This book focuses exclusively on the surgical patient and on the perioperative environment with its unique socio-technical and cultural issues. It covers preoperative, intraoperative, and postoperative processes and decision making and explores both sharp-end and latent factors contributing to harm and poor quality outcomes. It is intended to be a resource for all healthcare practitioners that interact with the surgical patient. This book provides a framework for understanding and addressing many of the organizational, technical, and cultural aspects of care to one of the most vulnerable patients in the system, the surgical patient. The first section presents foundational principles of safety science and related social science. The second exposes barriers to achieving optimal surgical outcomes and details the various errors and events that occur in the perioperative environment. The third section contains prescriptive and proactive tools and ways to eliminate errors and harm. The final section focuses on developing continuous quality improvement programs with an emphasis on safety and reliability. Surgical Patient Care: Improving Safety, Quality and Value targets an international audience which includes all hospital, ambulatory and clinic-based operating room personnel as well as healthcare administrators and managers, directors of risk management and patient safety, health services researchers, and individuals in higher education in the health professions. It is intended to provide both fundamental knowledge and practical information for those at the front line of patient care. The increasing interest in patient safety worldwide makes this a timely global topic. As such, the content is written for an international audience and contains materials from leading international authors who have implemented many successful programs.

Juan A. Sanchez, MD, MPAAssociate Professor of SurgeryJohns Hopkins University School of MedicineChair of Surgery, Saint Agnes Hospital900 Caton AvenueBaltimore, MD USA Paul Barach, BSc, MD, MPHClinical ProfessorChildren's Hospital of Michigan Wayne State University School of MedicineDetroit, MI USA Julie K. Johnson, MSPH, PhDProfessorNorthwestern UniversityDepartment of SurgeryChicago, IL USA Jeffrey P. Jacobs, MD, FACS, FACC, FCCP Professor of Surgery, Johns Hopkins UniversityDirector, Andrews/Daicoff Cardiovascular ProgramSurgical Director of Heart Transplantation and Extracorporeal Life Support ProgramsJohns Hopkins All Children's Heart InstituteAll Children's HospitalSaint Petersburg, FLUSA