Technical Errors
Fig. 5.1 This morbidly obese man sustained a femoral shaft fracture as a result of a motor vehicle accident. He was treated by intramedullary nailing using a cephalomedullary reconstruction nail….
Accountability in the Medical Profession
Fig. 11.1 Conceptual framework for stakeholders in patient care Limitations of the Current Practice The practice of medicine has numerous variables which make it vulnerable to human error, as implied…
Effective Communication—Tips and Tricks
Fig. 9.1 Patients present to a physician’s office at some of the worst times of their lives, and are therefore rightfully anxious and intimidated. An open, honest, and transparent communication…
Incidence of ‘Never Events’ and Common Complications
© Springer-Verlag London 2014Philip F. Stahel and Cyril Mauffrey (eds.)Patient Safety in Surgery10.1007/978-1-4471-4369-7_2 2. Incidence of ‘Never Events’ and Common Complications Michael B. Cross1 and Cyril Mauffrey2 (1) Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 East…
Cognitive Errors
Confirmation bias Tendency to seek confirmatory evidence Availability bias The diagnosing of a disease that easily comes to mind Framing bias Occurs when a diagnostician is misled or influenced by…
Diagnostic Errors
© Springer-Verlag London 2014Philip F. Stahel and Cyril Mauffrey (eds.)Patient Safety in Surgery10.1007/978-1-4471-4369-7_4 4. Diagnostic Errors E. Mark Hammerberg1 (1) Department of Orthopaedics, Denver Health Medical Center, 777 Bannock Street, Denver, CO 80204, USA E. Mark Hammerberg Email:…
Non-technical Aspects of Safe Surgical Performance
Category Element Situation awareness Gathering information Understanding information Projecting and anticipating future state Decision making Considering options Selecting and communicating option Implementing and reviewing decisions Leadership Setting and maintaining standards…
Quality Assessment in Surgery: Mission Impossible?
Grades Definition I Any deviation from the normal postoperative course without the need for pharmacological treatment or surgical, endoscopic and radiological interventions Allowed therapeutic regimens are: drugs as antiemetics, antipyretics,…
The Missed Injury: A ‘Preoperative Complication’
Patient related factors Presence of multiple injuries Unconsciousness Intubation Intoxication/drugs Language barrier Examiner related factors Inexperience Presence of life-threatening injuries Time-pressure Incomplete examination Technical errors The introduction of Advanced Trauma…
Cell Neoplasms: Morphology and Immunohistochemistry
Fig. 1 Rouleaux formation. Blood smear from a 56-year-old male with a 5.1 g/dL IgG monoclonal protein showing increased red cell rouleaux formation; × 50 Fig. 2 Plasma cell leukemia. Blood smear…
