Open access peer-reviewed Edited volume

Vignettes in Patient Safety

Volume 1

Edited by Michael S. Firstenberg

Northeast Ohio Medical University

Co-editor:

Stanislaw P. Stawicki

St. Luke's University Health Network

It is clearly recognized that medical errors represent a significant source of preventable healthcare-related morbidity and mortality. Furthermore, evidence shows that such complications are often the result of a series of smaller errors, missed opportunities, poor communication, breakdowns in established guidelines or protocols, or system-based deficiencies. While such events often start with the misadventures of an individual, it is how such events are managed that can determine outcomes and hopefully prevent future adverse events. The goal of Vignettes in Patient Safety is to illustrate and discuss, in a clinically relevant format, examples in which evidence-based approaches to patient care, using established methodologies to develop highly functional multidisciplinary teams, can help foster an institutional culture of patient safety and high-quality care delivery.

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Vignettes in Patient SafetyVolume 1Edited by Michael S. Firstenberg

Published: September 13th 2017

DOI: 10.5772/66106

ISBN: 978-953-51-3520-3

Print ISBN: 978-953-51-3519-7

Books open for chapter submissions

2640 Total Chapter Downloads

chaptersDownloads

Open access peer-reviewed

1. Introductory Chapter: The Decades Long Quest Continues Toward Better, Safer Healthcare Systems

By Stanislaw P. Stawicki and Michael S. Firstenberg

239

Open access peer-reviewed

2. Improving Childbirth and Maternal Care - How to Foster the Use of Good Practices for Patient Safety

By Barbara Labella, Roberta De Blasi, Vanda Raho, Giulia De Matteis, Quinto Tozzi and Giovanni Caracci

225

Open access peer-reviewed

3. Transitions of Care: Complications and Solutions

By Philip Salen

262

Open access peer-reviewed

4. Dangers of Polypharmacy

By Pamela L. Valenza, Thomas C. McGinley, James Feldman, Pritiben Patel, Kristine Cornejo, Najmus Liang, Roopa Anmolsingh and Noble McNaughton

313

Open access peer-reviewed

5. Wrong Patient, Wrong Drug: An Unfortunate Confluence of Events

By Anna Njarlangattil Thomas, Danielle Belser, Stephanie Rabenold, Omalara Olabisi Bamgbelu, Amaravani Mandalapu, Michael Pipestone, Alaa‐Eldin A Mira and Ric Baxter

207

Open access peer-reviewed

6. Inadequate Decontamination Procedures: Sepsis Following Uneventful Endoscopy

By Ellyn A. Smith, Kimberly J. Chaput and Berhanu M. Geme

206

Open access peer-reviewed

7. Unnecessary Complications: The Forgotten Indwelling Urinary Catheter

By Kathleen A. Hromatka and Weidun Alan Guo

269

Open access peer-reviewed

8. Pressure Injury in the ICU: Major Reconstructive Surgery Required

By Ashley Jordan

274

Open access peer-reviewed

9. Wrong Blood Type: Transfusion Reaction

By Holly Ringhauser and James Cipolla

313

Open access peer-reviewed

10. Patient Self-Harm in the Emergency Department: An Evidence- Based Approach

By Ronya Silmi, Joshua Luster, Jacqueline Seoane, Stanislaw P. Stawicki, Thomas J. Papadimos, Farhad Sholevar and Christine Marchionni

332

Edited volume and chapters are indexed in

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

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