Near-Miss Book

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Publisher :
ISBN 13 : 9780717667420
Total Pages : 96 pages
Book Rating : 4.6/5 (674 download)

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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:

Near Miss Reporting as a Safety Tool

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Publisher : Butterworth-Heinemann
ISBN 13 : 1483163628
Total Pages : 160 pages
Book Rating : 4.4/5 (831 download)

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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.

Safety Management

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Publisher : CRC Press
ISBN 13 : 1439879478
Total Pages : 193 pages
Book Rating : 4.4/5 (398 download)

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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

Patient Safety

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Publisher : National Academies Press
ISBN 13 : 0309090776
Total Pages : 551 pages
Book Rating : 4.3/5 (9 download)

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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.

Near/Miss

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Publisher : University of Chicago Press
ISBN 13 : 022657069X
Total Pages : 193 pages
Book Rating : 4.2/5 (265 download)

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Book Synopsis Near/Miss by : Charles Bernstein

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.

Near Miss

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Publisher : Createspace Independent Pub
ISBN 13 : 9781479256662
Total Pages : 348 pages
Book Rating : 4.2/5 (566 download)

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Book Synopsis Near Miss by : Paul J. Mila

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.

Case Studies of Near Misses in Clinical Anesthesia

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Publisher : Springer Science & Business Media
ISBN 13 : 1441911790
Total Pages : 223 pages
Book Rating : 4.4/5 (419 download)

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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).

The Value of Close Calls in Improving Patient Safety

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Publisher : Joint Commission Resources
ISBN 13 : 159940415X
Total Pages : 206 pages
Book Rating : 4.5/5 (994 download)

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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

Near Misses in Neuroanesthesia

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Author :
Publisher : Butterworth-Heinemann
ISBN 13 :
Total Pages : 220 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Near Misses in Neuroanesthesia by : Garfield B. Russell

Download or read book Near Misses in Neuroanesthesia written by Garfield B. Russell and published by Butterworth-Heinemann. This book was released on 2002 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: * Valuable study resource for written and oral board exams * Provides the anaesthetist or resident with a chance to test clinical skills * Presented from a problem-based approach to challenge the reader

Fatal Incident

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Publisher : Greenleaf Book Group
ISBN 13 : 1934572772
Total Pages : 377 pages
Book Rating : 4.9/5 (345 download)

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Book Synopsis Fatal Incident by : Jim Proebstle

Download or read book Fatal Incident written by Jim Proebstle and published by Greenleaf Book Group. This book was released on 2011 with total page 377 pages. Available in PDF, EPUB and Kindle. Book excerpt: Minnesotan Nick Morgan overcomes the hardships of life during the Depression with the thrill of flying. The rush he shares with his soon-to-be wife, Martha, as they barnstorm small Midwestern towns offering plane rides for a dollar, forges a love for each other and a sense of freedom to last a lifetime. But in 1943, Nick must leave Martha, now pregnant, to become a WWII pilot in Alaska for the army's newly formed Air Transport Command. In this uncharted and inaccessible landscape, Nick joins U.S. forces, who have set up a strategic defense position against Japan, and an Lend-Lease supply program that trains Soviet pilots with U.S. aircraft for their war with Germany.The remoteness of Alaska also draws the attention of Manhattan Project scientists in New Mexico as a possible site for atomic bomb testing. When Nick Morgan and his Okie crop-duster copilot, Red, are tapped by the Manhattan Project for classified flying duty over the isolated Yukon Flats region, they have no idea that they will be caught up in a Soviet plot aimed at stealing top-secret bomb and test site development documents. After Nick's plane goes down in a botched hijacking attempt by a Russian agent, all three crewmembers and eighteen military passengers are presumed dead by the U.S. military.A much-delayed recovery effort, however, reveals there to be at least one survivor, with many bodies missing from the crash site. This sparks a massive search to find the person who escaped with the documents, but a CIA cover-up to conceal the potentially disastrous breach in national security blocks all communication with survivor families in their need for information. Inspired by the true events of an Air Transport Command aircraft disaster in Alaska in 1944, Fatal Incident will attract any reader interested in conspiracy, espionage, and stories of love during wartime.

Guidelines for Investigating Chemical Process Incidents

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Publisher : John Wiley & Sons
ISBN 13 : 0470925124
Total Pages : 478 pages
Book Rating : 4.4/5 (79 download)

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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.

Near Misses and Air Traffic Control Issues in Chicago

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Publisher :
ISBN 13 :
Total Pages : 224 pages
Book Rating : 4.3/5 (121 download)

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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:

Patient Safety and Quality

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Publisher : Department of Health and Human Services
ISBN 13 :
Total Pages : 592 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Patient Safety and Quality by : Ronda Hughes

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Measuring Safety Management Performance

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Publisher : CRC Press
ISBN 13 : 1000998665
Total Pages : 247 pages
Book Rating : 4.0/5 (9 download)

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Book Synopsis Measuring Safety Management Performance by : Ron C. McKinnon

Download or read book Measuring Safety Management Performance written by Ron C. McKinnon and published by CRC Press. This book was released on 2023-11-10 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: Measuring Safety Management Performance lists and explains the difference between lagging and leading measures of safety management performance. It informs the reader how to use both proactive and reactive safety performance indicators and explains that consequence measurement is not an accurate reflection of the organization’s safety effort. It suggests managements’ Safety Performance Indicators (SPI) should be changed to proactive, positive measures of action and activities which can be controlled and accurately measured. A roadmap of a holistic system for measurement is offered that covers health and safety performance. It shows how management is traditionally informed about where they have been by information provided relating to injury data, rather than proactive, measurable, and controllable data on accident prevention efforts provided by the health and safety management system (SMS), which indicate where they are going. This highly practical book features examples of safety performance indicators, provides positive guidelines for accurate safety performance measurement, and is based on actual workplace experiences. It explains the strengths and weaknesses of proactive and reactive measurement metrics and gives examples of leading and lagging safety performance indicators. This book will be an ideal read for professionals and graduate students in the fields of occupational health and safety, ergonomics, and human factors engineering. It will have resonance with managers and professionals engaged in health and safety provisions at their place of work.

Air Traffic Control Computer Failures

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Publisher :
ISBN 13 :
Total Pages : 530 pages
Book Rating : 4.0/5 (18 download)

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Book Synopsis Air Traffic Control Computer Failures by : United States. Congress. House. Committee on Government Operations. Government Activities and Transportation Subcommittee

Download or read book Air Traffic Control Computer Failures written by United States. Congress. House. Committee on Government Operations. Government Activities and Transportation Subcommittee and published by . This book was released on 1981 with total page 530 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Understanding Your Game: A Mathematician's Advice for Rational and Safe Gambling

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Publisher : PhilScience Press
ISBN 13 : 6069735005
Total Pages : 232 pages
Book Rating : 4.0/5 (697 download)

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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.

Prevention of Major Industrial Accidents

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Publisher : International Labour Organization
ISBN 13 : 9789221085034
Total Pages : 84 pages
Book Rating : 4.0/5 (85 download)

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Book Synopsis Prevention of Major Industrial Accidents by : International Labour Office

Download or read book Prevention of Major Industrial Accidents written by International Labour Office and published by International Labour Organization. This book was released on 1993 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: