- Patient Safety and Medication Errors
- Medical Malpractice and Liability Issues
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare Quality and Management
- Strategic Planning and Analysis
- Business Strategy and Innovation
- Healthcare cost, quality, practices
- Quality and Safety in Healthcare
- Healthcare Policy and Management
- Hospital Admissions and Outcomes
- Surgical Simulation and Training
- Clinical Reasoning and Diagnostic Skills
- Health Systems, Economic Evaluations, Quality of Life
- Emergency and Acute Care Studies
- Insect-Plant Interactions and Control
- Innovations in Medical Education
- Parasite Biology and Host Interactions
- Historical and Literary Studies
- Simulation-Based Education in Healthcare
- Occupational Health and Safety Research
- Agriculture and Rural Development Research
- Patient-Provider Communication in Healthcare
- Plant and animal studies
- Lepidoptera: Biology and Taxonomy
- Historical Studies and Socio-cultural Analysis
University of Oxford
2016-2025
Université Polytechnique Hauts-de-France
2014-2024
The Mill
2024
Imperial College London
2009-2022
Oxford Health NHS Foundation Trust
2020-2021
Warneford Hospital
2021
National Yang Ming Chiao Tung University
2019-2020
Chinese Culture University
2019-2020
Region Jönköpings län
2020
Institut de Recherche en Cancérologie de Montpellier
2016-2019
<h3>Abstract</h3> <b>Objectives:</b> To examine the feasibility of detecting adverse events through record review in British hospitals and to make preliminary estimates incidence costs events. <b>Design:</b> Retrospective 1014 medical nursing records. <b>Setting:</b> Two acute Greater London area. <b>Main outcome measure:</b> Number <b>Results:</b> 110 (10.8%) patients experienced an event, with overall rate 11.7% when multiple were included. About half these judged preventable ordinary...
This article describes a method of investigating and learning from adverse events. Careful investigation systems analysis can identify the factors that set stage for medical error. The author argues process understanding events leads to improvements in care reductions errors insensitive inadequate handling an incident result additional harm patients families. He outlines practical strategies minimize trauma resulting
Why do things go wrong? Human error is routinely blamed for disasters in the air, on railways, complex surgery, and health care generally. However, quick judgments routine assignment of blame obscure a more truth. The identification an obvious departure from good practice usually only first step investigation. Although particular action or omission may be immediate cause incident, closer analysis reveals series events departures safe practice, each influenced by working environment wider...
Over 250 patients from three complementary medicine practices—acupuncture, osteopathy and homoeopathy‐completed a questionnaire rating 20 potential reasons for seeking treatment. The that were most strongly endorsed ‘because I value the emphasis on treating whole person’; believe therapy will be more effective my problem than orthodox medicine’; enable me to take active part in maintaining health’; treatment was not particular problem’. Five factors identified, order of importance: positive...
Plans for improving safety in medical care often ignore the patient's perspective. The active role of patients their should be recognised and encouraged. Patients have a key to play helping reach an accurate diagnosis, deciding about appropriate treatment, choosing experienced safe provider, ensuring that treatment is appropriately administered, monitored adhered to, identifying adverse events taking action. They may experience considerable psychological trauma both as result outcome through...
<b>Objective</b> To assess the frequency and nature of adverse events to patients in selected hospitals developing or transitional economies. <b>Design</b> Retrospective medical record review hospital admissions during 2005 eight countries. <b>Setting</b> Ministries Health Egypt, Jordan, Kenya, Morocco, Tunisia, Sudan, South Africa Yemen; World Organisation (WHO) Eastern Mediterranean African Regions (EMRO AFRO), WHO Patient Safety. <b>Participants</b> Convenience sample 26 from which 15 548...
Monitoring hospital mortality rates is widely recommended. However, the number of preventable deaths remains uncertain with estimates in England ranging from 840 to 40 000 per year, these being derived studies that identified adverse events but not whether contributed death or shortened life expectancy those affected.
The WHO checklist has the potential to reduce preventable adverse events in surgery. But <b>A Vats and colleagues</b>’ experience suggests that a careful rigorous implementation plan is required ensure used routinely correctly
In Brief Objectives: To evaluate how the World Health Organization (WHO) surgical safety checklist was implemented across hospitals in England; to identify barriers and facilitators toward implementation; draw out lessons for implementing improvement initiatives surgery/health care more generally. Background: The WHO has been linked improved outcomes teamwork, yet we know little about factors affecting its successful uptake. Methods: A longitudinal interview study with operating room...
In Brief Objective: To investigate whether distractions in the operating room (OR) are associated with higher mental workload and stress, poorer teamwork among OR personnel. Background: Engaging multiple tasks can affect performance. There is little research on effect of surgical team members' behavior cognitive processes. Methods: Ninety general surgery cases were observed real time. Cases assessed by a surgeon behavioral scientist using 4 validated tools: Distractions Assessment Form,...