Health Care Errors and Patient Safety

Section 1: Understanding medical errors. 1. Historical recognition and conceptual understanding of erroras an inevitable component of clinical work Internationaloverview. 2. The patient safety implications of transitions inhealthcare. 3. Are all errors the same?. 4. How does the law deal with medical errors?. Section 2: Key clinical issues. 5. The epidemiology of patient safety. 6. Diagnostic errors: psychological theories and researchimplications. 7. The aftermath of error on patients and health care staff. 8. Medicines management to minimise errors in primary care. 9. Error and organizational change. 10. Error reporting systems. 11. Analysis of health care error reports. Section 3: Learning from errors. 12. Errors as individual learning opportunities. 13. 'Mince or mice'? misunderstandings and patient safety in alinguistically diverse community. 14. Patient safety and patient error. 15. Significant event auditing and root cause analysis oferrors. 16. Teaching students about medical errors. 17. Medical education. 18. Medical errors in narratives and case histories. Section 4: Communicating with the public. 19. The patient's role in preventing errors and promotingsafety. 20. Health care errors and the media. 21. The many advantages and some disadvantages of a no-blameculture regarding medical errors