Risk Control and Quality Management in Neurosurgery

1. Front Matter

   Pages I-IX

   PDF

2. Basics

   1. Front Matter

      Pages 1-1

      PDF

   2. Principles of Risk and Safety

      • C. Vincent

      Pages 3-11

   3. Techniques for Hazard Analysis and their Use at CERN

      • C. Nuttall, H. Schönbacher

      Pages 13-18

   4. Learning from Errors in Aviation

      • P. Dehning

      Pages 19-21

   5. Safety of Novel Projects, the Battle Against Murphy’s Law

      • R. Schmidt

      Pages 23-29

3. The Human Factor

   1. Front Matter

      Pages 31-31

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   2. The Psychology of Team Interaction

      • M. Schöbel, C. Kleindienst

      Pages 33-38

   3. Crew Coordination in Aviation

      • P. Dehning

      Pages 39-41

4. Principles of Quality Management in Medicine

   1. Front Matter

      Pages 43-43

      PDF

   2. Principles of Quality Management in Medicine: The British Concept

      • J. D. Pickard, H. K. Richards

      Pages 45-52

   3. Quality Assurance in Neurosurgery: United States Concepts

      • R. E. Harbaugh

      Pages 53-58

   4. Principles and Problems of Assessing the Results of Medical Treatment

      • D. A. Lang, G. Neil-Dwyer

      Pages 59-63

   5. Impacts of Socio-Economic Restrictions on Quality in Neurosurgery and other Specialities

      • G. Neubauer

      Pages 65-67

   6. Quality, Risk and Health Care: Another View

      • H. J. Steiger

      Pages 69-70

5. Standards of Perioperative Care

   1. Front Matter

      Pages 71-71

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   2. Quality Management in Neuropathology

      • I. Blümcke, O. D. Wiestler

      Pages 73-77

   3. Quality Management in Laboratory Medicine

      • P. Hagemann

      Pages 79-82

   4. Patient Information in the Light of Quality Assurance

      • H. M. Mehdorn

      Pages 83-86

   5. What Diagnostics are Necessary Before and after Surgery?

      • J. Haase

      Pages 87-88

Quality in an invasive discipline such as neurosurgery comprises evidence based medicine, cost effectiveness and also risk control. Risk control and quality management have become a science on their own, combining the expertise of many specialists such as psychologists, mathematicians and also economists. Intensive communication with basic safety scientists as well as safety experts from the industry and traffic promises ideas and concepts than can be adopted for neurosurgery. An international conference was held in Munich in October 2000 bringing together neurosurgeons and safety experts from outside medicine in order to discuss basic aspects of risk control and quality management and to develop structures applicable to neurosurgery. Basic aspects such as principles of risk and safety management, the human factor as well as standards of neurosurgical patient care, proficiency of staff and residents, and industrial quality standards were discussed. The presentations and discussions resulted in a wealth of new ideas and concepts. This book contains this material and thus provides a unique and comprehensive source of information on the current possibilities of quality management in neurosurgery.

• ISO 9000
• diagnostics
• neuropathology
• neurosurgery
• quality assurance
• quality management
• risk control

"... a very valuable reference book for both departmental and institutional libraries ... It should be recommended reading for trainees to understand the principles and the ongoing thought behind many of the practices and control measures that they will encounter and will need to participate in as their experience and seniority advance ... It will be of value to all medical disciplines, since the principles are universal and the terms of reference or yardsticks used are convertible or transferable. It is highly recommended." Journal of Neurology, Neurosurgery, and Psychiatry, vol. 73, No. 3/2002

• Klinikum Großhadern, Neurochirurgische Univ.-Klinik, München, Germany

  Hans-Jakob Steiger

• Neurochirurgische Klinik, RWTH Aachen, Aachen, Germany

  Eberhard Uhl

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