At a time of increasing regulatory scrutiny and medico-legal risk, managing serious clinical incidents within primary care has never been more important. Failure to do so can be catastrophic for individuals as well as organisations, whether you be clinician, service manager or trainee.
Inhaltsverzeichnis
1 Introduction. 2 What is a clinical incident and what makes an incident serious? 3 Recognising serious incidents. 4 Root cause analysis. 5 Humans and heuristics - why do we make errors? 6 What can we learn? 7 Writing reports. 8 Preventing clinical errors - The Sixth sense and the wisdom of Dr Pepper. 9 Creating a no blame culture - Coroners courts and Litigation. 10 Case studies. 5 cases demonstrating human factors in primary care. When Humans and systems interact.