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Patient Safety - A Human Factors Approach (Paperback)
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Patient Safety - A Human Factors Approach (Paperback)
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Increased concern for patient safety has put the issue at the top
of the agenda of practitioners, hospitals, and even governments.
The risks to patients are many and diverse, and the complexity of
the healthcare system that delivers them is huge. Yet the discourse
is often oversimplified and underdeveloped. Written from a
scientific, human factors perspective, Patient Safety: A Human
Factors Approach delineates a method that can enlighten and clarify
this discourse as well as put us on a better path to correcting the
issues. People often think, understandably, that safety lies mainly
in the hands through which care ultimately flows to the
patient-those who are closest to the patient, whose decisions can
mean the difference between life and death, between health and
morbidity. The human factors approach refuses to lay the
responsibility for safety and risk solely at the feet of people at
the sharp end. That is where we should intervene to make things
safer, to tighten practice, to focus attention, to remind people to
be careful, to impose rules and guidelines. The book defines an
approach that looks relentlessly for sources of safety and risk
everywhere in the system-the designs of devices; the teamwork and
coordination between different practitioners; their communication
across hierarchical and gender boundaries; the cognitive processes
of individuals; the organization that surrounds, constrains, and
empowers them; the economic and human resources offered; the
technology available; the political landscape; and even the culture
of the place. The breadth of the human factors approach is itself
testimony to the realization that there are no easy answers or
silver bullets for resolving the issues in patient safety. A
user-friendly introduction to the approach, this book takes the
complexity of health care seriously and doesn't over simplify the
problem. It demonstrates what the approach does do, that is offer
the substance and guidance to consider the issues in all their
nuance and complexity.
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