Clinical Case Series in Patient Safety
Editor: Abha Agrawal
Preface - Abha Agrawal
Section I: Concepts
Chapter 1 - Patient identification - Dea Hughes
Chapter 2 - Teamwork and communication - Joseph Conigliaro
Chapter 3 - Hand-off and care transitions - Mei-Sing Ong and Enrico Coiera
Chapter 4 - Graduate medical education and patient safety - Jeanne M. Farnan and Vineet M. Arora
Chapter 5 - Electronic health record and patient safety - Ken Ong and Regina Cregin
Chapter 6 - Clinical ethics and patient safety - Erin A. Egan
Section II: Examples
Chapter 7 - Medication error - Mei Kong and Abdul Mondul
Chapter 8 - Medication reconciliation error - Robert J. Weber and Susan Moffatt-Bruce
Chapter 9 - Retained surgical items - Verna C. Gibbs
Chapter 10 - Wrong-site surgery - Patricia O'Neill and Eric N. Klein
Chapter 11 - Transfusion-related hazards - Barbara Rabin Fastman and Harold S. Kaplan
Chapter 12 - Hospital-acquired infections - Ethan D. Fried
Chapter 13 - Hospital falls - Cynthia J. Brown and Rebecca S. (Suzie) Miltner
Chapter 14 - Pressure ulcers - Grace M. Blaney and Monica Santoro
Chapter 15 - Diagnostic error - Satid Thammasitboon, Supat Thammasitboon and
Geeta Singhal
Section III: Special considerations
Chapter 16 - Patient safety in pediatrics - Erin Stucky Fisher
Chapter 17 - Patient safety in radiology - Alan Kantor and Stephen Waite
Chapter 18 - Patient safety in anesthesia - Brian Bush and Rebecca Twersky
Chapter 19 - Patient safety in behavioral health - Renuka Ananthamoorthy and Robert J. Berding
Chapter 20 - Patient safety in outpatient care - Urmilala Sarkar
Section IV: Organizational issues
Chapter 21 - Error disclosure - Bryan A. Liang and Kimberly M. Lovett
Chapter 22 - The culture of safety - Alberta T. Pedroja
Chapter 23 - Second victim - Susan Scott and Kristin Hahn-Cover
Appendix - Abha Agrawal
