Risk Management in Medicine

To err is human, yet nobody wants to accept this fact. This is especially true in medicine! This book focuses on how human failures can be avoided in the medical context. Experts from different disciplines discuss the underlying causes of such failures an

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Risk Management in Medicine

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Risk Management in Medicine

Walter Merkle Editor

Risk Management in Medicine

Editor Walter Merkle, MD Riskmanager in Medicine Specialist in Urology Management Expert for Hospitals (VWA) German Diagnostic Clinic – Helios Clinic Wiesbaden Germany

ISBN 978-3-662-47406-8 ISBN 978-3-662-47407-5 DOI 10.1007/978-3-662-47407-5

(eBook)

Library of Congress Control Number: 2015958084 Springer Heidelberg New York Dordrecht London © Springer-Verlag Berlin Heidelberg 2016 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, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer-Verlag GmbH Berlin Heidelberg is part of Springer Science+Business Media (www.springer.com)

Preface

Risk Management in Hospitals – New subject or just new wine in old bottles? Both are correct. Risk management as principle is a well-known tool, but currently not well used in hospitals. Industrial enterprises have been developing risk management tools for decades. Motorola was the first company to start with systemic analysis as to why some procedures went wrong. It was shown that not Motorola was dealing with a problematic business, but is working with people – meaning with its staff. Where people are working, mistakes and failures are common. Errare humanum est – hundreds of years ago ancient Rome already knew this. The systemic approach by Motorola and others showed that there is a baseline level of human-caused failures independent of the individual and independent of the business or procedure. At the end of the last century, the Harvard Medical Study demonstrated that in medicine there is also a baseline level of 3 % failures in all medical procedures – what a surprise!? Really? Meanwhile some efforts are taken analyzing the specific details in medicine with focus on hospitals. This book will refer the current status of the details which now firm under the title of Risk Management. Reducing risk in patient treatment is as ethically as economically justifiable. The cause is simple – repair