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A short course of lectures
«Safer Healthcare»

Socio-economic Conditions Take on a Much Greater ImportanceFollowing the Rules: Reliability of Human BehaviourControl of HazardsA Little HistoryRisk to Family and Other Care GiversThe Cumulative Impact of Poor Quality CareKey PointsDetecting DeteriorationAdverse Events in Home CareKey PointsThe Changing Nature of HealthcareKey PointsImplications for Frontline Clinicians and ManagersInnovationConsidering Benefit and Harm Along the Patient JourneySafety Is a Moving TargetThe Ideal and the Real: Five Levels of CareApproaches to Risk and Hazard: Embrace, Manage or AvoidPatient Safety as the Management of Risk Over TimeSafety and Quality of Care from the Patient's PerspectiveWhat Options Do We Have for Improving Safety?Optimization Strategies in Home Care: Best Practice and System ImprovementA Compendium of Safety StrategiesMitigationKey PointsImproving Transitions Between Hospital and Primary CareStrategy IV: Monitoring, Adaptation and ResponseError and Harm in Primary CareAccidental Injury in the HomeNew Challenges for Patient SafetyExplicit Discussion of the Real Standard of Care Is CriticalSelection and Customisation of Strategies to Clinical ContextControl of MedicationImplications for Regulatory Agencies and GovernmentSafety Strategies for Care in the HomeCoordination of Care Is a Major Safety IssueThe Ideal and the Real Monitoring, Adaptation and ResponseSafety as Best PracticeEmbracing Risk: The Ultra-adaptive ModelPlacing Limits on CareHarm Has Been Defined Too NarrowlyRethinking Patient SafetySeeing Safety Through the Patient's Eyes Risk Control Strategies in Home CareStrategy V: MitigationThe Enthusiasm of the Early Years, 1995–2002Fragmented Approach of Healthcare ProfessionalsSafety Strategies and Interventions in the HomeBox 8.1. Difficult Challenge for Optimisation Strategies: Lessons from a Centralised Nurse-led Cholesterol-Lowering ProgrammeStrategy III: Risk ControlSafety in Context: The Many Hospital EnvironmentsManaging Risk in the Real World The Benefits and Risks of ScreeningEssential Concepts of ALARMENew Challenges for Patient SafetyMitigationPatients and Families as Problem DetectorsReducing the Burden on Staff: Simplification and DeclutteringBriefings and Debriefings, Handovers and Ward RoundsManaging Risk: The High Reliability ApproachIncreasing ComplexityStrategies for SafetyBox 2.1 Observation of Patients at Risk of Suicide: When Working Conditions Make It Difficult to Follow ProceduresSafety Strategies in HospitalsRegulatory and Political Determinants of Approaches to SafetySupport Systems for Staff and PatientsReflections on Safety in Primary CareSafety Strategies in Primary Care Reflections on Home Care SafetySuccess and Failure in Detection and RecoveryReliability of Clinical Systems in the British NHSIncreasing Responsibilities of CarersThe Nature of Risk in Primary CareSeeing Safety Through the Patient's EyesImproving the SystemChallenges for Primary CareImplications for Executives and BoardsDischarge Planning and the Journey from Hospital to HomeThe Responsibilities of CarersThe Consequences for Incident Analysis The Hazards of Home Care: New Risks, New ChallengesSafety Culture, Multifaceted Interventions, and Teamwork 2005–2011Adapting the Analysis to ContextThe Training and Experience of Home Care AidesSafety in Hospital: Distinguishing Current and Future StrategiesPotential for 'Go and No-Go' Controls in SurgeryKey PointsStrategy I: Safety as Best PracticeRisk Control StrategiesThe Resources of the Patient and Family Are Critical to Safe CareThree Approaches to the Management of RiskThe Benefits and Risks of Information TechnologyReflections on the Safety IdealImplications for Patients, Carers and FamiliesMoving Between ModelsRules and AdaptationThe Advent of Professionalism 2002–2005The Home Environment as Risk FactorProgress and Challenges for Patient SafetyKey PointsTeam Training in Monitoring, Adapting and ResponseImproving the SystemAdopting a Range of Safety ModelsA Global Revolution Rather Than a Local EvolutionOnly Part of the Healthcare System Has Been AddressedLevels of Care and Strategies for Safety ImprovementReflections on Safety in HospitalsTraining of Patients and CarersStrategy II: Improvement of Work Processes and SystemsKey PointsMonitoring, Adaptation and Response Strategies in Home CareRisk ControlA Compendium of Safety Strategies and InterventionsThe Challenges and Risks of Care CoordinationWiden the Time Frame of Analysis: Review the Patient JourneyApproaches to Safety: One Size Does Not Fit AllSelect Problems for Analysis Which Are Important to PatientsKey PointsKey PointsOur Model of Intervention Is LimitedThe Burden of Healthcare: Impact on Patients and CarersAdverse Drug EventsComparing Actual Care with the Care Intended by GuidelinesWe Are Approaching Safety in the Same Way in All SettingsMitigation Strategies in Home HaemodialysisImproved Safety in Some ContextsSafety Through the Patient's EyesFuture Directions for Research and PracticeAvoiding Risk: The Ultra-safe ApproachWhat Are We Trying to Learn When We Analyse Incidents?The Patient Potentially Has the Most Complete PictureDiagnostic ErrorsAn Ageing Population and the Expansion of Home CareWhat Is the Impact of Improving Quality Standards?The Healthcare professional's View Is Necessarily IncompleteThe Day-to-Day Realities of HealthcareInfluences on Safety of Healthcare Delivered in the HomeKey PointsProgress on Patient SafetyMonitoring, Adaptation and ResponseThe Challenges of Delivering Healthcare in the HomeHow Many Models for Healthcare?What Do We Mean by Harm?Control by Assessment of CompetencyFive Safety StrategiesSafety as Best PracticeDeveloping a More Systematic Approach to Watching and WaitingKey PointsMitigationProblems of Transition and CoordinationDeveloping a Wider Range of Safety StrategiesHealthcare Is Changing
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