ABSTRACT

Adverse events occur in healthcare with worrying and surprising frequency and, of these, a substantial portion are preventable. This highly-readable book, translated and update from the original Dutch edition, presents 15 model case studies which have been carefully designed to explore common themes in medical errors and offer learnings from those events that will guide practice to prevent similar tragedies unfolding in future. Using 15 years of experience working in patient safety, the author makes concrete recommendations around assessment, attitude and performance, and provides a concise and accessible methodology for working safely.

chapter 1|6 pages

Worst case scenario

chapter 2|6 pages

Your own observation is flawed

chapter 3|6 pages

Assumption is the mother of all screw-ups

chapter 4|6 pages

Be prepared

chapter 5|8 pages

Speak up

chapter 6|8 pages

What am I missing here?

chapter 7|6 pages

Nine red flags

chapter 8|6 pages

HALT

chapter 9|8 pages

Photo or film

chapter 10|6 pages

Risk accumulation

chapter 11|10 pages

A just culture

chapter 12|6 pages

Blind faith

chapter 13|8 pages

Bias

chapter 14|8 pages

Professional performance

chapter 15|8 pages

Open disclosure

chapter 16|2 pages

Epilogue

chapter 17|2 pages

Summary