Surgical Patient Care

1. Front Matter

   Pages i-xlvii

   PDF

2. Fundamentals of Systems and Safety Science

   1. Front Matter

      Pages 1-1

      PDF

   2. The Burning Platform: Improving Surgical Quality and Keeping Patients Safe

      • Juan A. Sanchez, Kevin W. Lobdell

      Pages 3-13

   3. Risk Factors and Epidemiology of Surgical Safety

      • Oliver Groene

      Pages 15-24

   4. Concepts and Models of Safety, Resilience, and Reliability

      • Jonathan Gao, Sidney Dekker

      Pages 25-37

   5. Surgery Through a Human Factors and Ergonomics Lens

      • Ken Catchpole

      Pages 39-50

   6. The Relationship Between Teamwork and Patient Safety

      • Sallie J. Weaver, Lauren E. Benishek, Ira Leeds, Elizabeth C. Wick

      Pages 51-66

   7. Enterprise Risk Management in Healthcare

      • James M. Levett, James M. Fasone, Anngail Levick Smith, Stanley S. Labovitz, Jennifer Labovitz, Susan Mellott et al.

      Pages 67-86

   8. The Patient Experience: An Essential Component of High-Value Care and Service

      • Sara Shaunfield, Timothy Pearman, Dave Cella

      Pages 87-100

   9. Patients and Families as Coproducers of Safe and Reliable Outcomes

      • Helen Haskell, Tanya Lord

      Pages 101-120

   10. Tools and Strategies for Continuous Quality Improvement and Patient Safety

       • Julie K. Johnson, Paul Barach

       Pages 121-132

   11. The Future and Challenges of Surgical Technology Implementation and Patient Safety

       • Chandler D. Wilfong, Steven D. Schwaitzberg

       Pages 133-142

3. Job and Organizational Design

   1. Front Matter

      Pages 143-143

      PDF

   2. Organizational and Cultural Determinants of Surgical Safety

      • Kathleen M. Sutcliffe

      Pages 145-157

   3. The Role of Architecture and Physical Environment in Hospital Safety Design

      • Charles D. Cadenhead, Laurie Tranchina Waggener, Bhargav Goswami

      Pages 159-183

   4. Building Surgical Expertise Through the Science of Continuous Learning and Training

      • Peter Hani Cosman, Pramudith Sirimanna, Paul Barach

      Pages 185-204

   5. Promoting Occupational Wellness and Combating Professional Burnout in the Surgical Workforce

      • Ross M. Ungerleider, Jamie Dickey Ungerleider, Graham D. Ungerleider

      Pages 205-224

   6. Executive Leadership and Surgical Quality: A Guide for Senior Hospital Leaders

      • Susan Moffatt-Bruce, Robert S. D. Higgins

      Pages 225-246

   7. Information Technology Infrastructure, Management, and Implementation: The Rise of the Emergent Clinical Information System and the Chief Medical Information Officer

      • Jon David Patrick, Paul Barach, Ali Besiso

      Pages 247-262

   8. Redesigning Hospital Alarms for Reliable and Safe Care

      • Paul Barach, Juan A. Sanchez

      Pages 263-275

This book focuses exclusively on the surgical patient and on the perioperative environment with its unique socio-technical and cultural issues. It covers preoperative, intraoperative, and postoperative processes and decision making and explores both sharp-end and latent factors contributing to harm and poor quality outcomes. It is intended to be a resource for all healthcare practitioners that interact with the surgical patient. This book provides a framework for understanding and addressing many of the organizational, technical, and cultural aspects of care to one of the most vulnerable patients in the system, the surgical patient. The first section presents foundational principles of safety science and related social science. The second exposes barriers to achieving optimal surgical outcomes and details the various errors and events that occur in the perioperative environment. The third section contains prescriptive and proactive tools and ways to eliminate errors and harm. The final section focuses on developing continuous quality improvement programs with an emphasis on safety and reliability.

Surgical Patient Care: Improving Safety, Quality and Value targets an international audience which includes all hospital, ambulatory and clinic-based operating room personnel as well as healthcare administrators and managers, directors of risk management and patient safety, health services researchers, and individuals in higher education in the health professions. It is intended to provide both fundamental knowledge and practical information for those at the front line of patient care. The increasing interest in patient safety worldwide makes this a timely global topic. As such, the content is written for an international audience and contains materials from leading international authors who have implemented many successful programs.

• Assessing Healthcare Personnel
• Infections in Surgical Practice
• Surgical Microsystems
• Surgical Safety
• Safety in Developing Countries

• Department of Surgery Ascension Saint Agnes Hospital Armstrong Institute for Patient Safety & Quality, Johns Hopkins University School of Medicine, Baltimore, MD, USA

  Juan A. Sanchez

• Children’s Cardiomyopathy Foundation and Kyle John Rymiszewski Research Scholar, Children’s Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI, USA

  Paul Barach

• Department of Surgery Center for Healthcare Studies Institute for Public Health and Medicine Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

  Julie K. Johnson

• Division of Cardiovascular Surgery Johns Hopkins All Children’s Heart Institute Johns Hopkins All Children’s Hospital, Johns Hopkins University, Saint Petersburg, FL, USA

  Jeffrey P. Jacobs

Juan A. Sanchez, MD, MPA
Associate Professor of Surgery
Johns Hopkins University School of Medicine
Chair of Surgery, Saint Agnes Hospital
900 Caton Avenue
Baltimore, MD 
USA


Paul Barach, BSc, MD, MPH
Clinical Professor
Children’s Hospital of Michigan 
Wayne State University School of Medicine
Detroit, MI USA



Julie K. Johnson, MSPH, PhD
Professor
Northwestern University
Department of Surgery
Chicago, IL 
USA
 
Jeffrey P. Jacobs, MD, FACS, FACC, FCCP 
Professor of Surgery, Johns Hopkins University
Director, Andrews/Daicoff Cardiovascular Program
Surgical Director of Heart Transplantation and Extracorporeal Life Support Programs
Johns Hopkins All Children’s Heart Institute
All Children’s Hospital
Saint Petersburg, FL
USA

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