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, organizational 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.'
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