Case Studies in Patient Safety Foundations for Core Competencies

A Head Dedication
Acknowledgements
Foreword
Preface
Introduction
Section1 PATIENT CARE
Case1 It's Hard to Kill a Healthy 15-year-old The Story of Lewis Blackman (United States)
Case2 A Routine Appendectomy The Story of John (Australia)
Case3 The Origins of the Mid Staffordshire Inquiry into the National Health Service The Story of Bella Bailey (United Kingdom)
Case4 Consent and Disclosure in Pediatric Heart Surgery The Story of James Mannix (United States)
Section2 KNOWLEDGE FOR PRACTICE
Case5 I'm Left in Fear: An Account of Harm in Maternity Care The Story of Amelia (United Kingdom)
Case6 A Routine Endoscopic Procedure The Story of Dorothy Johnson (United States)
Case7 The Last Run: An Undiagnosed Heart Rhythm Disturbance The Story of Alex James (United States)
Section3 PRACTICE-BASED LEARNING AND IMPROVEMENT
Case8 Improving Care for People with Intellectual Disability The Story of Andy (Australia)
Case9 A Cascade of Small Events: Learning from an Unexpected Post-Surgical Death The Story of Nick Francis (Canada)
Case10 Accidental Fall in a Hospital The Story of Colin Lake (Australia)
Section4 INTERPERSONAL AND COMMUNICATION SKILLS
Case11 Not Considered a Partner: A Mother's Story of a Tonsillectomy Gone Wrong The Story of Noah Lord (United States)
Case12 Lost: A Patient's Search for Answers for Intractable Pain The Story of Claudine Goze-Weber (France)
Case13 The Silence of the Hospital: Lessons on Supporting Patients and Staff after An Adverse Event The Story of Linda Kenney (United States)
Section5 PROFESSIONALISM
Case14 The Big Picture: A Terminally Ill Patient in a Fragmented System The Story of Fred Holliday (United States)
Case15 Without a Heart: The Legal Sequelae of an Unexplained Hospital Death The Story of Jerry Carswell (United States)
Case16 Small Steps: From Medication Adjustment to Permanent Disability The Story of Rita Hooper Washington (United States)
Case17 The Definition of Alive: The Story of an Equivocal Birth The Story of Paris Humphrey (United States)
Section6 SYSTEMS-BASED PRACTICE
Case18 Not for IV Use: The Story of An Enteral Tubing Misconnection The Story of Robin and Addison Lowe (United States)
Case19 Death Despite Known Drug Allergy The Story of Zoya (Australia)
Case20 The Trial Meant for You: The Lifelong Medical Journey of a Child with a Complex Congenital Condition The Story of Kirsten Morrise (United States)
Section7 INTERPROFESSIONAL COLLABORATION
Case21 Failure to Rescue The Story of DJ Sterner (United States)
Case22 Unmonitored: A Post-Surgical Narcotic Overdose in the Hospital The Story of Louise Batz (United States)
Case23 The Voice that is Missing: A Mother's Journey in Patient Safety Advocacy The Story of Michael Corina (United States)
Case24 When Healing Harms: Recovering from a Multi-System Traumatic Injury The Story of Kathy Torpie (New Zealand)
Section8 PERSONAL AND PROFESSIONAL DEVELOPMENT
A HeadAfterword Personal and Professional Development
A HeadAppendix Recommended List of Core Competencies for Health Professions
A HeadIndex