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A short course of lectures
«Safer Healthcare»

The Cumulative Impact of Poor Quality CareKey PointsKey PointsImplications for Patients, Carers and FamiliesImproving Transitions Between Hospital and Primary CareKey PointsAccidental Injury in the HomeKey PointsRisk ControlWiden the Time Frame of Analysis: Review the Patient JourneyFuture Directions for Research and PracticeManaging Risk: The High Reliability ApproachThe Benefits and Risks of Information TechnologyHow Many Models for Healthcare?Support Systems for Staff and PatientsHealthcare Is ChangingThe Patient Potentially Has the Most Complete PictureRethinking Patient SafetyThe Changing Nature of HealthcareThe Consequences for Incident Analysis Managing Risk in the Real World Developing a More Systematic Approach to Watching and WaitingEmbracing Risk: The Ultra-adaptive ModelControl by Assessment of CompetencyNew Challenges for Patient SafetyPotential for 'Go and No-Go' Controls in SurgeryConsidering Benefit and Harm Along the Patient JourneyAdverse Events in Home CareSafety Is a Moving TargetSafety in Hospital: Distinguishing Current and Future StrategiesProblems of Transition and CoordinationSafety Strategies and Interventions in the HomeThe Burden of Healthcare: Impact on Patients and CarersReflections on Safety in Primary CareEssential Concepts of ALARMEMitigationThe Nature of Risk in Primary CareTraining of Patients and CarersReflections on the Safety IdealLevels of Care and Strategies for Safety ImprovementThe Challenges and Risks of Care CoordinationAdopting a Range of Safety ModelsProgress and Challenges for Patient SafetyChallenges for Primary CareDeveloping a Wider Range of Safety StrategiesImproving the SystemStrategy IV: Monitoring, Adaptation and ResponseKey PointsSafety in Context: The Many Hospital EnvironmentsSafety Culture, Multifaceted Interventions, and Teamwork 2005–2011Key PointsWhat Options Do We Have for Improving Safety?Seeing Safety Through the Patient's EyesStrategy III: Risk ControlStrategy I: Safety as Best PracticeRisk Control StrategiesDiagnostic ErrorsExplicit Discussion of the Real Standard of Care Is CriticalKey PointsThe Challenges of Delivering Healthcare in the HomeComparing Actual Care with the Care Intended by GuidelinesSafety and Quality of Care from the Patient's PerspectiveMoving Between ModelsPatient Safety as the Management of Risk Over TimeKey PointsRules and AdaptationReducing the Burden on Staff: Simplification and DeclutteringKey PointsA Compendium of Safety StrategiesMonitoring, Adaptation and ResponseSeeing Safety Through the Patient's Eyes Discharge Planning and the Journey from Hospital to HomeAdverse Drug EventsWhat Is the Impact of Improving Quality Standards?Reliability of Clinical Systems in the British NHSSafety Through the Patient's EyesOptimization Strategies in Home Care: Best Practice and System ImprovementSafety Strategies in Primary Care Regulatory and Political Determinants of Approaches to SafetySocio-economic Conditions Take on a Much Greater ImportanceImproving the SystemThe Healthcare professional's View Is Necessarily IncompleteReflections on Home Care SafetyImplications for Frontline Clinicians and ManagersThe Hazards of Home Care: New Risks, New ChallengesInnovationPlacing Limits on CareKey PointsThe Ideal and the Real Implications for Executives and BoardsSafety as Best PracticeA Little HistoryCoordination of Care Is a Major Safety IssueWe Are Approaching Safety in the Same Way in All SettingsMitigation Strategies in Home HaemodialysisThe Advent of Professionalism 2002–2005Control of HazardsIncreasing ComplexityFragmented Approach of Healthcare ProfessionalsRisk to Family and Other Care GiversStrategy V: MitigationApproaches to Risk and Hazard: Embrace, Manage or AvoidImplications for Regulatory Agencies and GovernmentAdapting the Analysis to ContextNew Challenges for Patient SafetyOnly Part of the Healthcare System Has Been AddressedDetecting DeteriorationTeam Training in Monitoring, Adapting and ResponseAvoiding Risk: The Ultra-safe ApproachHarm Has Been Defined Too NarrowlyError and Harm in Primary CareA Compendium of Safety Strategies and InterventionsBox 2.1 Observation of Patients at Risk of Suicide: When Working Conditions Make It Difficult to Follow ProceduresThe Resources of the Patient and Family Are Critical to Safe CareRisk Control Strategies in Home CareProgress on Patient SafetyReflections on Safety in HospitalsWhat Are We Trying to Learn When We Analyse Incidents?Control of MedicationStrategies for SafetyMitigationSafety Strategies for Care in the HomeMitigationInfluences on Safety of Healthcare Delivered in the HomeThree Approaches to the Management of RiskOur Model of Intervention Is LimitedAn Ageing Population and the Expansion of Home CareMonitoring, Adaptation and ResponseFive Safety StrategiesBox 8.1. Difficult Challenge for Optimisation Strategies: Lessons from a Centralised Nurse-led Cholesterol-Lowering ProgrammeSafety Strategies in HospitalsFollowing the Rules: Reliability of Human BehaviourIncreasing Responsibilities of CarersStrategy II: Improvement of Work Processes and SystemsThe Enthusiasm of the Early Years, 1995–2002Monitoring, Adaptation and Response Strategies in Home CareThe Responsibilities of CarersThe Benefits and Risks of ScreeningThe Training and Experience of Home Care AidesThe Ideal and the Real: Five Levels of CareImproved Safety in Some ContextsThe Home Environment as Risk FactorWhat Do We Mean by Harm?The Day-to-Day Realities of HealthcareKey PointsBriefings and Debriefings, Handovers and Ward RoundsSelection and Customisation of Strategies to Clinical ContextApproaches to Safety: One Size Does Not Fit AllSuccess and Failure in Detection and RecoveryA Global Revolution Rather Than a Local EvolutionSafety as Best PracticeSelect Problems for Analysis Which Are Important to PatientsPatients and Families as Problem Detectors
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