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A Near Miss
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Book Synopsis Near-Miss Book by : Great Britain: Health and Safety Executive
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:
Book Synopsis Safety Management by : Ron C. McKinnon
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
Book Synopsis Patient Safety by : Institute of Medicine
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.
Book Synopsis Near Miss Reporting as a Safety Tool by : T.W. van der Schaaf
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.
Book Synopsis The Value of Close Calls in Improving Patient Safety by : Joint Commission Resources, Inc
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/Miss written by Charles Bernstein and published by University of Chicago Press. This book was released on 2018-10-25 with total page 193 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.
Author :John G. Brock-Utne, MD, PhD, FFA(SA) Publisher :Springer Science & Business Media ISBN 13 :1441911790 Total Pages :223 pages Book Rating :4.4/5 (419 download)
Book Synopsis Case Studies of Near Misses in Clinical Anesthesia by : John G. Brock-Utne, MD, PhD, FFA(SA)
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 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.
Book Synopsis Industrial Accident Prevention by : Herbert William Heinrich
Download or read book Industrial Accident Prevention written by Herbert William Heinrich and published by . This book was released on 1959 with total page 502 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Near Miss written by Jami Lynn Viviers and published by FriesenPress. This book was released on 2021-09-02 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: Meet Seraphina St. Clair. She’s confident, capable, and owns a successful consulting business, but she’s also lonely and untrusting, and she thinks that she is incapable of being loved. Seraphina’s life and luck begin to change, however, when she is hired by two competing NASCAR companies. All of a sudden, she has not one, but two, handsome and accomplished suitors vying for her attention and affection. Which one of them will be able to unlock Seraphina’s heart? Which one of them will become the object of her fantasies? Which one of them will spend the night with her at her hotel? And which one of them will Seraphina choose? In the fashion of the best classic romantic fiction, A Near Miss invites readers to accompany its heroine as she struggles to make the right choice, open up about her history and her hurts, and learn to trust and to love again.
Book Synopsis Airport Incident Reporting Practices by : Stephen M. Quilty
Download or read book Airport Incident Reporting Practices written by Stephen M. Quilty and published by . This book was released on 2019 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Understanding Your Game: A Mathematician's Advice for Rational and Safe Gambling by : Catalin Barboianu
Download or read book Understanding Your Game: A Mathematician's Advice for Rational and Safe Gambling written by Catalin Barboianu and published by PhilScience Press. This book was released on 2022-04-15 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Cătălin Bărboianu, a recognized authority in gaming mathematics, philosopher of science, and problem-gambling researcher, proposes in this practical guide for both problem and non-problem gamblers a new pragmatic, conceptual approach of gambling mathematics. The primary aim of this guide is the adequate understanding of the essence and complexity of gambling through its mathematical dimension. The author starts from the premise that formal gambling mathematics, which is hardly even digestible for the non-math-inclined gamblers, is ineffective alone in correcting the specific cognitive distortions associated with gambling. By applying the latest research results in this field, the author blends the gambling-mathematics concepts with the epistemology of applied mathematics and cognitive psychology for providing gamblers the knowledge required for rational and safe gambling. It is not a standard book of gambling mathematics. The essential mathematical concepts are explained in a conceptual mode for the non-math reader, limited to their context of application and including their precise relationship with the real world of gambling. The entire mathematical dimension of gambling is reduced to seven general principles, explained at large in the seven main chapters, each generating a set of general recommendations applicable in general or in particular situations. These recommendations cover both the technical play, including objective and optimal strategies, and responsible, safe gambling. The guide has entire sections dedicated to roulette, blackjack, slots, poker, and sport betting; however, the principles and the associated advice are applicable in general to all games of chance. A major focus of the work is on explaining, making aware of, demounting, and correcting the classical gambling cognitive distortions (misconceptions, subjective estimations of probabilities, the Monte Carlo fallacy, conjunction and disjunction fallacies, the near-miss effect, illusion of control, and the misunderstanding of gambling language). The guide provides the required cognitive tools for correcting these distortions with the help of the mathematical concepts and addresses not only gamblers, but also gambling experts, including counselors.
Author :CCPS (Center for Chemical Process Safety) Publisher :John Wiley & Sons ISBN 13 :0470925124 Total Pages :478 pages Book Rating :4.4/5 (79 download)
Book Synopsis Guidelines for Investigating Chemical Process Incidents by : CCPS (Center for Chemical Process Safety)
Download or read book Guidelines for Investigating Chemical Process Incidents written by CCPS (Center for Chemical Process Safety) and published by John Wiley & Sons. This book was released on 2010-08-13 with total page 478 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a valuable reference tool for technical and management personnel who lead or are a part of incident investigation teams. This second edition focuses on investigating process-related incidents with real or potential catastrophic consequences. It presents on-the-job information, techniques, and examples that support successful investigations. The methodologies, tools, and techniques described in this book can also be applied when investigating other types of events such as reliability, quality, occupational health, and safety incidents. The accompanying CD-ROM contains the text of the book for portability as well as additional supporting tools for on-site reference and trouble shooting. Note: CD-ROM/DVD and other supplementary materials are not included as part of eBook file.
Author :United States. Congress. House. Committee on Government Operations. Government Activities and Transportation Subcommittee Publisher : ISBN 13 : Total Pages :224 pages Book Rating :4.3/5 (121 download)
Book Synopsis Near Misses and Air Traffic Control Issues in Chicago by : United States. Congress. House. Committee on Government Operations. Government Activities and Transportation Subcommittee
Download or read book Near Misses and Air Traffic Control Issues in Chicago written by United States. Congress. House. Committee on Government Operations. Government Activities and Transportation Subcommittee and published by . This book was released on 1987 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis On the Practice of Safety by : Fred A. Manuele
Download or read book On the Practice of Safety written by Fred A. Manuele and published by John Wiley & Sons. This book was released on 2013-05-28 with total page 624 pages. Available in PDF, EPUB and Kindle. Book excerpt: Explains how to implement the best safety practices and why they work Reviews from the Third Edition "An excellent piece of work." Safety Health Practitioner (SHP) "A useful fountain of knowledge." Quality World "This is a book to be read now for its educational value and also to be kept on the shelf for easy future reference." Chemistry International The Fourth Edition of On the Practice of Safety makes it possible for readers to master all the core subjects and practices that today's safety professionals need to know in order to provide optimal protection for their organizations' property and personnel. Like the previous editions, each chapter is a self-contained unit, making it easy for readers to focus on select topics of interest. Thoroughly revised and updated, this Fourth Edition reflects the latest research and safety practice standards. For example, author Fred Manuele has revised the design chapters to reflect the recently adopted American National Standard on Prevention through Design. In addition, readers will find new chapters dedicated to: Management of change and pre-job planning Indirect-to-direct accident cost ratios Leading and lagging indicators Opportunities for safety professionals to apply lean concepts Role of safety professionals in implementing sustainability Financial management concepts and practices that safety professionals should know Many chapters are highly thought-provoking, questioning long-accepted concepts in the interest of advancing and improving the professional practice of safety. Acclaimed by both students and instructors, On the Practice of Safety is a core textbook for both undergraduate and graduate degree programs in safety. Safety professionals should also refer to the text in order to update and improve their safety skills and knowledge.
Book Synopsis Human Performance Improvement through Human Error Prevention by : BW (Ben) Marguglio
Download or read book Human Performance Improvement through Human Error Prevention written by BW (Ben) Marguglio and published by CRC Press. This book was released on 2021-10-28 with total page 705 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a simulation of a live course on human performance improvement/human error prevention (HPI/HEP) created by the preeminent authority on HPI/HEP. It presents the greatest breadth of scope and specificity on this topic. This book comprises a focused, challenging human error prevention training course designed to improve understanding of error causation. It will dramatically reduce human error and repeat deviations, and it digs below the surface of issues and looks to fix the real causes of human error and mistakes. In addition, this book presents a complete seminar from the thought leader acclaimed by hundreds of clients, and includes unique principles, practices, models, and templates. Information is comprehensive and can be directly implemented. The principles and practices of human error prevention are universally applicable regardless of the type of industrial, commercial, or governmental enterprise, and regardless of the type of function performed within the enterprise. The application of the information in this book will significantly contribute to improved productivity, safety, and quality. After fully using this book, you will understand: Human error prevention/reduction terminology and definitions. The relationships among culture, beliefs, values, attitudes, behavior, results, and performance. The roles of leadership in establishing and maintaining a quality/safety-conscious work environment. The one fundamental precept explaining the importance of human error prevention/reduction. The two most critical elements of human error prevention/reduction. The three levels of barriers to human error. The four types of things in which the barriers may exist at each barrier level. The five stages of human error. The six "M"s that can emit or receive hazards activated by human error. The seven universally applicable human error causal factors. The Rule of 8 by which to prevent human error and mitigate its effects. Techniques for making barriers effective and the spectrum of barrier effectiveness. The relationship of human error prevention/reduction to the total quality/safety function. Error-inducing conditions (error traps) and behaviors for counteracting these conditions. Non-conservative and conservative thought processes and behaviors in decision-making. Coaching for preventing the recurrence of human error. Root cause analysis techniques for identifying human error causal factors. The nine types of corrective action. Human error measurement. Strategies for a human error prevention/reduction initiative. How to design, implement, and manage a human error prevention/reduction initiative.
Book Synopsis Encyclopedia of Quantitative Risk Analysis and Assessment by :
Download or read book Encyclopedia of Quantitative Risk Analysis and Assessment written by and published by John Wiley & Sons. This book was released on 2008-09-02 with total page 2163 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leading the way in this field, the Encyclopedia of Quantitative Risk Analysis and Assessment is the first publication to offer a modern, comprehensive and in-depth resource to the huge variety of disciplines involved. A truly international work, its coverage ranges across risk issues pertinent to life scientists, engineers, policy makers, healthcare professionals, the finance industry, the military and practising statisticians. Drawing on the expertise of world-renowned authors and editors in this field this title provides up-to-date material on drug safety, investment theory, public policy applications, transportation safety, public perception of risk, epidemiological risk, national defence and security, critical infrastructure, and program management. This major publication is easily accessible for all those involved in the field of risk assessment and analysis. For ease-of-use it is available in print and online.