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 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 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 Near Miss written by Paul J. Mila and published by Createspace Independent Pub. This book was released on 2012-11-20 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: Displaced international consultant Dayle Standish heads for the Caribbean, following a losing battle involving corporate intrigue and blackmail. Diving Cozumel's azure waters, Dayle photographs a mysterious encounter inside a deep underwater cave. Soon after, a deadly assassin working for a foreign intelligence service starts targeting Cozumel dive operator Terry Manetta's customers. But Dayle is determined not to become the next victim, keeping one step ahead of a relentless killer pursuing her across the Atlantic and back to the Mexican Caribbean. Terry and her husband, former New York City detective Joe Manetta, team up with old friends at the NYPD, FBI, and CIA, to solve this international caper. Throw in the Washington DC PD and the alphabet soup gets even thicker, as spies, treasure hunters, and Cozumel scuba divers collide in this Caribbean adventure. It's been several years since Terry and Joe Manetta accidentally embroiled themselves in a Caribbean mystery thriller. Their latest adventure covers an international triangle anchored in New York City, Havana, and Cozumel with brief stopovers in Washington D.C., Madrid, and Cadiz.
Download or read book Near Miss written by Charles Bernstein and published by University of Chicago Press. This book was released on 2018-10-26 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Praised in recent years as a “calculating, improvisatory, essential poet” by Daisy Fried in the New York Times, and as “the foremost poet-critic of our time” by Craig Dworkin, Charles Bernstein is a leading voice in American poetry. Near/Miss, Bernstein’s first poetry collection in five years, is the apotheosis of his late style, thick with off-center rhythms, hilarious riffs, and verbal extravagance. This collection’s title highlights poetry’s ability to graze reality without killing it, and at the same time implies that the poems themselves are wounded by the grief of loss. The book opens with a rollicking satire of difficult poetry—proudly declaring itself “a totally inaccessible poem”—and moves on to the stuff of contrarian pop culture and political cynicism—full of malaprops, mondegreens, nonsequiturs, translations of translations, sardonically vandalized signs, and a hilarious yet sinister feed of blog comments. At the same time, political protest also rubs up against epic collage, through poems exploring the unexpected intimacies and continuities of “our united fates.” These poems engage with works by contemporary painters—including Amy Sillman, Rackstraw Downes, and Etel Adnan—and echo translations of poets ranging from Catullus and Virgil to Goethe, Cruz e Souza, and Kandinsky. Grounded in a politics of multiplicity and dissent, and replete with both sharp edges and subtle intimacies, Near/Miss is full of close encounters of every kind.
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 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 Near Misses in Pediatric Anesthesia written by John G. Brock-Utne and published by Springer Science & Business Media. This book was released on 2013-05-28 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: Authored by “a superb clinician and award-winning teacher,”* Near Misses in Pediatric Anesthesiology, Second Edition is a thorough updating and significant expansion of this popular case book in the newest anesthesiology subspecialty to be approved by the American Board of Medical Specialties. The book comprises 87 true-story clinical “near misses,” including 40 cases that are brand new. Recommendations, references, and discussion accompany each case. The cases provide an ideal basis for problem-centered learning and also model how to learn from experience and to maintain professionalism during the lifelong development of clinical expertise. Dr. Brock-Utne’s latest case book provides a pediatric complement to his bestselling Case Studies of Near Misses in Clinical Anesthesia (Springer, 2012) and Clinical Anesthesia: Near Misses and Lessons Learned (Springer, 2008). * Jay B. Brodsky, MD, from the Foreword.
Download or read book The Curious Incident of the Dog in the Night Time written by Mark Haddon and published by Anchor Canada. This book was released on 2009-02-24 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: A bestselling modern classic—both poignant and funny—narrated by a fifteen year old autistic savant obsessed with Sherlock Holmes, this dazzling novel weaves together an old-fashioned mystery, a contemporary coming-of-age story, and a fascinating excursion into a mind incapable of processing emotions. Christopher John Francis Boone knows all the countries of the world and their capitals and every prime number up to 7,057. Although gifted with a superbly logical brain, Christopher is autistic. Everyday interactions and admonishments have little meaning for him. At fifteen, Christopher’s carefully constructed world falls apart when he finds his neighbour’s dog Wellington impaled on a garden fork, and he is initially blamed for the killing. Christopher decides that he will track down the real killer, and turns to his favourite fictional character, the impeccably logical Sherlock Holmes, for inspiration. But the investigation leads him down some unexpected paths and ultimately brings him face to face with the dissolution of his parents’ marriage. As Christopher tries to deal with the crisis within his own family, the narrative draws readers into the workings of Christopher’s mind. And herein lies the key to the brilliance of Mark Haddon’s choice of narrator: The most wrenching of emotional moments are chronicled by a boy who cannot fathom emotions. The effect is dazzling, making for one of the freshest debut in years: a comedy, a tearjerker, a mystery story, a novel of exceptional literary merit that is great fun to read.
Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Download or read book The EXODUS Incident written by Peter Schattschneider and published by Springer Nature. This book was released on 2021-05-21 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the near future, Earth is suffering from climate change, famines, and fundamentalism. A global nuclear war is imminent. Interstellar probes from the Breakthrough Starshot project initiated by J. Milner and S. Hawking have discovered a habitable planet in the stellar system Proxima Centauri, just in time for the exodus of the elites. On board the EXODUS starship, the crew starts to experience strange things. The voyage to Atlantis, the new home for mankind, enters a mysterious and disquieting territory, where conspiracy theories about what is real and what is virtual emerge. THE EXODUS INCIDENT is a novel about an interstellar journey, which connects science to virtual realities and epistemology. In the guise of a final investigative report, a scientific treatise discusses the physics and mathematics behind the story: the starship, the fusion thruster, the target planet, and the journey, addressing anomalous effects which involve relativistic speed and deep space environments.
Download or read book Incident at the Otterville Station written by John Christgau and published by U of Nebraska Press. This book was released on 2013-12-01 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: John Christgau relates the true story of the rescue of Walker's thirteen slaves by soldiers of the Ninth Minnesota Regiment and the soldiers' subsequent arrest for mutiny.
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 Command and Control written by Eric Schlosser and published by Penguin. This book was released on 2013-09-17 with total page 656 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. “Deeply reported, deeply frightening . . . a techno-thriller of the first order.” —Los Angeles Times “A devastatingly lucid and detailed new history of nuclear weapons in the U.S. . . . fascinating.” —Lev Grossman, TIME Magazine 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 The Daedalus Incident written by Michael J Martinez and published by Night Shade. This book was released on 2013-08-13 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mars is supposed to be dead… Bizarre quakes are rumbling over the long-dormant tectonic plates of the planet, disrupting its trillion-dollar mining operations and driving scientists past the edges of theory and reason. However, when rocks shake off their ancient dust and begin to roll—seemingly of their own volition—carving canals as they converge to form a towering structure amid the ruddy terrain, Lt. Jain and her JSC team realize that their routine geological survey of a Martian cave system is anything but. The only clues they have stem from the emissions of a mysterious blue radiation, and a 300-year-old journal that is writing itself. Lt. Thomas Weatherby of His Majesty’s Royal Navy is an honest 18th-century man, doing his part for King and Country aboard the HMS Daedalus, a frigate sailing the high seas between continents…and the immense Void between the Known Worlds. With the aid of his fierce captain, a drug-addled alchemist, and a servant girl with a remarkable past, Weatherby must track a great and powerful mystic, who has embarked upon a sinister quest to upset the balance of the planets—the consequences of which may reach far beyond the Solar System, threatening the very fabric of space itself. Skyhorse Publishing, under our Night Shade and Talos imprints, is proud to publish a broad range of titles for readers interested in science fiction (space opera, time travel, hard SF, alien invasion, near-future dystopia), fantasy (grimdark, sword and sorcery, contemporary urban fantasy, steampunk, alternative history), and horror (zombies, vampires, and the occult and supernatural), and much more. While not every title we publish becomes a New York Times bestseller, a national bestseller, or a Hugo or Nebula award-winner, we are committed to publishing quality books from a diverse group of authors.
Download or read book Incident at Hawk s Hill written by Allan W. Eckert and published by Perfection Learning. This book was released on 1995 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Set in Canada in 1870, this story about a boy and a badger is based on an actual incident.
