Do doctors and nurses always wash their hands between patients? Is it reasonable to suggest that the patient is responsible for confronting nurses and doctors who don't wash their hands? What's the problem with those hot ties and cool lab coats doctors like to wear? With the incorporation of computers into hospital infrastructure, how are records incomplete, fragmented, and essential patient information lost? Why, in spite of all the magnificent advances made in medicine, do patients still needlessly suffer and die from preventable infections?
The contributors in First Do Less Harm focus on topics such as sleep deprivation in professional staff, medication errors, the out-sourcing of cleaning staff and janitorial services, the unforeseen or poor coordination in the use of electronic medical records (EMR), and the exclusion of frontline staff from important and increasingly essential meetings on patient safety.
"Despite a decade of effort to decrease medical mistakes, progress has been carefully slow, and unintended consequences have been the rule not the exception. Two of the most innovative, iconoclastic thinkers in health care---Ross Koppel and Suzanne Gordon---have produced this collection that tells us why and illuminates the way forward. The book is dramatic, honest, infuriating, surprising, and ultimately hopeful. It is a welcome contribution to the safety field and deserves to be widely read" (Dr. Robert M. Wagner, UCSF).
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