دانلود کتاب Medical Errors and Patient Safety: Strategies to reduce and disclose medical errors and improve patient safety

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Contents\nAcknowledgments\nAbout the author\nAbbreviations\n1 An overview and introduction to concepts\n 1.1 Introduction\n 1.2 Medical error\n 1.3 Magnitude and epidemiology of health care errors\n 1.4 Conclusion\n2 Perceptions of medical error and adverse events\n 2.1 Introduction\n 2.2 Perceptions by physicians\n 2.3 Perceptions by the public\n 2.4 Perceptions by health care staff\n 2.5 Perceptions by medical students\n 2.6 A sociological perception of medical error\n 2.7 Conclusion\n3 Causes of medical error and adverse events\n 3.1 Introduction\n 3.2 The cognitive influence on error-generating behavior\n 3.3 Conclusion\n4 Medical error and strategies for working solutions in clinical diagnostic laboratories and other health care areas\n 4.1 Introduction\n 4.2 Clinical diagnostic laboratories\n 4.3 Errors in different stages of analysis\n 4.4 Strategies for identification and prevention of errors\n 4.5 Errors in emergency medicine\n 4.6 Errors in intensive care medicine\n 4.7 Conclusion\n5 Creating a culture for medical error reduction\n 5.1 Introduction\n 5.2 Education and professional development\n 5.3 Error reporting systems\n 5.4 Leadership and regulatory issues\n 5.5 Establishing a quality care council\n 5.6 Emotional impact of errors on health care professionals\n 5.7 Conclusion\n6 Improving quality in clinical diagnostic laboratories\n 6.1 Introduction\n 6.2 Efforts and programs to ensure quality in clinical diagnostic laboratories\n 6.3 Proficiency testing in clinical laboratories\n 6.4 External quality assessment and proficiency testing programs\n 6.5 \"No-fault\" model\n 6.6 Conclusion\n7 Barriers to open disclosure\n 7.1 Introduction\n 7.2 How to disclose\n 7.3 Disclosing errors to multiple patients\n 7.4 Bioethical viewpoints\n 7.5 Patient-physician relations\n 7.6 The dilemma of an apology\n 7.7 Barriers to full disclosure\n 7.8 Conclusion\n8 International laws and guidelines addressing error and disclosure\n 8.1 Introduction\n 8.2 Disclosing preventable adverse events\n 8.3 International progress and initiatives\n 8.4 Conclusion\n9 The value of autopsy in detecting medical error and improving quality\n 9.1 Introduction\n 9.2 Error in diagnostic medicine\n 9.3 Missed diagnosis and discordance\n 9.4 The value of autopsies\n 9.5 Autopsy decline and strategies to encourage autopsy\n 9.6 Conclusion\n10 Total quality management, six-sigma, and health care\n 10.1 Introduction\n 10.2 New issues, newer solutions\n 10.3 The six-sigma structure\n 10.4 Six-sigma in clinical diagnostic laboratories\n 10.5 Conclusion\nIndex