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Patient Safety A Human Factors Approach

ISBN-10: 1439852251
ISBN-13: 9781439852255
Edition: 2011
Authors: Sidney Dekker
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Description: With coverage ranging from the influence of professional identity in medicine and problematic nature of "human error", to the psychological and social features that characterize healthcare work, to the safety-critical aspects of interfaces and  More...

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Book details

Copyright year: 2011
Publisher: CRC Press LLC
Publication date: 5/20/2011
Binding: Paperback
Pages: 262
Size: 6.00" wide x 9.00" long x 0.75" tall
Weight: 0.308
Language: English

With coverage ranging from the influence of professional identity in medicine and problematic nature of "human error", to the psychological and social features that characterize healthcare work, to the safety-critical aspects of interfaces and automation, this book spans the width of the human factors field and its importance for patient safety today. In addition, the book discusses topics such as accountability, just culture, and secondary victimization in the aftermath of adverse events and takes readers to the leading edge of human factors research today: complexity, systems thinking and resilience.

Medical Competence and Patient Safety
Competence as Individual Virtue or Systems Issue?
Why the Difference in Competence Assumptions?
Good Doctoring and the Pursuit of Perfection
Standardization and the Fear of Scientific-Bureaucratic Medicine
The Expectation of Perfection versus the Inevitability of Mistake
Key Points
References
The Problem of "Human Error" in Healthcare
Numbers Are Strong
The Human Factors Approach
Human Error as Attribution and Starting Point
"I Knew This Could Happen!"
The Local Rationality Principle
Key Points
References
Cognitive Factors of Healthcare Work
Attentional Dynamics
Knowledge Factors
Strategic Factors
Key Points
References
New Technology, Automation, and Patient Safety
The Substitution Myth
Data Overload
Automation Surprises
Evaluating and Testing Medical Technology
Key Points
References
Safety Culture and Organizational Risk
Safety Culture and Drifting into Failure
Risk as Energy to Be Contained
Risk as Complexity
Risk as the Gradual Acceptance of the Abnormal
Risk as a Managerial or Control Problem
Key Points
References
Practical Tools for Creating Safety
Safety Reporting and Organizational Learning
Adverse Event Investigations
Human Factors and Resource Management Training
Briefings and Checklists
Key Points
References
Accountability and Learning from Failure
Learning and Accountability-Just Culture
Criminalization of Medical Error: A Growing Problem?
The Second Victim
Key Points
References
New Frontiers in Patient Safety: Complexity and Systems Thinking
Complicated versus Complex
Newton, Components, and Complexity
The Cartesian-Newtonian Worldview and Adverse Events
Key Points
References
Index

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