Human Factors and Patient Safety - A primer for doctors and medical students (Aug 5, 2024)_(1032796685)_(CRC Press).pdf

Cover
Half Title
Title Page
Copyright Page
Dedication
Contents
Introduction
Preface
1. The history of human error
	What is the real magnitude of medical error?
	Crucial patient safety lessons from landmark industrial disasters
	A short history of medical error
	Watersheds in the recent history of medical human error
2. The cognitive foundations of human error
	The theories and categories of thinking
	The supremacy of the subconscious
	The perils of cognitive biases
	Schemas, stereotypes, and the Einstellung effect
	The virtues of cognitive biases
	The problem of psychological noise
	The pitfalls of memory
	The problem of thinking
	Five steps to better thinking
3. The behavioural foundations of human error
	The nature and scale of bad behaviour in physicians
	The healthcare consequences of disruptive physician behaviour
	Are some doctors error-prone?
	Cracking the problem of the disruptive physician
	The professional etiquette of patient engagement
	Emotions and the patient–doctor relationship
	Facing up to physician burnout
	Physician suicide
4. The clinical foundations of human error
	The art and science of making a diagnosis
	The pitfalls of the medical consultation
	Dealing with the challenge of diagnostic uncertainty
	The critical importance of diagnostic flexibility
	The value of follow-up
	The causes and consequences of diagnostic failure
	The cognitive drivers of diagnostic failure
	The perils of diagnostic overconfidence
	The hidden hazards of overdiagnosis
	Combatting the menace of diagnostic failure
	The nature of expertise
	The attainment of expertise
	The downsides of expertise
	The behavioural competencies of effective teamwork
	The communication competencies of effective teamwork
	The communication tools of effective teamwork
	The clinical benefits of mindful practice
5. The systemic foundations of human error
	The foundations of organisational safety
	The drivers of organisational safety failure
	The remedies of organisational safety failure
	Medical device safety hazards and human error
6. The foundations of patient safety management
	An introduction to patient safety incidents
	The most egregious patient safety incidents
	The principles of responding to patient safety incidents
	The benefits of patient safety incident disclosure
	The obstacles hindering patient safety incident disclosure
	How to disclose patient safety incidents effectively
	The investigation of patient safety incidents
	Apologising after patient safety incidents
	Forgiveness after patient safety incidents
	Compensation for patient safety incidents
	The non-judicial resolution of patient safety incidents
	Why do patients sue their doctors after adverse events?
	How to avoid litigation arising from patient safety incidents
	The determinants of successful litigations after patient safety incidents
	The predicament of the second victim of patient safety incidents
	Safeguarding the second victim of patient safety incidents
7. The foundations of human factors management
	The importance of clinical guidelines in preventing medical error
	How to develop effective clinical guidelines
	The power of checklists in preventing human error
	The application of checklists in preventing human error
	The downsides of checklists in preventing human error
	Medication safety in preventing human error
	Risk communication in the prevention of human error
	The patient’s role in preventing human error
	Speaking up and whistleblowing in preventing human error
	The morbidity and Mortality Conference in preventing human error
	Patient safety training in preventing human error
	Teamwork training in preventing human error
Index