Urgencias Y Emergencias Frecuentes En Atencion Primaria 2a Ed

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EMT Spanish: Atención Prehospitalaria Basica, Undécima edición

Author : AAOS,
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284151905
Total Pages : 1615 pages
Book Rating : 4.2/5 (841 download)

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Book Synopsis EMT Spanish: Atención Prehospitalaria Basica, Undécima edición by : AAOS,

Download or read book EMT Spanish: Atención Prehospitalaria Basica, Undécima edición written by AAOS, and published by Jones & Bartlett Learning. This book was released on 2019-01-15 with total page 1615 pages. Available in PDF, EPUB and Kindle. Book excerpt: En 1971, la Academia Americana de Cirujanos Ortopedistas (AAOS) publicó la primera edición de Los Cuidados de Emergencia y Transporte de Enfermos y Heridos y sentó las bases para el entrenamiento de los SEM. Hoy en día, vemos cómo la undécima edición transforma la educación en los SEM llevándola a todo el mundo y ayudando a un desarrollo superior de los proveedores del SEM alrededor del planeta. Con base en los Estándares Nacionales de Educación de los SEM de Estados Unidos de América de y las guías 2015 de RCP/CCE del 2015, la undécima edición ofrece una cobertura completa de cada declaración de competencia con claridad y precisión en un formato conciso que asegura la comprensión del alumno y fomenta el pensamiento critico. Presenta un nuevo material cognitivo y didáctico, junto con nuevas destrezas y características para crear una solución de formación completa e innovadora para proveedores prehospitalarios. Hoy, el paquete de recursos educativos en SEM de la AAOS, desde primeros auxilios y RCP hasta el transporte de cuidados críticos, es el estándar de oro en materiales de capacitación, ofreciendo contenido excepcional y recursos de instrucción que satisfacen las diversas necesidades de los estudiantes y educadores de hoy en día. Contenido medico actualizado de ultima generación La undécima edición se alinea con los estándares médicos actuales — desde PHTLS hasta ILCOR — e incorpora conceptos médicos basados en evidencia para garantizar que los estudiantes e instructores tengan una interpretación precisa y profunda de la ciencia médica y su aplicación en la medicina prehospitalaria de hoy en día. Aplicación al Mundo Real del SEM A través de la evolución de estudios de caso de pacientes en cada capítulo, la undécima edición proporciona a los estudiantes el contexto de mundo real para aplicar los conocimientos adquiridos en cada capitulo clarificando cómo la información se utiliza para la atención de los pacientes en el campo e impulsa a los estudiantes a participar en el pensamiento crítico y la discusión. Una Fundación de por Vida La undécima edición parte de la premisa de que los estudiantes necesitan una base de fundamentos solidos y posteriormente refuerzo apropiado. La undécima edición proporciona a los estudiantes una comprensión amplia de la terminología médica, anatomía, fisiología y fisiopatología. Los conceptos son examinados brevemente y son relacionados con los capítulos posteriores, fortaleciendo los conocimientos fundamentales y ofreciendo un contexto cuando se estudian las emergencias específicas.

Urgencias y emergencias frecuentes en atención primaria (2a. ed.).

Author : Juan Martín-Romo Mejías
Publisher :
ISBN 13 : 9781512969641
Total Pages : 262 pages
Book Rating : 4.9/5 (696 download)

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Book Synopsis Urgencias y emergencias frecuentes en atención primaria (2a. ed.). by : Juan Martín-Romo Mejías

Download or read book Urgencias y emergencias frecuentes en atención primaria (2a. ed.). written by Juan Martín-Romo Mejías and published by . This book was released on 2012 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: El contenido de esta obra tiene una orientación fundamentalmente práctica con actividades diseñadas para facilitar al lector/alumno la asimilación de los contenidos en aspectos como la atención Sanitaria Familiar y social en Situaciones de riesgo. Urgencias en. Atención Primaria. Analgesia y sedación. Intoxicaciones agudas. Politraumatizado. Traslados. Urgencias Pediátricas. Técnicas instrumentales más frecuentes. Manejo del paciente difícil. Urgencias gineco-obstétricas.

Emergencies in Primary Care

Author : Chantal Simon
Publisher : OUP Oxford
ISBN 13 : 0191574953
Total Pages : 296 pages
Book Rating : 4.1/5 (915 download)

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Book Synopsis Emergencies in Primary Care by : Chantal Simon

Download or read book Emergencies in Primary Care written by Chantal Simon and published by OUP Oxford. This book was released on 2007-09-27 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed for the busy GP, Emergencies in Primary Care covers the range of emergencies GPs might expect to encounter in the primary care setting, from the immediately life-threatening to the smaller but urgent problems that can and do arise. Written in a concise and didactic style, it incorporates useful algorithms to make complex management straightforward. Government guidelines are incorporated along with links to further information sources. Each clinical topic is succinctly addressed with all the information needed to make an accurate diagnosis, other diagnoses to consider and a clear management strategy.

Investigación en sistemas de salud

Author : Instituto Nacional de Salud Pública (Mexico)
Publisher :
ISBN 13 :
Total Pages : 430 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Investigación en sistemas de salud by : Instituto Nacional de Salud Pública (Mexico)

Download or read book Investigación en sistemas de salud written by Instituto Nacional de Salud Pública (Mexico) and published by . This book was released on 2011 with total page 430 pages. Available in PDF, EPUB and Kindle. Book excerpt:

AMLS Spanish: Soporte vital medico avanzado

Author : National Association of Emergency Medical Technicians (NAEMT),
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284187217
Total Pages : 487 pages
Book Rating : 4.2/5 (841 download)

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Book Synopsis AMLS Spanish: Soporte vital medico avanzado by : National Association of Emergency Medical Technicians (NAEMT),

Download or read book AMLS Spanish: Soporte vital medico avanzado written by National Association of Emergency Medical Technicians (NAEMT), and published by Jones & Bartlett Learning. This book was released on 2016-07-06 with total page 487 pages. Available in PDF, EPUB and Kindle. Book excerpt: Soporte vital médico avanzado (AMLS) es el principal curso para los profesionales de la atención prehospitalaria médica avanzada para la evaluación y el tratamiento de los padecimientos médicos más comunes. Se enseña en todo el mundo desde 1999. AMLS fue el primer programa de educación de los SME completamente dirigido al mejor manejo de los pacientes en crisis médicas. AMLS es el único libro de texto avalado por la NAEMT para su uso en el curso de soporte vital médico avanzado, que hace énfasis en la evaluación por la vía del AMLS, es la guía más importante para la evaluación de pacientes con padecimientos médicos. La segunda edición de AMLS se distingue por:Características generalesLos escenarios de pensamiento crítico proporcionan a los estudiantes un contexto real para la aplicación del conocimiento presentado en el capítulo, incluyendo una solución del escenario. Los estudiantes serán capaces de evaluar, revisar y distinguir el posible diagnóstico del paciente.Las secciones Preguntas de repaso, Resumen y Conjuntando todo refuerzan los Términos clave y reúnen la información para ayudar a los estudiantes a retener lo que han aprendido.Avalado por la National Association of EMS Physicians, este curso enfatiza el uso del proceso de la evaluación AMLS, una herramienta de evaluación sistemática que permite a los profesionales de la salud diagnosticar a pacientes médicos con precisión urgente.Contenido médico actualizadoLa cobertura de las modalidades básicas y avanzadas del tratamiento incorpora los últimos acontecimientos de investigación que son adecuados para principiantes y proveedores de cuidado prehospitalario experimentados, enfermeros de cuidados críticos y de emergencias, así como médicos de urgencias.Una actualización del proceso de la evaluación AMLSEl camino de la revisión de la evaluación AMLS proporciona un enfoque sitemático a la evaluación de un paciente médico, así como orientación para los estudiantes de todos los niveles de la práctica.

Avoiding Common Errors in the Emergency Department

Author : Amal Mattu
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 145115285X
Total Pages : 993 pages
Book Rating : 4.4/5 (511 download)

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Book Synopsis Avoiding Common Errors in the Emergency Department by : Amal Mattu

Download or read book Avoiding Common Errors in the Emergency Department written by Amal Mattu and published by Lippincott Williams & Wilkins. This book was released on 2012-03-28 with total page 993 pages. Available in PDF, EPUB and Kindle. Book excerpt: This pocket book succinctly describes 400 errors commonly made by attendings, residents, medical students, nurse practitioners, and physician assistants in the emergency department, and gives practical, easy-to-remember tips for avoiding these errors. The book can easily be read immediately before the start of a rotation or used for quick reference on call. Each error is described in a short clinical scenario, followed by a discussion of how and why the error occurs and tips on how to avoid or ameliorate problems. Areas covered include psychiatry, pediatrics, poisonings, cardiology, obstetrics and gynecology, trauma, general surgery, orthopedics, infectious diseases, gastroenterology, renal, anesthesia and airway management, urology, ENT, and oral and maxillofacial surgery.

Griffith's Instructions for Patients E-Book

Author : Stephen W. Moore
Publisher : Elsevier Health Sciences
ISBN 13 : 1437735681
Total Pages : 1107 pages
Book Rating : 4.4/5 (377 download)

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Book Synopsis Griffith's Instructions for Patients E-Book by : Stephen W. Moore

Download or read book Griffith's Instructions for Patients E-Book written by Stephen W. Moore and published by Elsevier Health Sciences. This book was released on 2010-08-02 with total page 1107 pages. Available in PDF, EPUB and Kindle. Book excerpt: With over 430 patient instruction fact sheets and an additional 123 patient instruction sheets online, the new edition of Griffith's Instructions for Patients by Stephen W. Moore, MD, helps patients understand what their illness is, how it will affect their regular routine, what self care is required, and when to call a doctor. Consistently formatted and organized by topic for easy use, it provides descriptions of each illness, including frequent signs and symptoms, possible causes, risks, preventive measures, expected outcomes, possible complications, and treatments. Newly added topics include Chronic Pain Syndrome; Dry Eye Syndrome; Incontinence, Fecal; Influenza, H1N1; Methicillin-Resistant Staphylococcus Aureus (MRSA); Mold Allergy; Patellofemoral Pain Syndrome; Perimenopause; Sarcopenia; Spinal Stenosis; and Stroke, Silent. Printable instruction sheets in English and Spanish, 23 separate patient information guides to various types of diets (from "Adult Regular Healthy Diet" to "Weight-Reduction Diet") are downloadable at expertconsult.com. Quickly find what you need with consistently formatted guides – organized by topic for easy use! - Help your patients understand what their illness is, how it will affect their regular routine, what self care is required, and when to call a doctor thanks to over 430 patient education guides (and an additional 123 guides online!) reflecting the latest therapeutic information. - Ensure the best patient encounters and outcomes with downloadable, customizable English and Spanish patient education guides on expertconsult.com. Educate your patients about timely topics such as Chronic Pain Syndrome; Dry Eye Syndrome; Incontinence, Fecal; Influenza, H1N1; Methicillin-Resistant Staphylococcus Aureus (MRSA); Mold Allergy; Patellofemoral Pain Syndrome; Perimenopause; Sarcopenia; Spinal Stenosis; and Stroke, Silent.

Harwood-Nuss' Clinical Practice of Emergency Medicine

Author : Allan B. Wolfson
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 0781789435
Total Pages : 1809 pages
Book Rating : 4.7/5 (817 download)

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Book Synopsis Harwood-Nuss' Clinical Practice of Emergency Medicine by : Allan B. Wolfson

Download or read book Harwood-Nuss' Clinical Practice of Emergency Medicine written by Allan B. Wolfson and published by Lippincott Williams & Wilkins. This book was released on 2009-09-15 with total page 1809 pages. Available in PDF, EPUB and Kindle. Book excerpt: Organized for easy reference, this comprehensive, concise, and clinically focused text covers all aspects of emergency medicine. A new two-color design will help readers find critical elements of each chapter easily. A companion Web site includes the fully searchable text, more than 400 self-assessment questions with answers, and additional images and tables.

Avoiding Common Prehospital Errors

Author : Corey M. Slovis
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1451131593
Total Pages : 465 pages
Book Rating : 4.4/5 (511 download)

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Book Synopsis Avoiding Common Prehospital Errors by : Corey M. Slovis

Download or read book Avoiding Common Prehospital Errors written by Corey M. Slovis and published by Lippincott Williams & Wilkins. This book was released on 2012-09-21 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: Avoiding Common Prehospital Errors, will help you develop the deep understanding of common patient presentations necessary to prevent diagnostic and treatment errors and to improve outcomes. Providing effective emergency care in the field is among the most challenging tasks in medicine. You must be able to make clinically vital decisions quickly, and perform a wide range of procedures, often under volatile conditions.Written specifically for the prehospital emergency team, this essential volume in the Avoiding Common Errors Series combines evidence-based practice with well-earned experience and best practices opinion to help you avoid common errors of prehospital care.Look inside and discover...* Concise descriptions of each error are followed by insightful analysis of the "hows" and "whys" underlying the mistake, and clear descriptions of ways to avoid such errors in the future.* "Pearls" highlighted in the text offer quick vital tips on error avoidance based on years of clinical and field experience.* Focused content emphasizes "high impact" areas of prehospital medicine, including airway management, cardiac arrest, and respiratory and traumatic emergencies.

Rosen & Barkin's 5-Minute Emergency Medicine Consult

Author : Jeffrey J. Schaider
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1496392973
Total Pages : 5193 pages
Book Rating : 4.4/5 (963 download)

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Book Synopsis Rosen & Barkin's 5-Minute Emergency Medicine Consult by : Jeffrey J. Schaider

Download or read book Rosen & Barkin's 5-Minute Emergency Medicine Consult written by Jeffrey J. Schaider and published by Lippincott Williams & Wilkins. This book was released on 2019-09-27 with total page 5193 pages. Available in PDF, EPUB and Kindle. Book excerpt: The sixth edition of this comprehensive yet concise Rosen & Barkin’s 5 Minute Emergency Medicine Consult pulls together up-to-date and evidence-based practice guidelines for easy use in a busy emergency department. In just two brief, bullet-friendly, clutter-free pages, you can quickly decipher the information you need to confirm your diagnosis, order tests, manage treatment and more!

The World Bank's Experience with Post-conflict Reconstruction

Author :
Publisher : World Bank Publications
ISBN 13 : 9780821342909
Total Pages : 124 pages
Book Rating : 4.3/5 (429 download)

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Book Synopsis The World Bank's Experience with Post-conflict Reconstruction by :

Download or read book The World Bank's Experience with Post-conflict Reconstruction written by and published by World Bank Publications. This book was released on 1998-01-01 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clearing landmines, rehabilitating and integrating of excombatants, rebuilding the infrastructure, coordinating aid sources—these are just some of the issues confronting the Bank in post-conflict reconstruction. The explosion of civil conflicts in the post-Cold War world has tested the World Bank's ability to address unprecedented devastation of human and social capital.This study covers post-conflict reconstruction in nine countries, assessing relevant, recent Bank experience. It also presents case-studies for ongoing and future operations, which analyze: 1. the Bank's main strengths or comparative advantages; 2. its partnership with other donors, international organizations, and NGOs; 3. its role in reconstruction strategy and damage and needs assessment; 4. its role in rebuilding the economy and institutions of governance; 5. its management of resources and processes; 6. implications for monitoring and evaluation.

The Walls Manual of Emergency Airway Management

Author : Calvin A. Brown
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1496351983
Total Pages : 698 pages
Book Rating : 4.4/5 (963 download)

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Book Synopsis The Walls Manual of Emergency Airway Management by : Calvin A. Brown

Download or read book The Walls Manual of Emergency Airway Management written by Calvin A. Brown and published by Lippincott Williams & Wilkins. This book was released on 2017-04-28 with total page 698 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Walls Manual of Emergency Airway Management is the world’s most trusted reference on emergency airway management, and is the foundation text in the nationally recognized The Difficult Airway Course: EmergencyTM and The Difficult Airway Course: EMSTM. Its practical, hands-on approach provides all the concrete guidance you need to effectively respond to any airway emergency, whether inside the hospital, emergency department, urgent care setting, or anywhere else where airway emergencies may occur. Apply the latest evidence-based approaches thanks to state-of-the-art coverage that includes new chapters on “The Difficult Airway Cart” and “Human Factors in Emergency Airway Management,” expanded coverage on delayed sequence intubation (DSI), and comprehensive updates throughout. Efficiently overcome any challenge in airway management with the aid of step-by-step instructions, mnemonics, easy-to-follow algorithms, and rich illustrations. Glean expert insights from a brand-new editorial team led by Calvin Brown III, MD, who is Dr. Walls’ colleague and protégé, and consisting of the same experts who teach The Difficult Airway Course: EmergencyTM and The Difficult Airway Course: AnesthesiaTM.

Essential Emergency Trauma

Author : Kaushal H. Shah
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 145115318X
Total Pages : 512 pages
Book Rating : 4.4/5 (511 download)

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Book Synopsis Essential Emergency Trauma by : Kaushal H. Shah

Download or read book Essential Emergency Trauma written by Kaushal H. Shah and published by Lippincott Williams & Wilkins. This book was released on 2012-02-17 with total page 512 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential Emergency Trauma is a concise, reader-friendly, and portable reference on the care of trauma patients in the emergency department. Geared to practicing emergency physicians, residents, and medical students. Major sections cover trauma of each anatomic region. Each section opens with a chapter "The First 15 Minutes, Algorithm, and Decision Making." Subsequent chapters focus on specific injury patterns, emphasizing pathophysiology, diagnosis, evaluation, and management. The information is presented in bullet points with numerous tables and images. Each chapter ends with an up-to-date review of the "Best Evidence."

American Psychiatric Association Practice Guidelines for the Treatment of Psychiatric Disorders

Author : American Psychiatric Association
Publisher : American Psychiatric Publishing
ISBN 13 : 9780890423837
Total Pages : 0 pages
Book Rating : 4.4/5 (238 download)

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Book Synopsis American Psychiatric Association Practice Guidelines for the Treatment of Psychiatric Disorders by : American Psychiatric Association

Download or read book American Psychiatric Association Practice Guidelines for the Treatment of Psychiatric Disorders written by American Psychiatric Association and published by American Psychiatric Publishing. This book was released on 2006 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: American Psychiatric Association (APA) Practice Guidelines provide recommendations to help psychiatrists make treatment decisions that are supported by the best available evidence, including from current research and expert consensus. The guidelines are developed by expert work groups, who review available evidence using an explicit methodology. Iterative drafts undergo wide review by other experts, allied organizations, and the APA membership. Every guideline is also reviewed and approved for publication by the APA Assembly and Board of Trustees. This process balances the conclusions of scientific research with the practical experience of professionals working in the field. In addition to providing recommendations that may improve patient care, the guidelines may be used for education by medical students and residents, psychiatrists seeking recertification, other mental health professionals, and the general public. Researchers may use the guidelines to identify important clinical questions for which more research could be expected to improve treatment decision making. The thirteen "Practice Guidelines" are Psychiatric Evaluation of Adults, Second Edition Delirium Alzheimer's Disease and Other Dementias of Late Life HIV/AIDS Substance Use Disorders, Second Edition Schizophrenia, Second Edition Major Depressive Disorder, Second Edition Bipolar Disorder, Second Edition Panic Disorder Acute Stress Disorder and Posttraumatic Stress Disorder Eating Disorders, Third Edition Borderline Personality Disorder Suicidal Behaviors These guidelines help you Understand clinical features and symptoms Make a confident differential diagnosis Evaluate interventions commonly used to treat specific disorders Select the appropriate site of service Educate the patient and family Assess the efficacy and risks of available medications Develop an individualized treatment plan Interactive continuing medical education programs for many of the individual practice guidelines are available on the APA's web site (www.psych.org/cme). Each program offers "AMA PRA Category 1 Credits" that are accepted by the APA and the American Medical Association. The American Board of Psychiatry and Neurology (ABPN) has reviewed the APA Practice Guidelines CME Program and has approved it as part of a comprehensive lifelong learning program, which is mandated by the American Board of Medical Specialties as a necessary component of maintenance of certification.

Headache in Clinical Practice

Author : Stephen D. Silberstein
Publisher : Routledge
ISBN 13 : 1351441310
Total Pages : 298 pages
Book Rating : 4.3/5 (514 download)

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Book Synopsis Headache in Clinical Practice by : Stephen D. Silberstein

Download or read book Headache in Clinical Practice written by Stephen D. Silberstein and published by Routledge. This book was released on 2018-05-08 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors of the first edition worked together again to revise data for the second edition of this popular volume. Based at three of the world's leading centers for the study and treatment of headache, these experts share their insights on every aspect of this common and irritating condition. In particular, the sections on migraine, cluster headache and vascular disease have been updated. Based on the classification system developed by the International Headache Society, Headache in Clinical Practice provides those interested in headache with an up-to-date compendium of current opinion, from epidemiology, pathophysiology and investigation, through options for intervention and management.

Migration in an Era of Restriction and Recession

Author : David L. Leal
Publisher : Springer
ISBN 13 : 3319244450
Total Pages : 310 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis Migration in an Era of Restriction and Recession by : David L. Leal

Download or read book Migration in an Era of Restriction and Recession written by David L. Leal and published by Springer. This book was released on 2016-05-18 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: We live in an age of global migration. The number of immigrants worldwide is large and growing. At the same time, public and political reactions against immigrants have grown in the US, the UK, Canada, and other traditional and non-traditional receiving nations. In response to this trend, this book assembles an interdisciplinary group of scholars to better understand two dimensions of contemporary immigration policy – a growing enforcement and restriction regime in receiving nations, and the subsequent effects on sending nations. It begins with three background chapters on immigration politics and policies in the United States, Europe, and Mexico. This is followed by eleven chapters about specific receiving and sending nations – four for the United States, three for Europe, and four for the sending nations of Mexico, Turkey, Peru, and Poland. This selection of cases and the multidisciplinary approach provides a unique perspective that supplements more standard case studies and disciplinary research. By discussing a greater range of nations and topics—the global consequences of increased deportations, stronger border security, greater travel restrictions, stagnant economies, and the loss of remittances—this volume fills a significant gap in the current body of literature. As such, this book is of interest to immigration policy scholars and students of all levels as well as individuals in think tanks, advocacy communities, the media, and governments.

Textbook of Patient Safety and Clinical Risk Management

Author : Liam Donaldson
Publisher : Springer Nature
ISBN 13 : 3030594033
Total Pages : 496 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Textbook of Patient Safety and Clinical Risk Management by : Liam Donaldson

Download or read book Textbook of Patient Safety and Clinical Risk Management written by Liam Donaldson and published by Springer Nature. This book was released on 2020-12-14 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.