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Ensuring the delivery of quality, accessible, affordable, and safe healthcare presents an ongoing complex challenge crucial to the progression and advancement of modern healthcare systems. In addition to providing the highest quality health care to patients, healthcare leadership and systems must also provide for the safety and security of healthcare providers throughout the entire, complex healthcare conglomerate, including pre-hospital providers, pharmacists, patient care technicians, radiological technicians, nurses, physical therapists, physician extenders, and physicians. Every aspect of care provided merits consideration for quality improvement, augmenting clinical efficiency, promoting effective, efficient collaboration and coordination between different clinical services, curtailing exorbitant healthcare costs, and boosting patient and provider safety. This third installment of Contemporary Topics in Patient Safety examines a broad variety of interrelated connected themes corresponding to the benefits and challenges of providing safety-focused quality patient care via improved clinical infrastructure, conceptual planning, symbiotic team-building enhancements, and sage leadership. The elements, issues, and dilemmas discussed in this textbook pertain to both resource-replete and resource-challenged nations, and to worldwide health systems, which develop uniquely in response to unique, local conundrums and dilemmas. Topics discussed in this volume address the central factors of identifying and facilitating the promotion of continual advancement of clinical routines and regimens among individuals and medical teams as well as institutional practices towards enhanced safety and improved outcomes.
Providing and enhancing high-quality, safe patient care is both a complex process and essential to healthcare evolution. Ranging from pre-hospital environments to clinical milieus in emergency departments, gastrointestinal procedure units, operating rooms, rehabilitation facilities, and critical care units, every element of complex clinical arenas offers opportunities for improvement, including promoting patient and staff safety, optimizing clinical outcomes, enhancing clinical cooperation between service providers, boosting care efficiency, and reducing excessive costs. This book discusses clinical infrastructures, theoretical advisements, cooperative team-building considerations, and an assortment of clinical principles essential to a better understanding of patient safety in the context of complex clinical care, both in and out of the hospital environment. In addition, this collection outlines strategies important to the effective incorporation of enhanced patient safety protocols and principles that are central to improving healthcare networks and systems. The principles, ideas, and challenges presented in this book apply to both resource-abundant and resource-limited environments as well as to global health networks, which continue to evolve with respect to their own unique challenges, cultures, and other characteristics. This book highlights different modes of healthcare delivery across diverse outpatient, prehospital, and inpatient settings with the aim of improving the patient experience while focusing on safety as an integral component of modern health care. The themes discussed in this volume focus on the core issues of distinguishing and promoting opportunities for the advancement of perpetual improvement of clinical practice among individuals and groups of practitioners as well as the importance of designing and implementing safety-centric institutional processes.
As healthcare systems continue to evolve, it is clear that providing safe, high-quality care to patients is an extremely complex process. Ranging from multi-disciplinary teams to bedside care, virtually every aspect of the patient-care experience provides us with an opportunity for doing things better, from improving efficiency, safety, and overall outcomes to reducing costs and promoting team synergy. This book, the fifth in our patient safety series collection, consists of chapters that help explore key concepts related to both the safety and quality of care. In a departure from the vignette-driven format of our earlier books, this installment gravitates toward discussing frameworks, theoretical considerations, team-centric approaches, and a variety of other concepts that are critical to both our understanding and the implementation of safer and better-performing health systems. We also feel that the knowledge presented herein increasingly applies across the world, especially as global health systems evolve and mature over time. It is our goal to improve the recognition of potential opportunities that will highlight various aspects of the delivery of healthcare and thus contribute to better patient experiences, with safety at the forefront. Topics covered in this volume, as well as the previous volumes, highlight the critical importance of identifying and addressing opportunities for improvement, not as one-time events, but rather as continuous, hardwired institutional processes.
Over the past decade it has been increasingly recognized that medical errors constitute an important determinant of patient safety, quality of care, and clinical outcomes. Such errors are both directly and indirectly responsible for unnecessary and potentially preventable morbidity and/or mortality across our healthcare institutions. The spectrum of contributing variables or "root causes" - ranging from minor errors that escalate, poor teamwork and/or communication, and lapses in appropriate protocols and processes (just to name a few) - is both extensive and heterogeneous. Moreover, effective solutions are few, and many have only recently been described. As our healthcare systems mature and their focus on patient safety solidifies, a growing body of research and experiences emerges to help provide an organized framework for continuous process improvement. Such a paradigm - based on best practices and evidence-based medical principles- sets the stage for hardwiring "the right things to do" into our institutional patient care matrix. Based on the tremendous interest in the first two volumes of The Vignettes in Patient Safety series, this third volume follows a similar model of case-based learning. Our goal is to share clinically relevant, practical knowledge that approximates experiences that busy practicing clinicians can relate to. Then, by using evidence-based approaches to present contemporary literature and potential contributing factors and solutions to various commonly encountered clinical patient safety scenarios, we hope to give our readers the tools to help prevent similar occurrences in the future. In outlining some of the best practices and structured experiences, and highlighting the scope of the problem, the authors and editors can hopefully lend some insights into how we can make healthcare experiences for our patients safer.
Over the past decade it has been increasingly recognized that medical errors constitute an important determinant of patient safety, quality of care, and clinical outcomes. Such errors are both directly and indirectly responsible for unnecessary and potentially preventable morbidity and/or mortality across our healthcare institutions. The spectrum of contributing variables or ""root causes"" - ranging from minor errors that escalate, poor teamwork and/or communication, and lapses in appropriate protocols and processes (just to name a few) - is both extensive and heterogeneous. Moreover, effective solutions are few, and many have only recently been described. As our healthcare systems mature and their focus on patient safety solidifies, a growing body of research and experiences emerges to help provide an organized framework for continuous process improvement. Such a paradigm - based on best practices and evidence-based medical principles- sets the stage for hardwiring ""the right things to do"" into our institutional patient care matrix. Based on the tremendous interest in the first two volumes of The Vignettes in Patient Safety series, this third volume follows a similar model of case-based learning. Our goal is to share clinically relevant, practical knowledge that approximates experiences that busy practicing clinicians can relate to. Then, by using evidence-based approaches to present contemporary literature and potential contributing factors and solutions to various commonly encountered clinical patient safety scenarios, we hope to give our readers the tools to help prevent similar occurrences in the future. In outlining some of the best practices and structured experiences, and highlighting the scope of the problem, the authors and editors can hopefully lend some insights into how we can make healthcare experiences for our patients safer.
Graduate medical education (GME) continues its decades-long evolution. Evidence-based approaches are increasingly transforming the way we educate, evaluate, and promote GME trainees. Key to this transformation is our ability to recognize that “medical education” constitutes a true lifelong continuum, beginning with pre-medical education, then proceeding to medical school, residency (and potentially subsequent fellowship) training, and then finally the so-called maintenance of certification that continues throughout one’s entire professional career. This book explores a broad range of important topics, including the novel concept of “coping intelligence,” the important role of “work-life integration,” professional coaching and mentorship, professional development and career-long learning, patient-provider relationship, the impact of the COVID-19 pandemic on medical education, as well as the introduction of modern technologies to ameliorate the effects of social distancing. The book further discusses two important aspects of GME program management: the process of establishing new GME programs as well as the highly intricate process of merging residency programs. Different aspects and perspectives are incorporated, including those of residents, faculty, and program leadership. The book ends with chapters on diversity, equity and inclusion, and the importance of community-based medical education.
This book presents a practical approach to patient safety issues with a focus on evolution and understanding the key concepts in health care and turning them into implementable actions. With its contemporary approach and lucid presentation, this book is a valuable resource for practicing doctors in medicine and surgery to treat their patients with care, diligence and vigilance and contribute to a safer practice in health care.