16. Patient safety and risk prevention

  1. Richard Grol,
  2. Michel Wensing,
  3. Martin Eccles and
  4. David Davis
  1. Marieke Zegers1,
  2. Hub Wollersheim1,
  3. Michel Wensing1,
  4. Charles Vincent2 and
  5. Richard Grol1

Published Online: 28 JUN 2013

DOI: 10.1002/9781118525975.ch16

Improving Patient Care: The Implementation of Change in Health Care, Second Edition

Improving Patient Care: The Implementation of Change in Health Care, Second Edition

How to Cite

Zegers, M., Wollersheim, H., Wensing, M., Vincent, C. and Grol, R. (2013) Patient safety and risk prevention, in Improving Patient Care: The Implementation of Change in Health Care, Second Edition (eds R. Grol, M. Wensing, M. Eccles and D. Davis), John Wiley & Sons, Ltd, Oxford, UK. doi: 10.1002/9781118525975.ch16

Author Information

  1. 1

    Department IQ healthcare, UMC St Radboud, Nijmegen, the Netherlands

  2. 2

    Department of Surgery & Cancer, Imperial College, London, UK

Publication History

  1. Published Online: 28 JUN 2013
  2. Published Print: 20 MAY 2013

ISBN Information

Print ISBN: 9780470673386

Online ISBN: 9781118525975

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Keywords:

  • patient safety;
  • risk prevention;
  • safety incidents;
  • safety interventions

Summary

Studies have found that about 10% of patients in hospital are harmed as a result of adverse events, half of which are thought to be avoidable. Several methods to measure and analyze error and harm exist, such as medical record review and reporting and analyzing incidents. Potential determinants of patient safety incidents are inadequate training or experience, problems in communication between health professionals and healthcare organizations/departments, stressful situations, and problems with equipment. A range of interventions is available to improve patient safety, including professional education, teamwork training, improved handover, use of information technology, interventions to improve medication safety, leadership and safety culture, empowered patients, improved governance, and complex safety-enhancing interventions. A prospective analysis of risky processes leads to a reduction in risk in processes which need to be standardized to a great extent.