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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Author :
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.

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).

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.

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

Near Misses

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Publisher : AuthorHouse
ISBN 13 : 1456734229
Total Pages : 114 pages
Book Rating : 4.4/5 (567 download)

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Book Synopsis Near Misses by : Paul Allen Riley

Download or read book Near Misses written by Paul Allen Riley and published by AuthorHouse. This book was released on 2011-03-21 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book begins in a small town setting where aviation has earned a bad name because of an avoidable fatal crash. It is autobiographical only in the sense of the author's progression from non-interest to intense involvement in all aspects of flying. The title "Near Misses" describes close calls as well as choices that determined final outcomes. The highlights of an aspiring Naval Aviator's struggle to become a fighter pilot are revealed. Along the way, bits of historical and technical information are included The main theme is that anyone attempting the same task could benefit by either avoiding the pitfalls described or by being prepared to compensate for them in ways similar to those of the author.

The Mammoth Book of Air Disasters and Near Misses

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Author :
Publisher : Robinson
ISBN 13 : 1780338295
Total Pages : 603 pages
Book Rating : 4.7/5 (83 download)

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Book Synopsis The Mammoth Book of Air Disasters and Near Misses by : Paul Simpson

Download or read book The Mammoth Book of Air Disasters and Near Misses written by Paul Simpson and published by Robinson. This book was released on 2014-10-16 with total page 603 pages. Available in PDF, EPUB and Kindle. Book excerpt: An incredible 30,000 flights – at least – arrive safely at their destinations every day. But a handful don’t, while some come terrifyingly close to crashing. When even the smallest thing does go wrong at 35,000 feet, the result is nearly always a fast-unfolding tragedy. This extensive collection of compelling real-life accounts of air disasters and near-disasters provides a sobering, alternative history of the just over 105 years that passengers have been travelling by air, from the very earliest fatality to recent calamities. But there are incredible stories of heroism against the odds, too, such as that of Captain Chesley Sullenberger who successfully landed his aircraft with both engines gone on the Hudson River in New York, saving the lives of everyone aboard, and of the American Airlines crew who prevented terrorist Richard Reid from exploding a bomb hidden in his shoe three months after 9/11. The book also details the often ingenious, always painstaking work done by air-accident investigators, while a glossary helps to clarify the occasional, inevitable bits of jargon.

Near Misses

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Publisher : AuthorHouse
ISBN 13 : 1456700677
Total Pages : 238 pages
Book Rating : 4.4/5 (567 download)

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Book Synopsis Near Misses by : S. E. Finken

Download or read book Near Misses written by S. E. Finken and published by AuthorHouse. This book was released on 2011 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: A few years after the end of a long marriage, Mitch Hamilton considers getting back into the romance game. With wit and insight, Mitch tells the story of his encounters with prospective lovers. Some are touching, some are hilarious, and all are surprising. Mitch's narrative expands to include other encounters and ultimate thoughts on what makes our lives rich and fulfilling.

Anesthesia in Low-Resourced Settings

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Publisher : Springer Nature
ISBN 13 : 3030776549
Total Pages : 317 pages
Book Rating : 4.0/5 (37 download)

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Book Synopsis Anesthesia in Low-Resourced Settings by : John G. Brock-Utne

Download or read book Anesthesia in Low-Resourced Settings written by John G. Brock-Utne and published by Springer Nature. This book was released on 2021-10-30 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book outlines the many anesthesia-related obstacles, concerns, and challenges that may be encountered by western trained anesthesiologist in low-resourced settings. Each chapter presents a challenging scenario with solutions. It is therefore an essential handbook that will prepare those performing anesthesia in this milieu. All case studies represent real accounts discussing equipment and drug constraints as well as the ethical questions that arise for western doctors working in this environment. Socially conscious and timely, Anesthesia in Low-Resourced Settings is an invaluable resource for medical practitioners who plan to work in these challenging settings.

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:

Near Misses in Anesthesia

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Publisher : Butterworth-Heinemann
ISBN 13 :
Total Pages : 116 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Near Misses in Anesthesia by : John M. Lewis

Download or read book Near Misses in Anesthesia written by John M. Lewis and published by Butterworth-Heinemann. This book was released on 1988 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The End Is Always Near

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Publisher : HarperCollins
ISBN 13 : 0062868063
Total Pages : 288 pages
Book Rating : 4.0/5 (628 download)

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Book Synopsis The End Is Always Near by : Dan Carlin

Download or read book The End Is Always Near written by Dan Carlin and published by HarperCollins. This book was released on 2019-10-29 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now a New York Times Bestseller. The creator of the wildly popular award-winning podcast Hardcore History looks at some of the apocalyptic moments from the past as a way to frame the challenges of the future. Do tough times create tougher people? Can humanity handle the power of its weapons without destroying itself? Will human technology or capabilities ever peak or regress? No one knows the answers to such questions, but no one asks them in a more interesting way than Dan Carlin. In The End is Always Near, Dan Carlin looks at questions and historical events that force us to consider what sounds like fantasy; that we might suffer the same fate that all previous eras did. Will our world ever become a ruin for future archaeologists to dig up and explore? The questions themselves are both philosophical and like something out of The Twilight Zone. Combining his trademark mix of storytelling, history and weirdness Dan Carlin connects the past and future in fascinating and colorful ways. At the same time the questions he asks us to consider involve the most important issue imaginable: human survival. From the collapse of the Bronze Age to the challenges of the nuclear era the issue has hung over humanity like a persistent Sword of Damocles. Inspired by his podcast, The End is Always Near challenges the way we look at the past and ourselves. In this absorbing compendium, Carlin embarks on a whole new set of stories and major cliffhangers that will keep readers enthralled. Idiosyncratic and erudite, offbeat yet profound, The End is Always Near examines issues that are rarely presented, and makes the past immediately relevant to our very turbulent present.

The Value of Close Calls in Improving Patient Safety

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Author :
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

Command and Control

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Publisher : Penguin
ISBN 13 : 1101638664
Total Pages : 702 pages
Book Rating : 4.1/5 (16 download)

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Book Synopsis Command and Control by : Eric Schlosser

Download or read book Command and Control written by Eric Schlosser and published by Penguin. This book was released on 2013-09-17 with total page 702 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Oscar-shortlisted documentary Command and Control, directed by Robert Kenner, finds its origins in Eric Schlosser's book and continues to explore the little-known history of the management and safety concerns of America's nuclear aresenal. “A devastatingly lucid and detailed new history of nuclear weapons in the U.S. Fascinating.” —Lev Grossman, TIME Magazine “Perilous and gripping . . . Schlosser skillfully weaves together an engrossing account of both the science and the politics of nuclear weapons safety.” —San Francisco Chronicle A myth-shattering exposé of America’s nuclear weapons Famed investigative journalist Eric Schlosser digs deep to uncover secrets about the management of America’s nuclear arsenal. A groundbreaking account of accidents, near misses, extraordinary heroism, and technological breakthroughs, Command and Control explores the dilemma that has existed since the dawn of the nuclear age: How do you deploy weapons of mass destruction without being destroyed by them? That question has never been resolved—and Schlosser reveals how the combination of human fallibility and technological complexity still poses a grave risk to mankind. While the harms of global warming increasingly dominate the news, the equally dangerous yet more immediate threat of nuclear weapons has been largely forgotten. Written with the vibrancy of a first-rate thriller, Command and Control interweaves the minute-by-minute story of an accident at a nuclear missile silo in rural Arkansas with a historical narrative that spans more than fifty years. It depicts the urgent effort by American scientists, policy makers, and military officers to ensure that nuclear weapons can’t be stolen, sabotaged, used without permission, or detonated inadvertently. Schlosser also looks at the Cold War from a new perspective, offering history from the ground up, telling the stories of bomber pilots, missile commanders, maintenance crews, and other ordinary servicemen who risked their lives to avert a nuclear holocaust. At the heart of the book lies the struggle, amid the rolling hills and small farms of Damascus, Arkansas, to prevent the explosion of a ballistic missile carrying the most powerful nuclear warhead ever built by the United States. Drawing on recently declassified documents and interviews with people who designed and routinely handled nuclear weapons, Command and Control takes readers into a terrifying but fascinating world that, until now, has been largely hidden from view. Through the details of a single accident, Schlosser illustrates how an unlikely event can become unavoidable, how small risks can have terrible consequences, and how the most brilliant minds in the nation can only provide us with an illusion of control. Audacious, gripping, and unforgettable, Command and Control is a tour de force of investigative journalism, an eye-opening look at the dangers of America’s nuclear age.

Near Misses in Pediatric Anesthesia

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Author :
Publisher : Butterworth-Heinemann
ISBN 13 :
Total Pages : 116 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Near Misses in Pediatric Anesthesia by : John G. Brock-Utne

Download or read book Near Misses in Pediatric Anesthesia written by John G. Brock-Utne and published by Butterworth-Heinemann. This book was released on 1999 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: The near misses reported in this book derive from the author's experience in clinical anesthesia in the United States, Scandinavia, and South Africa. Each of the 47 cases starts with a short introduction to the clinical problem. The reader is then provided with all the essential information necessary to decide how to proceed. Following are a solution and analysis of the dilemma with recommendations and references for further reading. The management of these cases may form the basis for a teaching discussion between a faculty member and a resident in anesthesiology. Most of all, the book is designed to alert the reader to various precarious situations that can arise and how to best prevent or deal with these potentially serious problems. * Presents information in handy case format * Provides excellent teaching tool * Follows each case presentation with discussion of options

Trending of Low Level Events and Near Misses to Enhance Safety Performance in Nuclear Power Plants

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Author :
Publisher : IAEA
ISBN 13 :
Total Pages : 92 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Trending of Low Level Events and Near Misses to Enhance Safety Performance in Nuclear Power Plants by : International Atomic Energy Agency

Download or read book Trending of Low Level Events and Near Misses to Enhance Safety Performance in Nuclear Power Plants written by International Atomic Energy Agency and published by IAEA. This book was released on 2005 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: This publication contains guidance for maximising the operational safety performance of nuclear power plants through the collection and study of low level safety events and near misses, in order to identify potential safety concerns at an early stage. It sets out examples, methodologies and suggestions to plant operators on how to implement a procedure to detect, select and process such events which can help prevent major incidents from occurring as any latent weaknesses can be identified and corrected.

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.