Description
Comprehensive resource presenting information on patient safety theory and methodology in a practical and engaging format
Veterinary Patient Safety is an engaging guide to understanding patient safety and the tools necessary for improving patient outcomes. The book is based on the fundamentals of safety science, introducing both theory, methodology and practical applications of key principals. The book follows the development of patient safety and accident theory, using real-world examples, published veterinary medical literature, as well as insights from human healthcare and other industries such as aviation.
By understanding the reasons why accidents, errors, and morbidity and mortality associated with veterinary medicine might occur, readers learn how to implement changes to improve patient safety and outcomes. The author addresses the most common incidents in veterinary medicine, such as misdiagnosis, medication, equipment and communication errors, and includes many different how-to guides to perform patient safety investigations. Analysis techniques, such as the critical incident technique, Human Factors Analysis Classification System, Systems Analysis and The Five Whys, are explained. Critiques on theories, methodology and published studies are used to demonstrate the strengths and weaknesses of methods and analysis techniques. The importance of local investigations and the lack of a one-size-fits all approach is emphasized, alongside the importance of fostering safety culture including the debriefing following major incidents or complications.
Veterinary Patient Safety includes information on:
- Current data on the degree of harm occurring through unsafe care
- Key concepts and safety theory
- Human fallibility and the importance of non-technical skills
- Organizational culture, covering incivility and its effect on team performance, the concept of blame and ways to assess culture
- Reporting and learning methods, including incident reporting, debriefs, interviews, surveys, case review and trigger tools, and process evaluation
- Explanatory analysis methods and how they can be applied to veterinary safety investigations
- Patient safety improvement tools, including checklists and cognitive aids, simulation and teamwork building, briefings and debriefings, and debiasing strategies
- Legal and ethical aspects of patient safety, including error disclosure, litigation, non-maleficence and the veterinary professional’s “new accountability”
Veterinary Patient Safety is an excellent holistic resource on the subject for general veterinary practitioners, veterinary specialists, veterinary students, veterinary nurses and veterinary managers.
Table of Contents
Preface xxiii
Introduction xxv
1 The Language of (Patient) Safety 1
2 A Brief History of Healthcare-associated Harm and Patient Safety 6
3 Modern Prevalence and Impact of Healthcare-Associated Harm 13
4 Why are Patients Harmed by Healthcare? Theories, Concepts and Models 38
5 Human Performance and Error 74
6 Organisational, Professional and Safety Cultures 127
7 Dealing with the Non-clinical Aftermath of an Incident or Error 158
8 Methods of Assessment and Measurement in Patient Safety 181
9 Analysis Techniques for Patient Safety Investigations 292
10 Patient Safety Interventions 363
11 Feedback and Closing the Loop: Quality Improvement Cycles 444
12 Ethics in Patient Safety Investigations 451
13 Suggested Unified Approach for Veterinary Healthcare 470
Appendix A Glossary of Terms 490
Appendix B List of Veterinary Clinical Practice Guidelines 494
Appendix c Case Studies 509
Index 523
