The book opens with a summary on the main theories representative
of human error, such as: "Bad Apples Theory", "Normal Accident
Theories" and "High Reliability Organizations Theory". Following
this, the authors define mistakes in the diagnostic process,
identifying their major causes and suggesting several principles
for optimal, bias-free diagnoses. Evidence is presented which
supports the idea that the Common Assessment Framework is a total
quality management tool that public organizations can use for free
for their self-assessment, aiming to improving their administrative
capacity and services without having to ask for support from
external sources. An analytical exploration of patient advocacy
related to patient safety and the concept of a
"Theory-Practice-Ethics gap" is presented, reinforcing the
importance of their synonymous relationship for trustworthy
healthcare practices. The concluding chapter proposes that inline
fluid warming devices must employ the safest technology to ensure
patients are not exposed to additional risks during the active
warming of infused fluids.
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