patient Safety Culture, and Its Assessment Objectives and Barriers
74(1)
5.5 Safer Practices for Better Health Care
75(1)
5.6 Areas of Improved Patient Safety from Enhanced Health Information Exchange
76(2)
5.7 Patient Safety Program
78(1)
5.8 Patient Safety Indicators
79(6)
5.8.1 Patient Safety Indicator I
79(1)
5.8.2 Patient Safety Indicator II
79(1)
5.8.3 Patient Safety Indicator III
80(1)
5.8.4 Patient Safety Indicator IV
80(1)
5.8.5 Patient Safety Indicator V
80(1)
5.8.6 Patient Safety Indicator VI
81(1)
5.8.7 Patient Safety Indicator VII
81(1)
5.8.8 Patient Safety Indicator VIII
81(1)
5.8.9 Patient Safety Indicator IX
82(1)
5.8.10 Patient Safety Indicator X
82(1)
5.8.11 Patient Safety Indicator XI
82(1)
5.8.12 Patient Safety Indicator XII
83(1)
5.8.13 Patient Safety Indicator XIII
83(1)
5.8.14 Patient Safety Indicator XIV
84(1)
5.8.15 Patient Safety Indicator XV
84(1)
5.8.16 Patient Safety Indicator XVI
84(1)
5.9 Problems
85(1)
5.10 References
85(4)
6 Medication Safety and Errors
89(20)
6.1 Introduction
89(1)
6.2 Medication Safety in Emergency Departments
89(3)
6.2.1 Prescribing Stage Safety Checks/Measures
90(1)
6.2.2 Transcribing Stage Safety Checks/Measures
90(1)
6.2.3 Dispensing Stage Safety Checks/Measures
91(1)
6.2.4 Administration Stage Safety Checks/Measures
91(1)
6.2.5 Monitoring Stage Safety Checks/Measures
92(1)
6.3 Medication Safety in Operating Rooms
92(1)
6.4 Drug Labeling or Packaging-Related Problems
93(1)
6.5 Prescribing Faults
94(1)
6.6 Medication-Use Safety Indicators
95(7)
6.6.1 Prescribing/Ordering Indicators
95(1)
6.6.1.1 Indicator I
95(1)
6.6.1.2 Indicator II
96(1)
6.6.1.3 Indicator III
96(1)
6.6.1.4 Indicator IV
96(1)
6.6.1.5 Indicator V
97(1)
6.6.2 Preparation and Dispensing Indicators
97(1)
6.6.2.1 Indicator I
97(1)
6.6.3 Administration Indicators
97(1)
6.6.3.1 Indicator I
97(1)
6.6.3.2 Indicator II
98(1)
6.6.3.3 Indicator III
98(1)
6.6.4 Monitoring/Assessment Indicators
98(1)
6.6.4.1 Indicator I
98(1)
6.6.4.2 Indicator II
99(1)
6.6.4.3 Indicator III
99(1)
6.6.5 Purchasing/Inventory Management Indicators
99(1)
6.6.5.1 Indicator I
99(1)
6.6.6 Systems of Care Indicators
100(1)
6.6.6.1 Indicator I
100(1)
6.6.6.2 Indicator II
100(1)
6.6.6.3 Indicator III
100(1)
6.6.6.4 Indicator IV
101(1)
6.6.6.5 Indicator V
101(1)
6.6.6.6 Indicator VI
101(1)
6.7 Medication Error-Related Facts and Figures
102(1)
6.8 Medication Errors Types and Common Reasons for Their Occurrence
102(2)
6.9 Nursing-Related Factors in Medication Errors Occurrence
104(1)
6.10 General Guidelines to Reduce the Occurrence of Medication Errors
105(1)
6.11 Problems
106(1)
6.12 References
106(3)
7 Health Care Workers' Role and Safety and Falls
109(14)
7.1 Introduction
109(1)
7.2 Technology Commonly Used by the Nursing Profession
109(3)
7.3 Relationship between Nursing Workload and Patient Safety
112(1)
7.4 Health Care Worker Hazards
113(1)
7.5 Health Care Worker Musculoskeletal and Needlestick Injuries and Latex Allergy
114(2)
7.6 Health Care Workers' Slip-, Trip-, and Fall-Related Concerns and Prevention Strategies
116(1)
7.7 Inpatient Bed Falls
116(2)
7.8 Wheelchair-Related Falls
118(1)
7.9 Fall Prevention Recommendations for Acute and Long-Term Care
119(1)
7.10 Problems
119(1)
7.11 References
120(3)
8 Human Error in Various Medical Areas and Other Related Information
123(18)
8.1 Introduction
123(1)
8.2 Human Error in Anesthesia
123(2)
8.2.1 Methods for Reducing or Preventing Human Error-Related Anesthetic Mishaps
124(1)
8.2.1.1 Method I
124(1)
8.2.1.2 Method II
125(1)
8.3 Human Error in Emergency Medicine
125(2)
8.4 Human Error in Operating Rooms
127(2)
8.5 Human Error in Intensive Care Units
129(1)
8.6 Human Error in Medical Technology Use, Laboratory Testing, Radiotherapy, and Image Interpretation
130(1)
8.7 Factors Contributing to Human Error in Surgical Pathology and Causes of Wrong-Site Surgeries
131(2)
8.8 Reasons for Clinicians Not Reporting and Disclosing Errors and Near Misses
133(1)
8.9 Guidelines for Preventing the Occurrence of Medical Errors
134(1)
8.10 Health Care Human Error Reporting Systems
135(1)
8.11 Problems
136(1)
8.12 References
137(4)
9 Medical Device Safety and Errors
141(12)
9.1 Introduction
141(1)
9.2 Types of Medical Device Safety and Medical Device Hardware and Software Safety
141(1)
9.3 Essential Safety Requirements for Medical Devices, Legal Aspects of Medical Device Safety, and Medical Device Electrical Safety Standards
142(2)
9.4 Software-Related Issues in the Safety of Cardiac Rhythm Management Products
144(1)
9.5 Classifications of Medical Device Accidents and Medical Device Accident Occurrence Probability Estimation
145(2)
9.6 Medical Devices with a High Incidence of Human Error
147(1)
9.7 Medical Device Operator Errors
148(1)
9.8 General Approach to Human Factors during the Medical Device Development Process for Reducing Human Errors
148(2)
9.9 Problems
150(1)
9.10 References
150(3)
10 Medical Device Usability
153(12)
10.1 Introduction
153(1)
10.2 Medical Device Users and Use Environments
153(2)
10.3 Medical Device User Interfaces and Use Description
155(1)
10.4 An Approach to Develop Medical Devices' Effective User Interfaces
155(1)
10.5 Useful Guidelines to Reduce Medical Device/Equipment User-Interface-Related Errors
156(2)
10.6 Designing and Developing Medical Devices for Older User Population
158(1)
10.7 Guidelines for Designing Hand-Operated Devices with Respect to Cumulative Trauma Disorder
159(2)
10.8 Useful Documents for Improving Usability of Medical Devices
161(1)
10.9 Problems
162(1)
10.10 References
163(2)
11 Patient Safety Organizations, Data Sources, and Mathematical Models
165(18)
11.1 Introduction
165(1)
11.2 Patient Safety Organization Types and Functions
165(1)
11.3 Governmental Patient Safety Organizations
166(2)
11.3.1 World Alliance for Patient Safety (WAPS)
167(1)
11.3.2 Agency for Healthcare Research and Quality (AHRQ)
167(1)
11.3.3 National Patient Safety Agency (NPSA)
167(1)
11.3.4 Australian Council for Safety and Quality in Health Care (ACSQHC)
168(1)
11.4 Independent Patient Safety Organizations
168(2)
11.4.1 National Quality Forum (NQF)
169(1)
11.4.2 Australian Patient Safety Foundation (APSF)
169(1)
11.4.3 National Patient Safety Foundation (NPSF)
169(1)
11.4.4 Canadian Patient Safety Institute (CPSI)
170(1)
11.4.5 Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
170(1)
11.5 Data Sources
170(1)
11.6 Mathematical Models
171(9)
11.6.1 Model I
171(1)
11.6.2 Model II
172(1)
11.6.3 Model III
173(3)
11.6.4 Model IV
176(4)
11.7 Problems
180(1)
11.8 References
180(3)
Appendix: Bibliography---Literature on Patient Safety 183(20)
Index 203
B.S. Dhillon