The term "patient safety" rose to popularity in the late nineties, as the medical community -- in particular, physicians working in nonmedical and administrative capacities -- sought to raise awareness of the tens of thousands of deaths in the US attributed to medical errors each year. But what was causing these medical errors? And what made these accidents to rise to epidemic levels, seemingly overnight? Still Not Safe is the story of the rise of the patient-safety movement -- and how an "epidemic" of medical errors was derived from a reality that didn't support such a characterization.
The term "patient safety" rose to popularity in the late nineties, as the medical community -- in particular, physicians working in nonmedical and administrative capacities -- sought to raise awareness of the tens of thousands of deaths in the US attributed to medical errors each year. But what was causing these medical errors? And what made these accidents to rise to epidemic levels, seemingly overnight? Still Not Safe is the story of the rise of the patient-safety movement -- and how an "epidemic" of medical errors was derived from a reality that didn't support such a characterization.
ROBERT L. WEARS, MD, (1947-2017) was Professor in the Department of Emergency Medicine at the University of Florida and Visiting Professor in the Clinical Safety Research Unit at Imperial College London. His research focused on technical work studies, joint cognitive systems, and understanding the nature of safety and resilience in complex socio-technical systems, including medicine and healthcare. KATHLEEN M. SUTCLIFFE, PhD, is Bloomberg Distinguished Professor at Johns Hopkins University with appointments in the Carey Business School, School of Medicine, and the Armstrong Institute for Patient Safety and Quality. Her interests lie in understanding how high-hazard organizations and systems manage for the unexpected and how they can be designed to be more reliable and resilient.
Inhaltsangabe
Preface Acknowledgements Part I: The Rise of Patient Safety 1. Setting the Stage 2. Beginnings 3. Rationalizing Health Care: Scientific-Bureaucratic Medicine 4. The Special Case of Anesthesia 5. Three Views of 'Human Error' 6. Halting Steps: Early Work on Patient Safety 7. Pressure Builds for Reform Part II: The Reign of Patient Safety 8. Irruption 9. Institutionalization 10. Consolidation and Stagnation Part III: The Waning of Patient Safety 11. Reflections 12. The Future of Patient Safety Afterword Glossary Bibliography
Preface Acknowledgements Part I: The Rise of Patient Safety 1. Setting the Stage 2. Beginnings 3. Rationalizing Health Care: Scientific-Bureaucratic Medicine 4. The Special Case of Anesthesia 5. Three Views of 'Human Error' 6. Halting Steps: Early Work on Patient Safety 7. Pressure Builds for Reform Part II: The Reign of Patient Safety 8. Irruption 9. Institutionalization 10. Consolidation and Stagnation Part III: The Waning of Patient Safety 11. Reflections 12. The Future of Patient Safety Afterword Glossary Bibliography
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