Table of Contents

Foreword. Preface. About the editors. List of contributors. Acknowledgements. Dedication. Prologue. Part I: Understanding systems. The heart of the matter: a parent's perspective. Improvement strategies and challenges. Safety culture. The wisdom hierarchy. Measuring harm systems thinking. Task analysis. Process mapping. Policies, procedures and protocols. Patient and public involvement - Part 1. Part II: People and improvement. Patient and public involvement - Part 2. Clinician engagement. Professionalism. Peer review. Professional appraisal. Multi-source feedback. General practice management. General practice nursing. Part III: Learning for improvement. Safety skills. Safety checklist for GP training. Practice-based small group learning. Protected learning time. Consultation skills. The power of apology. Part IV: Managing patient safety. Managing human error. Diagnostic error. Medication error. Medicines reconciliation: a case study. Safe results handling. Never events. Part V: Improvement methods. Enhanced significant event analysis. Criterion audit. Care bundles. The plan-do-study-act method. The trigger review method. Measuring safety climate improving out-of-hours care. Care improvement: a personal reflection. Index.

About the Author

PAUL BOWIE PhD FRCPE Programme Director for Safety and Improvement,NHS Education for Scotland, Glasgow, Scotland, UK. CARL DE WET, MBChB DRCOG MRCGP MMed(Fam), General Practitioner, Associate Adviser in Postgraduate GP Education, NHS Education for Scotland, Glasgow, Scotland, UK