Veterinary patient safety /
"Patient Safety in Veterinary Medicine collates the past and present evidence in safety science to provide guidance to the veterinary practitioner. The book follows the development of patient safety and accident theory and methodology using both real-world examples published in the human medica...
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| Format: | eBook |
| Language: | English |
| Published: |
Hoboken, NJ, USA :
John Wiley & Sons, Inc,
[2026]
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| Edition: | First edition. |
| Subjects: | |
| Online Access: | Connect to the full text of this electronic book |
Table of Contents:
- Cover
- Title Page
- Copyright Page
- Dedication Page
- Contents
- Preface
- Introduction
- Chapter 1 The Language of (Patient) Safety
- What is the Difference Between an Adverse Event and a Patient Safety Incident?
- Acronyms and Abbreviations
- References
- Chapter 2 A Brief History of Healthcare-associated Harm and Patient Safety
- A Timeline of Patient Safety in Healthcare Literature
- Ancient History
- 1800s
- Early 1900s
- 1940s
- 1950s
- 1960s
- 1970s
- 1980s
- 1990s
- 2000s
- References
- Chapter 3 Modern Prevalence and Impact of Healthcare-Associated Harm
- Overall Prevalence of Harm
- Prevalence and Type of Healthcare-associated Harm by Medical Setting and Clinical Specialty
- Prevalence of Harm from Primary Care Medicine
- Prevalence of Harm from Anaesthesia
- Prevalence of Harm from Surgery
- Prevalence of Harm Associated with Diagnostic Imaging
- Laboratory Medicine
- Emergency Care
- Intensive Care
- Other Medical Specialties
- How Does this Harm Break Down?
- Medication Error
- Healthcare-associated Infections
- Misdiagnosis
- Patient Misidentification
- Communication Failure
- What is the Evidence for Veterinary Healthcare-associated Harm?
- Errors Amongst Veterinary New Graduates
- Errors in Veterinary Malpractice Claims
- A Study of Veterinary Referral and Emergency Hospitals
- Errors in Corporate Veterinary Practices and Hospitals in Mainland Europe
- Studies of Complications Associated with Specific Specialties
- Anaesthesia
- Surgery
- Intensive Care
- Studies of Specific Veterinary Errors and Healthcare-associated Harms
- Medication Error
- Diagnostic Error
- General Healthcare-associatedInfections
- Surgical Site Infection
- Conclusion
- References
- Chapter 4 Why are Patients Harmed by Healthcare? Theories, Concepts and Models.
- From Simple Linear Causality Models to Complex Non-linear Models
- Are Certain Individuals Just Accident-prone?
- Simple Linear Models
- Domino Theory
- Generalised Time Sequence Model
- Strengths and Weaknesses of Simple Linear Models
- More Advanced Models
- What is a System?
- What is a Complex Adaptive System?
- Normal Accident Theory
- Complexity
- Three Types of Complexity
- Coupling
- High Reliability Organisation Theory
- Normal Accident Theory versus High Reliability Organisations
- Practical Drift
- Deviations and Violations in Poorly Designed Systems
- Reason's Organisational Accident and 'Swiss Cheese' Models
- Vincent et al'.s Model of Accidents in Healthcare
- Accidents as Emergent Properties of Systems
- Current Approaches to Safety
- Systems Approaches
- Human Factors Approaches
- Resilience Engineering
- Ways of Envisioning and Understanding Working Practices
- Local Rationality Principle
- Work-as-done Versus Work-as-imagined
- Efficiency-Thoroughness Trade-Off
- The Blunt-end and Sharp-end of Healthcare Systems
- Comparisons Between Healthcare and Aviation
- Comparisons of Veterinary Healthcare to Other Industries
- The Characteristics of Working in Veterinary Medicine
- Contrasting Approaches to Safety and Risk Management
- Ultra-AdaptiveApproaches
- High Reliability Approaches
- Ultra-SafeApproaches
- What Does this Tell Us About Risk Management in Healthcare?
- Why is Patient Safety So Hard to Improve?
- Summary
- References
- Chapter 5 Human Performance and Error
- What is an Error?
- Classification of Human Error
- Violations
- How We Make Decisions
- Dual Processing Theory
- Rationality
- Heuristics
- Cognitive Biases
- Cognitive Load and Effort
- Decision-making Styles
- Decision-making in Clinical Teams
- Personality Traits and Affective State.
- Conclusions on Decision-making
- The Effect of the Social Environment
- Other Important Facets of Human Nature
- What are Non-Technical Skills?
- How do Non-technical Factors Shape Our Performance
- What are the Different Non-technical Skills?
- Situation Awareness
- Teamwork Including Communication and Leadership
- Team Composition
- Variation in Team Structure and Objectives
- Beneficial and Derailing Personality Traits for Teams
- Leadership in Clinical Teams
- Communication
- Communication Failures
- The Problem with Medical Communication
- Task Management
- Personal Self-management
- Stress
- Managing Cognitive Load
- Social and Interpersonal Management
- Conflict Resolution
- When Might Human Error be the Most Influential Factor in an Accident?
- Failing to Pay Attention
- Exceeding Performance Capabilities
- Developing Patterns of Unsafe Behaviour
- Conclusion
- References
- Chapter 6 Organisational, Professional and Safety Cultures
- What Do the Terms Organisational, Professional and Safety Culture Mean?
- Organisational Culture
- Subcultures and Cultural Variations Within Organisations
- Professional Culture
- What is Safety Culture?
- Dimensions of Safety Culture
- Reporting Culture
- Just Culture
- Informed Culture
- Learning Culture
- Culture of Flexibility
- Themes in Safety Culture Identified in Healthcare
- Other Key Principles Pertaining to Safety Culture
- Psychological Safety
- Speaking Up is Hard to Do
- Culture-as-imagined versus Culture-as-experienced
- Dissonance in Organisational Culture
- Groupthink
- Blame Shifting and Blame Contagion
- The Culture of 'Making Do' and Innovative Problem Solving
- Top-down versus Bottom-up Approaches to Safety
- Bureaucratising Safety
- Assessing Safety Culture
- Safety Attitudes Questionnaire
- Hospital Survey on Patient Safety.
- The Nottingham Veterinary Patient Safety Culture Survey
- Veterinary Student Survey on Patient Safety Culture
- Application of Safety Culture Surveys
- Errors Made When Applying Information Gained from Safety Culture Surveys
- The Link Between Safety Culture and Outcomes
- Conclusion
- References
- Chapter 7 Dealing with the Non-clinical Aftermath of an Incident or Error
- Primary Victims
- The Animal
- The Owner and Their Family
- Disclosure of Errors
- Legislation and Guidelines on Disclosing Medical Errors
- Why Might Regulating Bodies Opt for Implicit Not Explicit Guidelines?
- Fear of Opening the Profession Up to Litigation
- Legal Differences Between Human and Veterinary Healthcare
- Belief That Implicit Guidelines Are Enough
- Sensitivity Around Public Perceptions
- What is the Current Evidence on Disclosure in Human Healthcare?
- Patients' Perspectives on Disclosure
- Staff Perspectives on Disclosure
- Does Encouraging Disclosure Increase Litigation?
- Does Disclosure Worsen Public Perception of Healthcare?
- Barriers to Disclosure
- Considerations for Disclosing Error
- Which Errors Should be Disclosed?
- When Should Errors be Disclosed?
- Which Information Should be Provided to Owners?
- Who Should Disclose Errors to Clients?
- Where and How Should Disclosures Occur?
- Dealing with Emotional Situations
- Communication Models for Error Disclosure
- Communication Models in Veterinary Healthcare
- Truth, Transparency and Teamwork
- Empathy
- Apology and Accountability
- Management
- Disclosure and Organisational Culture
- Managing Secondary Victims
- Assessment of Second Victim Syndrome
- What is the Prevalence of Second Victim Syndrome?
- Dealing with Second Victim Syndrome
- Individual Level
- Peer Level
- Highlight the Volatility, Uncertainty, Complexity and Ambiguity of Clinical Work.
- Organisational Level
- External Level
- What is the Response to Second Victim Syndrome in Veterinary Healthcare?
- Conclusions
- References
- Chapter 8 Methods of Assessment and Measurement in Patient Safety
- Underlying Principles
- Summary
- Surveys and Questionnaires
- Designing a Survey
- Defining the Main Question of the Investigation
- Identify the Target Population of Participants
- Perform a Literature Review Regarding the Main Question
- Adopt, Adapt or Develop a Survey
- Decide on How Survey Will be Presented
- Pilot the New Survey Tool
- Recruit Study Participants and Distribute Final Survey
- Analyse and Interpret Results
- Feedback
- Patient Safety Surveys in Veterinary Healthcare
- Modified Delphi Method
- Delphi Studies in Patient Safety Research
- Chart Review
- General Considerations for Performing Chart Reviews
- Identifying Important Data in Chart Review
- Document Analysis
- Trigger Tools
- Pros and Cons of Chart Review
- Surveillance of Adverse Events and Incidents
- Safety Diaries
- Benefits and Limitations of Safety Diaries
- Safety Diaries in Veterinary Healthcare
- Surveillance Forms
- Incident Surveillance
- Complication Surveillance Forms
- Defining Complications
- Intervention-basedAdverse Event Surveillance in Veterinary Healthcare
- Non-routine Event Surveillance
- Non-routine Event Reporting Tools
- Incident Reporting
- What Should a Good Incident Report Consist of?
- Structured Component of an Incident Report
- Unstructured Component of an Incident Report
- Benefits and Limitations of Incident Reporting
- How to Improve the Quantity and Quality of Incident Reports
- Examples of Established Reporting Systems
- Examples of Reporting Systems in Veterinary Healthcare
- VetSafe
- Cornell University System
- AniCura Study
- Generating Your Own Reporting System.