ABOUT THIS BOOK
- Contains bullet-point lists of specific definitions related to complications and adverse events, such as, legislative aspects of tort law
- Contains tables and algorithms which outline risk stratification protocols before surgery, and surgical salvage options for specific surgical complications
- Contains an appendix with links for patient advocacy groups and other specialist contacts
In general, surgeons strive to achieve excellent results and ideal patient outcomes, however, this noble task is frequently failed. For patients, surgical complications are analogous to “friendly fire” in wartime. Both scenarios imply that harm is unintentionally done by somebody whose aim was to help. Interestingly, adverse events resulting from surgical interventions are more frequently related to system errors and a communication breakdown among providers, rather than to the imminent threat of the surgical blade “gone wrong”. Patient Safety in Surgery aims to increase the safety and quality of care for patients undergoing surgical procedures in all fields of surgery. Patient Safety in Surgery, covers all aspects related to patient safety in surgery, including pertinent issues of interest to surgeons, medical trainees (students, residents, and fellows), nurses, anaesthesiologists, patients, patient families, advocacy groups, and medicolegal experts.
Content Level » Professional/practitioner
Keywords » General Surgery - Patient Safety - Surgery
Related subjects » Medicine - Surgery
TABLE OF CONTENTS
General aspects.- Chapter 1: Definitions.- Chapter 2: Classification of Complications.- Chapter 3: Incidence of Common Complications and Medical Errors.- Chapter 4: Non-Technical Aspects of Safe Surgical Performance.- Chapter 5: Efficient Communication – Tips and Tricks.- Chapter 6: Professionalism in Healthcare.- Chapter 7: The Informed Consent.- Chapter 8: The “2nd Opinion”.- Chapter 9: Patient Safety Protocols and Regulatory Compliance.- Chapter 10: The Universal Protocol – Pitfalls and Pearls.- Chapter 11: “Never Events” and “Always Events”.- Chapter 12: Prevention of In-Hospital Mortality.- Chapter 13: Rapid Response Escalation Protocols.- Chapter 14: Lessons from Other High-Risk Domains.- Chapter 15: Public Safety-Net Models.- Chapter 16: Research and Patient Safety.- Chapter 17: Evidence-based Medicine and Patient Safety.- Chapter 18: Electronic Medical Records and Patient Safety.- III. The Surgeon’s perspective.- Chapter 19: “Friendly Fire” - The Surgical Complication.- Chapter 20: The Missed Injury – A “Preoperative Complication”.- Chapter 21: Diagnostic Errors – The New Frontier.- Chapter 22: Prevention of Complications.- Chapter 23: Reporting of Complications.- Chapter 24: Disclosure of Complications.- Chapter 25: Quality Assurance in Surgery.- Chapter 26: The Surgical Safety Checklist.- III. Additional Perspectives.- Chapter 27: The Anesthesia Perspective.- Chapter 28: The Nursing Perspective.- Chapter 29: The Patient’s Perspective.- Chapter 30: The Legal Perspective.- Chapter 31: The Ethical Perspective.- Chapter 32: Patient Safety – The U.S. Perspective.- Chapter 33: Patient Safety – The European Perspective.- Chapter 34: Patient Safety – The “3rd World” Perspective.- IV. Case examples of Preventable Complications.- Chapter 35: Case Example #1: Communication Breakdown.- Chapter 36: Case Example #2: Error in Diagnosis.- Chapter 37: Case Example #3: Technical Error.- Chapter 38: Case Example #4: “Never Event”.- Chapter 39: Case Example #5: Protocol Violation.- Chapter 40: Case Example #6: The “Worst Case Scenario”.- V. Conclusion and Future Perspectives.- Chapter 41: Building a Global “Culture of Patient Safety”.- Chapter 42: Future Directions.- VI. Appendix.- Appendix 1: Templates for Informed Consent for Invasive Procedures.- Appendix 2: Resources for a Formal “2nd Opinion”.- Appendix 3: Resources for Patient Advocacy Groups.- Appendix 4: Additional Links and Resources.
AUTHORS & EDITORS
Philip F. Stahel, MD, FACS Department of Orthopaedics, Denver Health Medical Center, University of Colorado, Denver, CO, USA Cyril Mauffrey MD, MRCS (UK), FRCS (UK) Department of Orthopedics, Denver Health medical Centre, University of Colorado, Denver, CO, USA