Patient Safety in Emergency Medicine

With the increased emphasis on reducing medical errors in an emergency setting, this book will focus on patient safety within the emergency department--where preventable medical errors often occur. The book will provide both an overview of patient safety within health care--the 'culture of safety,' importance of teamwork, organisational change--and specific guidelines on issues such as medication safety, procedural complications, and clinician fatigue, to ensure quality care in the ED. Special sections discuss ED design, medication safety, and awareness of the 'culture of safety. Table Of Contents Marking the Territory, Understanding the Challenges 1 * Ch 1. The Nature of Emergency Medicine * Ch 2. The History of Safety in Health Care * Ch 3. Patient Safety and Continuous Quality Improvement-A User's Guide * Ch 4. A Safe Culture in the Emergency Department II Organizational Approaches to Safety * Ch 5. Sensemaking, High-reliability Organizing, and Resilience * Ch 6. Information Flow and Problem Solving * Ch 7. The Healthy Emergency Department III Understanding Success and Failure * Ch 8. Approaches to Understanding Success and Failure * Ch 9. Developing Taxonomies for Adverse Events in Emergency Medicine * Ch 10. Principles of Incident Reporting * Ch 11. Incident Monitoring in the Emergency Department * Ch 12. Reporting and Investigating Events IV Designing and Managing the Safe Emergency Department * Ch 13. Critical Processes in the Emergency Department * Ch 14. Human Factors Engineering and Safe Systems * Ch 15. Emergency Department Design and Patient Safety: Tracking the Trade-offs * * Ch 16. Medical Informatics and Patient Safety * Ch 17. Laboratory Error and the Emergency Department * Ch 18. Ensuring Reliable Follow-up of Critical Test Results in the Emergency Department Setting * Ch 19. Radiology in the Emergency Department: Patient Safety Issues with Digital Imaging * Ch 20. Medication Safety in Health Care Systems * Ch 21. Medication Safety in the Emergency Department * Ch 22. Emergency Department Overcrowding, Patient Flow, and Safety * Ch 23. Coordinating Critical Care from the Emergency Department to the Intensive Care Unit * Ch 24. Discharging Safely from the Emergency Department V It's About the Team, It's About Communication * Ch 25. Teams and Teamwork in Emergency Medicine * Ch 26. Communication in Emergency Medical Teams * Ch 27. Teamwork in Medicine: Crew Resource Management and Lessons from Aviation * Ch 28. Authority Gradients and Communication * Ch 29. Transitions in Care: Safety in Dynamic Environments VI Safe Medical Practice * Ch 30. Critical Decision Making in Chaotic Environments * Ch 31. Critical Thinking and Reasoning in Emergency Medicine * Ch 32. Cognitive and Affective Dispositions to Respond * Ch 33. Thinking in a Crisis: Use of Algorithms * Ch 34. Knowledge Translation * Ch 35. Procedures and Patient Safety VII Optimizing Human Performance * Ch 36. Outcome Feedback and Patient Safety * Ch 37. Shiftwork, Fatigue, and Safety in Emergency Medicine * Ch 38. Individual Factors in Patient Safety VIII Educating for Safety * Ch 39. Patient Safety Curriculum * Ch 40. Medical Simulation * Ch 41. Morbidity and Mortality Conference and Patient Safety in Emergency Medicine * Ch 42. The Cognitive Autopsy: Gaining Insight into Diagnostic Failure * Ch 43. Training for Patient Safety in Invasive Procedures: A Novel Use of Real Clinical Video Clips IX The Aftermath of Medical Failure * Ch 44. A Health Care Advocate's Journey * Ch 45. Disclosure of Error * Ch 46. Recovering from Error: Apologies * Ch 47. Health Care Providers: The Second Victims of Medical Error X Regulating Safety * Ch 48. The Role of Licensing Boards and Regulatory Agencies in Patient Safety XI Leading a Safe Department XII Forging a Path for Safety Glossary Index