Fig. 18.1 Denver Health Medical Center As mentioned, Denver Health is a public, academic health system and Colorado’s principle safety-net institution. The system includes an emergency paramedic system; an acute…
Handover practice element Related theory Implications for education Information transfer Egocentric heuristic: doctors often do not communicate vital information at handover. It was not that they didn’t know what to…
Safety practice Aviation safety example context Surgical safety example context Crew resource management Team, communication, and leadership training for flight and cabin crews Team, communication, and leadership training for all…
Fig. 12.1 Main reasons for patients to seek a second opinion Miscommunication as a Source of Anger In Box 12.3, we examine a case in which a patient experiences complications…
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….
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…
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…
© 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…
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…
© 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:…
