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Errors, Medicine and the Law
Untoward injuries are unacceptably common in medical treatment, at times with tragic consequences for patients. The phrases 'an epidemic of error' and 'the medical toll' have been coined to describe this problem of 'iatrogenic harm', which it has been suggested may have contributed to 98,000 deaths per year in the US. Some of these incidents are the result of negligence on the part of doctors, but more usually they are no more than inevitable concomitants of the complexity of modern healthcare. This book is fundamentally about distinguishing the former from the latter. Although medicine is used as the book's primary example, the points made apply equally to aviation, industrial activities, and many other fields of human endeavour. The book advocates a more informed alternative to the blaming culture which has increasingly come to dominate our response to accidents, whether in the medical field or elsewhere.
Merry and McCall Smith's Errors, Medicine and the Law
Errors and violations harm many patients: this book explores how to improve both accountability and patient safety in healthcare.
Handbook of Communication in Anaesthesia, Pain Management, and Intensive Care
Communication in anaesthesia, pain management, and intensive care can have profound impacts on patients and healthcare colleagues. Good communication can result in better patient outcomes and experiences of the hospital setting, whereas poor communication is frequently at the heart of adverse incidents, complaints, and litigation. This handbook outlines two model frameworks to improve communication: one to give structure to an interaction and one that explores language structures and the layers of meaning to our words. The frameworks are essential tools for communicating with children, obstetric patients, and those with needle phobia. A practical guide, the book is packed with useful tips to...
Managing Clinical Processes in Health Services
"Managing Clinical Processes is the first book of its kind to address the concept of clinical process management, and to integrate the clinical workplace within the corporate organisation for the Australian health services industry. It provides clinicians and managers with an understanding of the demands and expectations of modern health services from a patient, consumer and multidisciplinary perspective, and how to manage them. The text offers an evidence-based approach to organising, evaluating and revising the processes that constitute a health service, based on systematising care processes for specific clinical case types. Managing Clinical Processes in Health Services will be invaluable to those integrating and improving systems of clinical process management across the organisation"--Provided by publisher.
The Criminal Justice System and Health Care
This book examines questions of medical accountability and ethics. It analyses how the criminal justice system regulates health care practice, and to what extent it can and should be used as a tool to resolve ethical conflict in health care. For most of the twentieth century, criminal courts were engaged in matters relating to medicine principally as a forum to resolve ethical controversies over the sanctity of life. However, the judiciary approached this function with reluctance and a marked tendency to defer to the medical profession to define what constituted ethical, and thus lawful conduct. However, over the past 25 years, criminal courts have increasingly been drawn into these types of...
Cardiothoracic Critical Care
This new bedside manual guides you through all the practical aspects of managing patients following cardiothoracic surgery and critically ill cardiology patients. Primarily designed to use in cardiothoracic intensive care units and coronary care units, it covers the perioperative management for the full range of cardiothoracic surgical procedures, the management of complications, and related issues. Core topics in cardiothoracic critical care, such as hemodynamic instability, arrhythmias, bleeding, and mechanical cardiac support, are afforded broad coverage. Also included are sections on advanced ventilatory techniques and veno-venous ECMO for treating severe respiratory failure, as well as ...
Core Topics in Cardiac Anesthesia
Since the publication of the first edition of Core Topics in Cardiac Anesthesia, the clinical landscape has undergone significant change. Recent developments include the increased use of electrophysiology, the resurgence of primary percutaneous intervention in acute coronary syndromes, the use of percutaneous devices in patients previously considered inoperable, and the withdrawal of aprotinin. Against this landscape, this invaluable resource has been fully updated. New chapters are dedicated to right heart valves, pulmonary vascular disease, cardiac tumours and cardiac trauma. All other chapters have been updated according to the latest international guidelines. Written and edited by an international author team with a wealth of expertise in all aspects of the perioperative care of cardiac patients, topics are presented in an easy to digest and a readily accessible manner. Core Topics in Cardiac Anesthesia, Second Edition is essential reading for residents and fellows in anesthesia and cardiac surgery and clinical perfusionists.
Anaesthetic and Perioperative Complications
Anaesthetic and Perioperative Complications dissects the nature of complications and helps anaesthetists and anaesthetic practitioners understand, avoid and manage them efficiently. Leading experts combine the detailed clinical management of common and important anaesthetic and perioperative complications with discussion of the key philosophical, ethical and medico-legal issues that arise with assessing a medical complication. Initial chapters discuss how and why complications occur, the prevention of complications and risk management. The main body of the text reviews the clinical management of airway, respiratory, cardiovascular, neurological, psychological, endocrine, hepatic, renal and transfusion-related complications, as well as injury during anaesthesia, complications related to regional and obstetric anaesthesia, drug reactions, equipment malfunction and post-operative management of complications. Each chapter contains sample cases of complications and medical errors, giving clinical scenario, outcomes and recommendations for improved management. This is an important practical and clinical text for all anaesthetists and anaesthetic practitioners, both trained and trainees.
Medication Safety During Anesthesia and the Perioperative Period
"Medication errors are the most common of all medical errors and pose a tremendous emotional and physical cost to patients and economic burden to our health system. The most reliable estimates of medication error in anesthesia place the rate at 1-2 in every 10 administrations, or 1 in every anesthetic. Most of the errors are harmless but other wreak devastation. These errors are a failure to plan well, or to carry out a well-designed plan; less talked about but perhaps more important are routine violations of best practices. Errors arise through fast and slow thinking; violations arise from a myriad of causes. There is an extensive body of expert consensus on how to improve medication safety...
Safety and Ethics in Healthcare
A single coherent source of information on the various interlinking domains of patient safety, litigation and ethical behaviour, based on accounts of real-life situations and intended for all healthcare students, specialists and administrators.
