Open access peer-reviewed Edited Volume

Vignettes in Patient Safety

Volume 3

Edited by Stanislaw P. Stawicki

St. Luke's University Health Network


Michael S. Firstenberg

William Novick Global Cardiac Alliance

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.

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Vignettes in Patient SafetyVolume 3Edited by Stanislaw P. Stawicki

Published: September 5th 2018

DOI: 10.5772/intechopen.71975

ISBN: 978-1-78923-663-7

Print ISBN: 978-1-78923-662-0

eBook (PDF) ISBN: 978-1-83881-636-0

Copyright year: 2018

Books open for chapter submissions

9872 Total Chapter Downloads

13 Crossref Citations

9 Web of Science Citations

19 Dimensions Citations


Open access peer-reviewed

1. Introductory Chapter: Medical Error and Associated Harm - The The Critical Role of Team Communication and Coordination

By Alyssa Green, Stanislaw P. Stawicki and Michael S. Firstenberg


Open access peer-reviewed

2. Defining Adverse Events and Determinants of Medical Errors in Healthcare

By Vasiliki Kapaki and Kyriakos Souliotis


Open access peer-reviewed

3. Adverse Events in Hospitals: “Swiss Cheese” Versus the “Hierarchal Referral Model of Care and Clinical Futile Cycles”

By Michael Buist


Open access peer-reviewed

4. Fact versus Conjecture: Exploring Levels of Evidence in the Context of Patient Safety and Care Quality

By Maryam Saeed, Mamta Swaroop, Daniel Ackerman, Diana Tarone, Jaclyn Rowbotham and Stanislaw P. Stawicki


Open access peer-reviewed

5. Patient Safety Culture in Tunisia: Defining Challenges and Opportunities

By Manel Mallouli, Wiem Aouicha, Mohamed Ayoub Tlili and Mohamed Ben Dhiab


Open access peer-reviewed

6. Learning of Patient Safety in Health Professions Education

By Shimaa ElAraby, Rabab Abdel Ra'oof and Rania Alkhadragy


Open access peer-reviewed

7. Adverse Events during Intrahospital Transfers: Focus on Patient Safety

By Julia C. Tolentino, Jenny Schadt, Benjamin Bird, Franz S. Yanagawa, Thomas B. Zanders and Stanislaw P. Stawicki


Open access peer-reviewed

8. Transfusion Error in the Gynecology Patient: A Case Review with Analysis

By Carly Madison Hornis, R.S. Vigh, J.F. Zabo and E.L. Dierking


Open access peer-reviewed

9. Patient Safety Issues in Pathology: From Mislabeled Specimens to Interpretation Errors

By Derek Tang, Peter A. Dowbeus, Michael S. Firstenberg and Thomas J. Papadimos


Open access peer-reviewed

10. Avoiding Fire in the Operating Suite: An Intersection of Prevention and Common Sense

By Maryam Saeed, Mamta Swaroop, Franz S. Yanagawa, Anita Buono and Stanislaw P. Stawicki


Edited Volume and chapters are indexed in

  • Worldcat
  • OpenAIRE
  • Google Scholar
  • AZ ebsco
  • Base
  • CNKI

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