Matthew McMillan has been a veterinarian for over twenty years, is a Diplomate of the European College of Veterinary Anaesthesia and Analgesia, an EBVS® and RCVS recognised Specialist in Anaesthesia and Analgesia, and a Fellow of the Royal College of Veterinary Surgeons. He is currently Head of Anaesthesiology at Ludwig-Maximilians-University of Munich in Germany. He is co-author of Errors in Veterinary Anesthesia (Wiley) Cognitive Aids for Anaesthesia in Small Animal Practice (BSAVA) and was the Chair of the Association of Veterinary Anaesthetist working party who developed the AVA’s Safe Anaesthesia Checklist.

• Preface xxiiiIntroduction xxv1 The Language of (Patient) Safety 12 A Brief History of Healthcare-associated Harm and Patient Safety 63 Modern Prevalence and Impact of Healthcare-Associated Harm 134 Why are Patients Harmed by Healthcare? Theories, Concepts and Models 385 Human Performance and Error 746 Organisational, Professional and Safety Cultures 1277 Dealing with the Non-clinical Aftermath of an Incident or Error 1588 Methods of Assessment and Measurement in Patient Safety 1819 Analysis Techniques for Patient Safety Investigations 29210 Patient Safety Interventions 36311 Feedback and Closing the Loop: Quality Improvement Cycles 44412 Ethics in Patient Safety Investigations 45113 Suggested Unified Approach for Veterinary Healthcare 470Appendix A Glossary of Terms 490Appendix B List of Veterinary Clinical Practice Guidelines 494Appendix c Case Studies 509Index 523

Matthew McMillan has been a veterinarian for over twenty years, is a Diplomate of the European College of Veterinary Anaesthesia and Analgesia, an EBVS® and RCVS recognised Specialist in Anaesthesia and Analgesia, and a Fellow of the Royal College of Veterinary Surgeons. He is currently Head of Anaesthesiology at Ludwig-Maximilians-University of Munich in Germany. He is co-author of Errors in Veterinary Anesthesia (Wiley) Cognitive Aids for Anaesthesia in Small Animal Practice (BSAVA) and was the Chair of the Association of Veterinary Anaesthetist working party who developed the AVA’s Safe Anaesthesia Checklist.

• Preface xxiiiIntroduction xxv1 The Language of (Patient) Safety 12 A Brief History of Healthcare-associated Harm and Patient Safety 63 Modern Prevalence and Impact of Healthcare-Associated Harm 134 Why are Patients Harmed by Healthcare? Theories, Concepts and Models 385 Human Performance and Error 746 Organisational, Professional and Safety Cultures 1277 Dealing with the Non-clinical Aftermath of an Incident or Error 1588 Methods of Assessment and Measurement in Patient Safety 1819 Analysis Techniques for Patient Safety Investigations 29210 Patient Safety Interventions 36311 Feedback and Closing the Loop: Quality Improvement Cycles 44412 Ethics in Patient Safety Investigations 45113 Suggested Unified Approach for Veterinary Healthcare 470Appendix A Glossary of Terms 490Appendix B List of Veterinary Clinical Practice Guidelines 494Appendix c Case Studies 509Index 523

Matthew McMillan has been a veterinarian for over twenty years, is a Diplomate of the European College of Veterinary Anaesthesia and Analgesia, an EBVS® and RCVS recognised Specialist in Anaesthesia and Analgesia, and a Fellow of the Royal College of Veterinary Surgeons. He is currently Head of Anaesthesiology at Ludwig-Maximilians-University of Munich in Germany. He is co-author of Errors in Veterinary Anesthesia (Wiley) Cognitive Aids for Anaesthesia in Small Animal Practice (BSAVA) and was the Chair of the Association of Veterinary Anaesthetist working party who developed the AVA’s Safe Anaesthesia Checklist.

• Preface xxiiiIntroduction xxv1 The Language of (Patient) Safety 12 A Brief History of Healthcare-associated Harm and Patient Safety 63 Modern Prevalence and Impact of Healthcare-Associated Harm 134 Why are Patients Harmed by Healthcare? Theories, Concepts and Models 385 Human Performance and Error 746 Organisational, Professional and Safety Cultures 1277 Dealing with the Non-clinical Aftermath of an Incident or Error 1588 Methods of Assessment and Measurement in Patient Safety 1819 Analysis Techniques for Patient Safety Investigations 29210 Patient Safety Interventions 36311 Feedback and Closing the Loop: Quality Improvement Cycles 44412 Ethics in Patient Safety Investigations 45113 Suggested Unified Approach for Veterinary Healthcare 470Appendix A Glossary of Terms 490Appendix B List of Veterinary Clinical Practice Guidelines 494Appendix c Case Studies 509Index 523