International Journal of Risk & Safety in Medicine - Volume 2, issue 2-3
Purchase individual online access for 1 year to this journal.
Price: EUR 155.00
The International Journal of Risk and Safety in Medicine is concerned with rendering the practice of medicine as safe as it can be; that involves promoting the highest possible quality of care, but also examining how those risks which are inevitable can be contained and managed.
This is not exclusively a drugs journal. Recently it was decided to include in the subtitle of the journal three items to better indicate the scope of the journal, i.e. patient safety, pharmacovigilance and liability and the Editorial Board was adjusted accordingly. For each of these sections an Associate Editor was invited. We especially want to emphasize patient safety. Our journal wants to publish high quality interdisciplinary papers related to patient safety, not the ones for domain specialists. For quite some time we have also been devoting some pages in every issue to what we simply call WHO news. This affinity with WHO underlines both the International character of the journal and the subject matter we want to cover. Basic research, reports of clinical experience and overviews will all be considered for publication, but since major reviews of the literature are often written at the invitation of the Editorial Board it is generally advisable to consult with the Editor in advance. Submission of news items will be appreciated, as will be the contribution of letters on topics which have been dealt with in the journal.
Abstract: Since dialysis was introduced thirty years ago, nephrologists have sought to diversify treatment strategies with the double aim of offering patients better psychosocial rehabilitation and containing the cost of treatment; this latter aim has been the cornerstone of development in haemodialysis, which in western countries now offers access to treatment for all patients with chronic renal insufficiency. The risk to life during a dialysis session is currently very small indeed. Such fatalities as do occur reflect on the one hand on various medical complications, the incidence of which is largely predictable because of the field involved, and on the other…hand on unforeseeable accidents which are highly exceptional. We consider that the risk is not significantly higher in the absence of a physician (as in extra-hospital dialysis procedures) or a nurse (as in home dialysis) than where treatment is given in a fully equipped dialysis centre, provided that there is a prior selection of patients both with respect to their age and their extra-renal pathology.
Keywords: Haemodialysis centres, Extra-hospital dialysis, Limited-care dialysis, Home dialysis
Abstract: Editorial Note: Safety standards for hospital and medical electrical equipment are – or should be – an issue on which international change greatly accelerates progress. In the first issue of this Journal, Reidar Karlsen provided a Norwegian approach to the quality dilemma where medical devices are concerned, and in the second issue Cornelis van Gruting provided an analysis of public policies in the field. In this issue, we examine a complementary topic: the safety of electrical equipment as a whole in hospitals and clinics. The paper is published simultaneously in the Canadian Medical Association Journal and appears here with…the permission of the Canadian Medical Association.
Keywords: Safety standards, Electrical equipment in hospitals