Quality and Safety in Anesthesia and Perioperative Care PDF Free Download
Perioperative medicine is characterized by many factors that can cause patient harm. Care is delivered by multispecialty teams with varying levels of expertise and mutual familiarity, while patients present in various states of preexisting health and optimization for procedures that impart significant physiologic stresses and surgical insults. Patient care in this environment requires a high level of coordination and communication among team members, management of large quantities of information, and effective interfaces between humans and sophisticated technology. Hundreds of thousands of adverse events and near misses occur throughout the United States annually. At any time, one or more factors, including patient illness, the surgical procedure, team dynamics and communication, or equipment malfunction, may combine to cause a life- threatening condition. Creating a safe environment requires a coordinated strategy that reduces the number of errors while simultaneously decreasing the harm that an error can cause.
As part of this, conditions that foster or allow error must be minimized, while systems for earlier identification and rescue from errors must be robust. Anesthesiologists were among the first to recognize that teamwork training, safety culture, and quality management were essential components of clinical care, and Quality and Safety in Anesthesia and Perioperative Care expands on this knowledge. Chapters in this book emphasize strategies that can be used in community practice as well as major academic medical centers. Part I of the book provides an overview of the scientific foundations of human factors science. Chapters in this section explore causes of errors and violations, threat and error management, team training, and the essentials of a culture of safety. Part II offers practical organizational suggestions for improving quality of care and patient safety in the perioperative setting and for the growing number of procedures that take place in remote locations, including change management, quality measurement, safety regulation, optimizing team and technology interactions, and managing clinicians who are disruptive or impaired, whether by fatigue, substance abuse, or the aftermath of an adverse event. Chapters are concisely written, with illustrations that highlight key points.