Definitions of diagnostic error Author Definition Mark Graber Medical diagnoses that are wrong, missed, or delayed [2] A diagnosis that was unintentionally delayed (sufficient information was available earlier), wrong (another…
Fig. 10.1 The renal hilum , Intuitive Surgical The da Vinci® Surgical System is widely employed across multiple surgical specialties to perform minimally invasive procedures such as prostatectomy, gynecologic procedures,…
Preoperative risk factors Intraoperative and postoperative risk factors • Age greater than 65 • Infection • Visual or hearing impairment • Surgical stress • Preexisting cognitive impairment • Cardiopulmonary complications…
1999 Publication of To Err is Human by the Institute of Medicine 2005 Medicare Physician Group Practice incentive program launched as a 3-year demonstration project 2006 Physician Quality Reporting System…
Fig. 46.1 The Perioperative Surgical Home conceptualized as an umbrella, under which its variants or components are positioned Integrated care pathways are rigorously standardized, task-orientated care plans that detail all…
Common assumptions in RCA The local reality The investigation team displays a thorough understanding of the event through the rational presentation of information The information gathered by the investigation team…
Communication complexity/dissemination IT/information needs Program management Resource management Service structure Service area issues Team size and makeup Team skill and stability We consider the inherent risk of the process for…
Fig. 18.1 EPIS framework illustrating outer and inner context, linkages, EBP fit, and intervention developer Fig. 18.2 Exploration, Preparation, Implementation, Sustainment (EPIS) Framework illustrating the four implementation phases and outer…
Fig. 16.1 An architectural diagram of the relationship between clinical care information systems and clinical research systems and registries as part of the ECIS paradigm IA-CIS do not solve the…
Fig. 48.1 Per Capital Health Care Spending since 1980 by country [1] As the harsh realities of financial catastrophe associated with out-of-control health care costs/spending became accepted as inevitable by…
