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Abstract

Excellent patient care is dependent upon attention to patient safety. There are many elements of patient safety that the practitioner must attend to; first and foremost is obtaining a complete medical and medication history. The more medically compromised the patient, the more time will be required to develop a thorough understanding of the patient’s medical status and its implication in risk assessment. Ensuring that the correct treatment is provided is absolute. In a busy office, errors can occur. Steps, such as “time-out,” to verify name and identify information, procedure, specific medical conditions, and allergies, can minimize medical errors and optimize care. Patient care extends beyond the actual time in treatment, and appropriate planning is required for continuance of care once the patient leaves the office. Despite the best of intentions and care, adverse events occur and the office must be prepared to manage these situations appropriately. Patient safety is an evolving process, and operating under the philosophy of “we have always done it this way” is no longer adequate or appropriate. This chapter will address several of these issues and others that are critical to patient safety.

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References

  1. Makary MA, Daniel M. Medical error—the third leading cause of death in the United States. BMJ. 2016;353:i2139.

    Article  PubMed  Google Scholar 

  2. de Vries EN, Ramrattan MA, SM S, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17(3):216–23.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Wachter RM. The nature and frequency of medical errors and adverse events. In: Wachter RM, editor. Understanding patient safety. New York: McGraw-Hill; 2012. p. 3–9.

    Google Scholar 

  4. Qato DM, Wilder J, Schumm LP, et al. Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. JAMA Intern Med. 2016;176:473.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Gary CJ, Glick M. Medical clearance. An issue of professional autonomy, not a crutch. JADA. 2014;143:1180–1.

    Google Scholar 

  6. Tulner LR, Frankfort SV, Gijsen GJ, et al. Drug-drug interactions in a geriatric outpatient cohort: prevalence and relevance. Drugs Aging. 2008;25(4):343–55.

    Article  PubMed  Google Scholar 

  7. Gandhi TK, Weingart SN, Borus J, et al. Adverse drug events in ambulatory care. N Engl J Med. 2003;348:1556–64.

    Article  PubMed  Google Scholar 

  8. Nanji KC, Patel A, Shaikh S, et al. Evaluation of perioperative medication errors and adverse drug events. Anesthesiology. 2016;124:24–34.

    Article  Google Scholar 

  9. Avidan A, Levin PD, Weissman C, et al. Anesthesiologists’ ability in calculating weight-based concentrations for pediatric drug infusion: an observational study. J Clin Anesth. 2014;26:276–80.

    Article  CAS  PubMed  Google Scholar 

  10. Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. Arch Intern Med. 2005;165:1493.

    Article  PubMed  Google Scholar 

  11. West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care practices: a report from the shared networks of collaborative ambulatory practices and partners (SNOCAP). J Am Board Fam Med. 2017;27:796.

    Article  Google Scholar 

  12. Gawande A. The checklist manifesto: how to get things right. Basingstoke: Picador; 2009.

    Google Scholar 

  13. Haynes AB, Weiser TG, Berry WR, et al. Safe Surgery Saves Lives Study Group A surgical safety checklist to reduce morbidity and mortality in a global population. NEJM. 2009;360:491–9.

    Article  CAS  PubMed  Google Scholar 

  14. The WHO surgical safety checklist and implementation manual. Geneva: World Health Organization Press; 2016.

    Google Scholar 

  15. The Joint Commission Ambulatory Care Patient Safety Goals. http://www.jointcommission.org/assets/1/6/2016_NPSG_AHC_ER.pdf. Viewed on January 5, 2017.

  16. Lee JS, Curley JD, Smith RA. Prevention of wrong site tooth extraction: clinical guidelines. Br J Oral Maxillofac Surg. 2009;65:1793–9.

    Article  Google Scholar 

  17. ABM H, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360:491–9.

    Article  Google Scholar 

  18. Hill MR, Roberts MJ, Alderson ML, Gale TCE. Safety culture and the 5 steps to safer surgery: an intervention study. Br J Anaesth. 2015;114(6):958–62. https://doi.org/10.1093/bja/aev063. Epub 2015 Mar 16.

    Article  CAS  PubMed  Google Scholar 

  19. Metzner J, Posner KL, Domino KB. The risk and safety of anesthesia at remote locations: the US closed claims analysis. Curr Opin Anaesthesiol. 2009;22:502–8.

    Article  PubMed  Google Scholar 

  20. Bhananker SM, Posner KL, Cheney FW, et al. Injury and liability associated with monitored anesthesia care: a closed claims analysis. Anesthesiology. 2006;1045:228–34.

    Article  Google Scholar 

  21. Cheney FW, Posner KL, Cheney FW. Trends in anesthesia-related death and brain damage: a closed claims analysis. Anesthesiology. 2006;105:1081–6.

    Article  PubMed  Google Scholar 

  22. Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2010;304:1693–700.

    Article  CAS  PubMed  Google Scholar 

  23. Greenberg C, Regenbogen S, Studder D, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204:533–40.

    Article  PubMed  Google Scholar 

  24. Hilsden R, Molfat B, Knowles S, et al. Surgeon agreement at the time of handover, a prospective cohort study. World J Emerg Surg. 2016;11:11. https://doi.org/10.1186/s13017-016-0065-6.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Moore PA, WIffen PJ, Derry S, et al. Non-prescription (OTC) oral analgesics for acute pain: an overview of Cochrane reviews. Cochrane Database Syst Rev. 2015;11:CD010794.

    Google Scholar 

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Correspondence to Jeffrey D. Bennett D.M.D. .

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Bennett, J.D. (2018). Patient Safety. In: Ferneini, E., Bennett, J. (eds) Perioperative Assessment of the Maxillofacial Surgery Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-58868-1_1

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  • DOI: https://doi.org/10.1007/978-3-319-58868-1_1

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  • Online ISBN: 978-3-319-58868-1

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