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Risk Management in Medicine



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Author: Walter Merkle

Publisher: Springer

Genres:

Publish Date: December 15, 2015

ISBN-10: 3662474069

Pages: 159

File Type: PDF

Language: English

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Book Preface

Risk Management in Hospitals – New subject or just new wine in old bottles?

Both are correct. Risk management as principle is a well-known tool, but currently not well used in hospitals.

Industrial enterprises have been developing risk management tools for decades. Motorola was the fi rst company to start with systemic analysis as to why some procedures went wrong. It was shown that not Motorola was dealing with a problematic business, but is working with people – meaning with its staff.

Where people are working, mistakes and failures are common.

Errare humanum est – hundreds of years ago ancient Rome already knew this.

The systemic approach by Motorola and others showed that there is a baseline level of human-caused failures independent of the individual and independent of the business or procedure.

At the end of the last century, the Harvard Medical Study demonstrated that in medicine there is also a baseline level of 3 % failures in all medical procedures – what a surprise!? Really?

Meanwhile some efforts are taken analyzing the specifi c details in medicine with focus on hospitals.

This book will refer the current status of the details which now fi rm under the title of Risk Management.

Reducing risk in patient treatment is as ethically as economically justifi able.

The cause is simple – repair of wrong treatment costs additional money and the health of the patient as well. Furthermore, problems with the law might occur if something went wrong not only by accident but by malpractice of doctors and staff. This all together will cost a large amount of money and the reputation of the hospital.

Thus, total successful risk management does cost money to install, but it definitely saves more money than it costs, and patients are healthier.

There is no better win-win situation for everybody.

How does this work?

This textbook will demonstrate in every chapter why we make some mistakes, although we do not want to do so, and how to protect everybody – patients, doctors, and hospital administration (and insurance companies) against human failures.


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