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Patient Safety: Investigating and Reporting Serious Clinical Incidents

Autor Russell Kelsey
en Limba Engleză Paperback – 28 aug 2023
The second edition of this well-received book, the first to provide detailed guidance on how to conduct incident investigations in primary care, has been thoroughly revised and updated throughout to reflect the current nomenclature for different aspects of the investigatory process in the UK and the latest format for incident reporting.
Key features:
  • Explains how to recognise a serious clinical incident, how to conduct a root cause analysis (RCA) investigation, and how and when duty of candour applies
  • Covers the technical aspects of serious incident recognition and report writing
  • Includes a wealth of practical advice and 'top tips', including how to manage the common pitfalls in writing reports
  • Offers practical advice as well as some new and innovative tools to help make the RCA process easier to follow
  • Explores the all-important human factors in clinical incidents in detail, with multiple examples and worked-through cases studies as well as in-depth sample reports and analysis.
At a time of increasing regulatory scrutiny and medico-legal risk, in which failure to manage appropriately can have serious consequences both for service organisations and for individuals involved, this concise and convenient book continues to provide a master class for anyone performing RCA and aiming to demonstrate learning and service improvement in response to serious clinical incidents. It is essential reading for any clinical or governance leads in primary care, including GP practices, 'out-of-hours', urgent care centres, prison health and NHS 111. It also offers valuable insights to any clinician who is in training or working at the coal face who wishes to understand how serious clinical incidents are investigated and managed.
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Specificații

ISBN-13: 9781032377834
ISBN-10: 1032377836
Pagini: 249
Ilustrații: 38 Tables, black and white; 14 Line drawings, black and white; 14 Illustrations, black and white
Dimensiuni: 156 x 234 x 16 mm
Greutate: 0.36 kg
Ediția:2 ed
Editura: CRC Press
Colecția CRC Press

Public țintă

Postgraduate and Professional Practice & Development

Notă biografică

Dr Russell Kelsey is a GP and independent investigator of serious clinical incidents. He has developed a highly successful and popular CPD accredited training course on SI recognition and Root Cause Analysis investigation.

Cuprins

About the Author. Introduction: Why do we still miss appendicitis? Clinical incident investigation: Background and context. How do we recognise patient safety incidents that need in-depth investigation? Recognising serious patient safety incidents using the SIRT: Case studies. A culture of complaint: Openness, candour and blame. RCA: Understanding what happened. RCA: Understanding how. RCA: Understanding why. Understanding why: System factors. Understanding why: Human error, Part 1. Understanding why: Human error, Part 2: Situational awareness and high-pressure environments. Root cause. Learning and recommendations. Solution design and changing cultures. Writing reports. Glossary. Index.

Descriere

The second edition of this well-received book, the first to provide detailed guidance on how to conduct incident investigations in primary care, has been thoroughly revised and updated throughout to reflect the current nomenclature for different aspects of the investigatory process in the UK and the latest format for incident reporting.

Recenzii

"This is a well organised, well written, and absorbing book offers a real masterclass for anyone performing Root Analysis and aiming to demonstrate learning and service improvement in response to serious clinical incidents. It should be essential reading for any clinical or governance leads in primary care, including GP practices, out-of-hours, urgent care centres, prison health and NHS 111."
Jacky Steemson, OS&H Journal, July 2017

Highly Commended (Health and Social Care category), 2017 British Medical Association Book Awards
"I wholeheartedly recommend this book to anyone seeking a well-written, informative and interesting text on medical incident analysis. The reader will emerge well-informed on the investigation of serious medical incidents, and will likely find the experience enjoyable. The conversational style, comprehensive cover, and use of relevant case histories from primary care makes this a valuable and informative resource. It is the best text I have read on the subjects of serious medical investigation and RCA."
The British Medical Association, 2017