| 1. | Medical Errors: The Scope of the Problem | |
| An Epidemic of Errors | ||
| Where Errors Occur | ||
| Costs | ||
| Not a New Issue | ||
| Public Fears | ||
| It’s a Systems Problem | ||
| Types of Errors | ||
| Preventing Errors | ||
| Five Steps to Safer Health Care | ||
| 2. | Tips to Help Prevent Medical Errors | |
| What Are Medical Errors | ||
| What Can You Do? Be Involved in Your Health Care | ||
| Medicines | ||
| Hospital Stays | ||
| Surgery | ||
| Other Steps You Can Take | ||
| Ways You Can Help Your Family Prevent Medical Errors! | ||
| What Are Medical Errors? | ||
| What Can You Do? | ||
| 3. | Helpful Hints for Preventing Medical Errors | |
| The Problem | ||
| Prevention Tips | ||
| Ways to Minimize Errors | ||
| Thorough and Credible Root Cause Analysis | ||
| Common Error Types and "High-Alert" Medications | ||
| Target Drugs | ||
| Target Procedures | ||
| Points in the Process Where Errors Can Occur | ||
| Resources at Glance | ||
| 4. | Improving Medication Safety | |
| Background | ||
| Common Sources of Error | ||
| Steps for Improving Medication Safety | ||
| Our Sources | ||
| Books | ||
| Patient Information Brochures | ||
| Information on Safe Medication Practices | ||
| Successful Practices for Improving Medication Safety | ||
| Easily Implemented Changes (Process Design) | ||
| Longer-Term Changes (Systems Redesign) | ||
| 5. | Reducing Errors in Health Care | |
| Patients at Risk | ||
| How Errors Occur | ||
| Medication Errors | ||
| Surgical Errors | ||
| Diagnostic Inaccuracies | ||
| System Failures | ||
| Improving Patient Safety | ||
| Computerized ADE Monitoring | ||
| Computer-Generated Reminders for Follow-up Testing | ||
| Standardized Protocols | ||
| Promoting Safety | ||
| References | ||
| Recommendations for Identifying and Learning From Errors in Pediatrics | ||
| 6. | Root Cause Analysis | |
| Background | ||
| Practice Description | ||
| Prevalence and Severity of the Target Safety Problem | ||
| Opportunities for Impact | ||
| Study Designs | ||
| Study Outcomes | ||
| Evidence for Effectiveness of the Practice | ||
| Potential for Harm | ||
| Costs and Implementation | ||
| Comment | ||
| Authors | ||
| Referances | ||
| 7. | Fatigue, Sleepiness, and Medical Errors | |
| Introduction | ||
| Background | ||
| Sleep Deprivation | ||
| Night Shifts and Shift Rotation | ||
| Prevalence and Severity | ||
| Practice Descriptions | ||
| Hours of Service | ||
| Direction and Speed of Rotation of Shift Work | ||
| Improving Sleep: Education About Sleep Hygiene | ||
| Lighting at Work | ||
| Napping | ||
| Medical Therapies | ||
| Comment | ||
| References | ||