Synopsis
Part 1. General Aspects.- 1: Quality Assessment in Surgery: Mission Impossible?.- 2. Incidence of 'Never Events' and Common Complications.- 3. Cognitive Errors.- 4. Diagnostic Errors.- 5. Technical Errors.- 6. The Missed Injury: A 'Preoperative Complication'.- 7. Non-Technical Aspects of Safe Surgical Performance.- 8. Postoperative Monitoring for Clinical Deterioration.- 9. Effective Communication- Tips and Tricks.- 10. Professionalism in Health Care.- 11. Accountability in the Medical Profession.- 12. The Role of the Surgical Second Opinion.- 13. Compliance to Patient Safety Culture.- 14. The Universal Protocol: Pitfalls and Pearls.- 15. Patient Safety in Graduate and Continuing Medical Education.- 16. Translation of Aviation Safety Principals to Patient Safety in Surgery.- 17. Handovers: The 'Hidden Threat' to Patient Safety.- 18. Public Safety-Net Hospitals- The Denver Health Model.- 19. Electronic Health Records and Patient Safety.- 20. Research and Patient Safety.- Part 2. The Surgeon's Perspective.- 21. The Surgery Morbidity and Mortality Conference.- 22. Reporting of Complications.- 23. Disclosure of Complications.- 24. Surgical Quality Improvement.- 25. Surgical Safety Checklists.- Part 3. Other Perspectives.- 26. The Anesthesia Perspective.- 27. The Nursing Perspective.- 28. The Patient's and Patient Family's Perspective.- 29. The Ethical Perspective.- 30. Patient Safety- A Perspective from the Developing World.- Part 4. Case Scenarios.- 31. Improving Operating Room Safety: A Success Story.- 32. Management of Unanticipated Outcomes: A Case Scenario.- 33. The Preventable Death of Michael Skolnik: An Imperative for Shared Decision-Making.- Epilogue.- Appendices.
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