Dr. Robert M Raw
Description
This is a comprehensive 820-page elucidation on the problem of ANESTHESIA DRUG ERRORS. The first section describes the incidence of Anesthesia Medicat
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ion Administration Process (AMAP) errors, their complex nature, and the endless ways they can occur. The second section describes the nature of human error and what can be learned from other high-risk industries where human error causes disasters, like in aviation and the nuclear power industry. The third section elaborates on how the human mind works and the physiology and science of cognition in the context of error-making. The section also discusses the risk factors and root causes of anesthesia medication administration errors that exist within the operating room environment and the error-causing systems within which anesthesiologists must work. The fourth and final section proposes the remedies to aid, assist, and support the anesthesiologist in making fewer errors. This is all to serve improved, safer medical care for patients. There are chapters discussing (i) mental fatigue, (ii) the cognitive science of distraction, and multitasking, (iii) the design of improved drug labels to prevent glance reading, (iv) inappropriate criminalization of human error, and (v) proposals for new technological devices to aid ergonomic drug syringe identification. Much of the book content is new to the scientific field of anesthesiology.
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