Download or read book Near Miss Book written by Great Britain: Health and Safety Executive and published by . This book was released on 2021-02 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Near Miss Reporting as a Safety Tool written by T.W. van der Schaaf and published by Butterworth-Heinemann. This book was released on 2013-10-22 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: Near Miss Reporting as a Safety Tool arises from a meeting of safety professionals, academicians, and consultants from Western-Europe and Canada held in Eindhoven, the Netherlands, in September 1989. The book deals with near-miss reporting in various systems, mostly in the context of errors and accidents. The book begins by discussing the effects of bad management decisions in the design phase and a framework that will describe or manage these near misses through reporting, description, analysis, interpretation, and suggestions. Seven modules that compose this framework, called the Near Miss Management System (NMMS), along with pertinent cases, are explained. The book notes that near misses are ignored because of technical myopia, action-oriented organizations, event-focused organizations, consequence driven, and variables in quality of reporting. The organizational and management aspects of the NMMS are then analyzed within the commonly accepted culture and experience of the company. The book also presents comparative application of near miss information systems covering a wide range of industrial and transport environment. Such presentation allows differences and similarities to come into view more easily. The text will prove valuable for safety professionals in the nuclear and chemical industry and in road, railway, and air traffic management. Professors and students in safety management will likewise appreciate this book.
Download or read book Patient Safety written by Institute of Medicine and published by National Academies Press. This book was released on 2003-12-20 with total page 551 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans should be able to count on receiving health care that is safe. To achieve this, a new health care delivery system is needed â€" a system that both prevents errors from occurring, and learns from them when they do occur. The development of such a system requires a commitment by all stakeholders to a culture of safety and to the development of improved information systems for the delivery of health care. This national health information infrastructure is needed to provide immediate access to complete patient information and decision-support tools for clinicians and their patients. In addition, this infrastructure must capture patient safety information as a by-product of care and use this information to design even safer delivery systems. Health data standards are both a critical and time-sensitive building block of the national health information infrastructure. Building on the Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Patient Safety puts forward a road map for the development and adoption of key health care data standards to support both information exchange and the reporting and analysis of patient safety data.
Download or read book Safety Management written by Ron C. McKinnon and published by CRC Press. This book was released on 2012-02-27 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: Close calls, narrow escapes, or near hits. History has shown repeatedly that these "near-miss" incidents often precede loss producing events, but are largely ignored or go unreported because nothing (no injury, damage or loss) happened. Thus, many opportunities to prevent the accidents that the organization has not yet had are lost. Recognizing and
Download or read book The Mammoth Book of Air Disasters and Near Misses written by Paul Simpson and published by Robinson. This book was released on 2014-10-16 with total page 603 pages. Available in PDF, EPUB and Kindle. Book excerpt: An incredible 30,000 flights – at least – arrive safely at their destinations every day. But a handful don’t, while some come terrifyingly close to crashing. When even the smallest thing does go wrong at 35,000 feet, the result is nearly always a fast-unfolding tragedy. This extensive collection of compelling real-life accounts of air disasters and near-disasters provides a sobering, alternative history of the just over 105 years that passengers have been travelling by air, from the very earliest fatality to recent calamities. But there are incredible stories of heroism against the odds, too, such as that of Captain Chesley Sullenberger who successfully landed his aircraft with both engines gone on the Hudson River in New York, saving the lives of everyone aboard, and of the American Airlines crew who prevented terrorist Richard Reid from exploding a bomb hidden in his shoe three months after 9/11. The book also details the often ingenious, always painstaking work done by air-accident investigators, while a glossary helps to clarify the occasional, inevitable bits of jargon.
Download or read book Case Studies of Near Misses in Clinical Anesthesia written by John G. Brock-Utne, MD, PhD, FFA(SA) and published by Springer Science & Business Media. This book was released on 2011-08-09 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt: All anesthesiologists eventually face the fear of a “near miss,” when a patient’s life has been put at risk. Learning from the experience is crucial to professionalism and the ongoing development of expertise. Drawing on forty-plus years of practice in major metropolitan hospitals in the United States, Norway, and South Africa, John Brock-Utne, MD presents 80 carefully selected cases that provide the basis for lessons and tips to prevent potential disaster. The cases emphasize problem-centered learning and span a broad range of topics—from an outbreak of operating room infection (could it be the anesthesia equipment?), complications of fiberoptic intubations, and problems with epidural drug pumps, to performing an urgent tracheostomy for the first time, working with an aggressive surgeon, and what to do when a patient falls off the operating table during surgery. 80 true-story clinical “near misses” never before published, ideal for problem-centered learning, recommendations, references, and discussions accompany most cases, rich basis for teaching discussions both in or out of the operating room, settings include sophisticated as well as rudimentary anesthetic environments, complements the author’s other case book, Clinical Anesthesia: Near Misses and Lessons Learned (Springer, 2008).
Download or read book Near Misses written by Usn (Ret) Lcdr Paul Allen Riley and published by AuthorHouse. This book was released on 2011-03 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book begins in a small town setting where aviation has earned a bad name because of an avoidable fatal crash. It is autobiographical only in the sense of the author's progression from non-interest to intense involvement in all aspects of flying. The title "Near Misses" describes close calls as well as choices that determined final outcomes. The highlights of an aspiring Naval Aviator's struggle to become a fighter pilot are revealed. Along the way, bits of historical and technical information are included The main theme is that anyone attempting the same task could benefit by either avoiding the pitfalls described or by being prepared to compensate for them in ways similar to those of the author.
Download or read book Anesthesia in Low Resourced Settings written by John G. Brock-Utne and published by Springer Nature. This book was released on 2021-10-30 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book outlines the many anesthesia-related obstacles, concerns, and challenges that may be encountered by western trained anesthesiologist in low-resourced settings. Each chapter presents a challenging scenario with solutions. It is therefore an essential handbook that will prepare those performing anesthesia in this milieu. All case studies represent real accounts discussing equipment and drug constraints as well as the ethical questions that arise for western doctors working in this environment. Socially conscious and timely, Anesthesia in Low-Resourced Settings is an invaluable resource for medical practitioners who plan to work in these challenging settings.
Download or read book Near Misses written by S. E. Finken and published by AuthorHouse. This book was released on 2011 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: A few years after the end of a long marriage, Mitch Hamilton considers getting back into the romance game. With wit and insight, Mitch tells the story of his encounters with prospective lovers. Some are touching, some are hilarious, and all are surprising. Mitch's narrative expands to include other encounters and ultimate thoughts on what makes our lives rich and fulfilling.
Download or read book Near Misses and Air Traffic Control Issues in Chicago written by United States. Congress. House. Committee on Government Operations. Government Activities and Transportation Subcommittee and published by . This book was released on 1987 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Value of Close Calls in Improving Patient Safety written by Joint Commission Resources, Inc and published by Joint Commission Resources. This book was released on 2011 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: Because close calls, often termed near misses, don't raise the same concerns about malpractice liability and may be less emotionally charged than errors that cause serious harm, they are a unique source of learning for individuals and organizations striving to keep patients safe. This book tells how to take advantage of these lessons to prevent today's close call from turning into tomorrow's catastrophic event. Special Features: * Foreword by human error expert James Reason, Ph.D. * Authoritative tutorials on what the literature tells us about the concept of close calls and their identification, relationship with errors, and use in assessing and improving the safety and reliability of health care. * 15 detailed case studies from a variety of clinical disciplines and specialties to show how health care organizations use close calls to identify and solve patient safety problems
Download or read book The Limits of Safety written by Scott Douglas Sagan and published by Princeton University Press. This book was released on 2020-05-05 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: Environmental tragedies such as Chernobyl and the Exxon Valdez remind us that catastrophic accidents are always possible in a world full of hazardous technologies. Yet, the apparently excellent safety record with nuclear weapons has led scholars, policy-makers, and the public alike to believe that nuclear arsenals can serve as a secure deterrent for the foreseeable future. In this provocative book, Scott Sagan challenges such optimism. Sagan's research into formerly classified archives penetrates the veil of safety that has surrounded U.S. nuclear weapons and reveals a hidden history of frightening "close calls" to disaster.
Download or read book Command and Control written by Eric Schlosser and published by Penguin. This book was released on 2013-09-17 with total page 702 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Oscar-shortlisted documentary Command and Control, directed by Robert Kenner, finds its origins in Eric Schlosser's book and continues to explore the little-known history of the management and safety concerns of America's nuclear aresenal. “A devastatingly lucid and detailed new history of nuclear weapons in the U.S. Fascinating.” —Lev Grossman, TIME Magazine “Perilous and gripping . . . Schlosser skillfully weaves together an engrossing account of both the science and the politics of nuclear weapons safety.” —San Francisco Chronicle A myth-shattering exposé of America’s nuclear weapons Famed investigative journalist Eric Schlosser digs deep to uncover secrets about the management of America’s nuclear arsenal. A groundbreaking account of accidents, near misses, extraordinary heroism, and technological breakthroughs, Command and Control explores the dilemma that has existed since the dawn of the nuclear age: How do you deploy weapons of mass destruction without being destroyed by them? That question has never been resolved—and Schlosser reveals how the combination of human fallibility and technological complexity still poses a grave risk to mankind. While the harms of global warming increasingly dominate the news, the equally dangerous yet more immediate threat of nuclear weapons has been largely forgotten. Written with the vibrancy of a first-rate thriller, Command and Control interweaves the minute-by-minute story of an accident at a nuclear missile silo in rural Arkansas with a historical narrative that spans more than fifty years. It depicts the urgent effort by American scientists, policy makers, and military officers to ensure that nuclear weapons can’t be stolen, sabotaged, used without permission, or detonated inadvertently. Schlosser also looks at the Cold War from a new perspective, offering history from the ground up, telling the stories of bomber pilots, missile commanders, maintenance crews, and other ordinary servicemen who risked their lives to avert a nuclear holocaust. At the heart of the book lies the struggle, amid the rolling hills and small farms of Damascus, Arkansas, to prevent the explosion of a ballistic missile carrying the most powerful nuclear warhead ever built by the United States. Drawing on recently declassified documents and interviews with people who designed and routinely handled nuclear weapons, Command and Control takes readers into a terrifying but fascinating world that, until now, has been largely hidden from view. Through the details of a single accident, Schlosser illustrates how an unlikely event can become unavoidable, how small risks can have terrible consequences, and how the most brilliant minds in the nation can only provide us with an illusion of control. Audacious, gripping, and unforgettable, Command and Control is a tour de force of investigative journalism, an eye-opening look at the dangers of America’s nuclear age.
Download or read book Near Misses in Pediatric Anesthesia written by John G. Brock-Utne and published by Butterworth-Heinemann. This book was released on 1999 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: The near misses reported in this book derive from the author's experience in clinical anesthesia in the United States, Scandinavia, and South Africa. Each of the 47 cases starts with a short introduction to the clinical problem. The reader is then provided with all the essential information necessary to decide how to proceed. Following are a solution and analysis of the dilemma with recommendations and references for further reading. The management of these cases may form the basis for a teaching discussion between a faculty member and a resident in anesthesiology. Most of all, the book is designed to alert the reader to various precarious situations that can arise and how to best prevent or deal with these potentially serious problems. * Presents information in handy case format * Provides excellent teaching tool * Follows each case presentation with discussion of options
Download or read book The End Is Always Near written by Dan Carlin and published by HarperCollins. This book was released on 2019-10-29 with total page 561 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now a New York Times Bestseller. The creator of the wildly popular award-winning podcast Hardcore History looks at some of the apocalyptic moments from the past as a way to frame the challenges of the future. Do tough times create tougher people? Can humanity handle the power of its weapons without destroying itself? Will human technology or capabilities ever peak or regress? No one knows the answers to such questions, but no one asks them in a more interesting way than Dan Carlin. In The End is Always Near, Dan Carlin looks at questions and historical events that force us to consider what sounds like fantasy; that we might suffer the same fate that all previous eras did. Will our world ever become a ruin for future archaeologists to dig up and explore? The questions themselves are both philosophical and like something out of The Twilight Zone. Combining his trademark mix of storytelling, history and weirdness Dan Carlin connects the past and future in fascinating and colorful ways. At the same time the questions he asks us to consider involve the most important issue imaginable: human survival. From the collapse of the Bronze Age to the challenges of the nuclear era the issue has hung over humanity like a persistent Sword of Damocles. Inspired by his podcast, The End is Always Near challenges the way we look at the past and ourselves. In this absorbing compendium, Carlin embarks on a whole new set of stories and major cliffhangers that will keep readers enthralled. Idiosyncratic and erudite, offbeat yet profound, The End is Always Near examines issues that are rarely presented, and makes the past immediately relevant to our very turbulent present.
Download or read book Improving Diagnosis in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-12-29 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
Download or read book Guidelines for Investigating Chemical Process Incidents written by CCPS (Center for Chemical Process Safety) and published by John Wiley & Sons. This book was released on 2010-08-13 with total page 478 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a valuable reference tool for technical and management personnel who lead or are a part of incident investigation teams. This second edition focuses on investigating process-related incidents with real or potential catastrophic consequences. It presents on-the-job information, techniques, and examples that support successful investigations. The methodologies, tools, and techniques described in this book can also be applied when investigating other types of events such as reliability, quality, occupational health, and safety incidents. The accompanying CD-ROM contains the text of the book for portability as well as additional supporting tools for on-site reference and trouble shooting. Note: CD-ROM/DVD and other supplementary materials are not included as part of eBook file.
