TY - CHAP M1 - Book, Section TI - Patient Safety A1 - Chen, Catherine L. A1 - Cooper, Michol A. A1 - Shapiro, Mark L. A1 - Angood, Peter B. A1 - Makary, Martin A. A2 - Brunicardi, F. Charles A2 - Andersen, Dana K. A2 - Billiar, Timothy R. A2 - Dunn, David L. A2 - Hunter, John G. A2 - Matthews, Jeffrey B. A2 - Pollock, Raphael E. Y1 - 2015 N1 - T2 - Schwartz's Principles of Surgery, 10e AB - Patient harm due to medical mistakes can be catastrophic and, in some cases, result in high-profile consequences not only for the patient, but also for the surgeon and institution.Patient safety is a science that promotes the use of evidence-based medicine and common sense improvements in an attempt to minimize the impact of human error on the routine delivery of services.The structure-process-outcome framework within the context of an organization’s culture helps to clarify how risks and ­hazards embedded within the organization’s structure may potentially lead to error and injure or harm patients.Poor communication contributes to approximately 60% of the sentinel events reported to The Joint Commission.Operating room briefings are team discussions of critical issues and potential hazards that can improve the safety of the operation and have been shown to improve operating room culture and decrease operating room delays.National Quality Forum surgical “never events” include retained surgical items, wrong-site surgery, and death on the day of surgery of a normal healthy patient (American Society of Anesthesiologists Class 1).Patient rapport is the most important determinant of ­malpractice claims against a surgeon. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1117742883 ER -