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Download ACS Surgery: Principles & Practice 2005 edition by Wiley W. Souba; Mitchell P. Fink; Gregory J. Jurkovich; PDF

By Wiley W. Souba; Mitchell P. Fink; Gregory J. Jurkovich; Larry R. Kaiser; William H. Pearce; John H. Pemberton; Nathaniel J. Soper

Annual complete source for surgeons offers the knowledge wanted for continuous ability refinement and to accomplish key methods extra successfully. up to date variation comprises an elevated reduce gastrointestinal (GI) part. textual content with CD-ROM additionally to be had. DNLM: surgeries, Operative--methods.

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Extra info for ACS Surgery: Principles & Practice 2005 edition

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Neither of these measures, however, is particularly useful for quality-improvement purposes. Volume is not readily actionable, and mortality is too unstable at the level of individual hospitals (again, because of the small sample sizes) to serve as a means of identifying top performers, determining best practices, or evaluating the effects of improvement activities. Many believe that a good performance measure must be capa- ble of distinguishing levels of performance on an individual basis. From the perspective of providers in particular, a measure cannot be considered fair unless it reliably reflects the performance of individual hospitals or physicians.

85 The key message is that errors frequently are a product of the context in which they occur. It is tempting to assume that a few “bad apples” are responsible for most safety and quality problems. To achieve significant overall improvements in quality, all physicians will have to make efforts to improve the context in which patient care ACS Surgery: Principles and Practice 3 Patient Safety in Surgical Care: A Systems Approach — 6 is delivered. 86,87 Examples of Systems Approaches to Improving Quality Given the complexity of health care, embarking on a systems approach to safety improvement may seem a daunting prospect.

59 These arguments notwithstanding, elimination of human errors is clearly an impossible goal: a more realistic goal is to understand what causes errors and to minimize or, if possible, eliminate their consequences. 61 Besides the possible relationships already suggested, the concepts of performance and error can in fact be explicitly linked with two widely accepted quality-of-care paradigms. 76 Overuse is triggered by mistakes (sometimes rule-based but more often knowledge-based) but rarely, if ever, by slips or lapses.

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