Building Safer Healthcare Systems A Proactive, Risk Based Approach t
This book offers a new, practical approach to healthcare reform. Departing from the priorities applied in traditional approaches, it instead assesses – both theoretically and practically – the successful lessons learned in other safety-critical industries
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uilding Safer Healthcare Systems A Proactive, Risk Based Approach to Improving Patient Safety
Building Safer Healthcare Systems
Peter Spurgeon Mark-Alexander Sujan Stephen Cross Hugh Flanagan •
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Building Safer Healthcare Systems A Proactive, Risk Based Approach to Improving Patient Safety
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Peter Spurgeon Medical School University of Warwick Coventry, UK
Mark-Alexander Sujan Medical School University of Warwick Coventry, UK
Stephen Cross Academy of Medical Royal College London, UK
Hugh Flanagan ORCNI Gnosall, Staffordshire, UK
ISBN 978-3-030-18243-4 ISBN 978-3-030-18244-1 https://doi.org/10.1007/978-3-030-18244-1
(eBook)
© Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Foreword
Health systems across the world face a continuing challenge to improve safety for the patients in their care. As systems and treatment regimes become ever more complex and patients present with more co-morbidities, this challenge increases. Many improvements have been made and continue through the efforts of dedicated professionals. Often, these are quite specific and the result of a focus on a particular condition or issue. More worryingly and as Chap. 1 of this text suggests, the overall levels of experienced adverse incidents have not decreased to the levels that might have been anticipated. In reality, the rate of incidents has remained at a fairly constant level for many years. This picture accords with my own previous experience of clinical practice. Retrospective investigations, many with worthy intent, would seek to highlight the cause or trail of events. But over the years, it seemed a similar, marginally different pattern of events would be described. It f
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