Improving Patient Safety: Tools and Strategies for Quality Improvement

Preface
Editors
List of Contributors
1 Introduction to Patient Safety and Medical Errors
NAKUL KATYAL
2 Developing an Outline for Patient Safety Curriculum
NAKUL KATYAL
3 Understanding System Errors
Section 1 Human Factors Engineering
Clinical Vignette 1: Every Sound Alarms
DANISH KHERANI
Clinical Vignette 2: Man and His Machine
AHMER ASIF
Clinical Vignette 3: Expensive Gift
ANUDEEP YELAM
Section 2 Communication Issues
Clinical Vignette 1: Doctors Are from Mars and Nurses Are from Venus!
TRIPTI CHOPADE
Clinical Vignette 2: Different Paths Yet the Same Goal
TRIPTI CHOPADE
Clinical Vignette 3: It Was Erik’s Fault!
TRIPTI CHOPADE
Clinical Vignette 4: You Are Not Alone!
TRIPTI CHOPADE
Section 3 Culture of Patient Safety
Clinical Vignette 1: A Husband’s Worst Nightmare
EMILY BAILEY
Clinical Vignette 2: A Big No-No
EMILY BAILEY
Clinical Vignette 3: Alice in Wonderland
NIDHI SHANKAR KIKKERI, LAURA QI, AND SHIVARAJ NAGALLI
Clinical Vignette 4: A Doctor’s Curse
SUGANIYA SRIKANTHAN
Clinical Vignette 5: The Real Price of Smoking?
AHMER ASIF
Clinical Vignette 6: A Rainy Night
NIDHI SHANKAR KIKKERI AND LAURA QI
Clinical Vignette 7: Customer Service 101
KEERTHANA KUMAR
Clinical Vignette 8: The Empty Crash Cart
KEERTHANA KUMAR
Clinical Vignette 9: A Punch in the Face
SIREESHA MURALA
Clinical Vignette 10: As the Kings So Are the Subjects
SIREESHA MURALA
Clinical Vignette 11: The Encrypted Message
KEERTHANA KUMAR
Section 4 Electronic Medical Records and Patient Safety
Clinical Vignette 1: Rubik’s Cube
ANUDEEP YELAM
Clinical Vignette 2: A Hurried Miss
ANUDEEP YELAM
Clinical Vignette 3: A Case of Mistaken Identity
ANUDEEP YELAM
4 Understanding Diagnostic Errors
Clinical Vignette 1: Is First Love the True Love?
HARLEEN KAUR
Clinical Vignette 2: Experience Is the Teacher of All Things or Is It?
HARLEEN KAUR
Clinical Vignette 3: The Man with the Black Coat
HARLEEN KAUR
Clinical Vignette 4: Don’t Question Me!
HARLEEN KAUR
Clinical Vignette 5: Trouble with the Curve
HARLEEN KAUR
Clinical Vignette 6: The New Epidemic
HARLEEN KAUR
5 Understanding Human/Provider Errors
Clinical Vignette 1: Does Age Bring Wisdom?
HARLEEN KAUR
Clinical Vignette 2: The Zero-Sum Game
HARLEEN KAUR
Clinical Vignette 3: Do We Owe our Patients our Lives?
HARLEEN KAUR
6 Tools and Strategies for Quality Improvement and Patient Safety: A Primer for Healthcare Providers
ANUDEEP YELAM AND RAGHAV GOVINDARAJAN
Index