International Perspectives on Safety, Quality, and Reliability of Surgical Care

  • Sertaç Çiçek
  • Hişam Alahdab


Health care institutions continue to face challenges in providing safe surgical care in increasingly complex and demanding technical, organizational, and regulatory environments. Both high reliability theory and clinical microsystems provide conceptual and practical frameworks for approaching the delivery of safe care. Surgical complications are common and often preventable. Safety from iatrogenic harm is the most fundamental element of providing health care starting from the early days of medicine as quoted by Hippocrates “Primum non nocere.” Pressures on the medical community are increasing exponentially with various requirements for new performance standards and core quality measures, making the job of health care provision more daunting each day. The effects of globalization extend to our field as well; the spread and easy access of information necessitates that patient safety becomes a universal norm.


Complications Surgery Patient safety Quality Challenges Culture Human factors 



The authors would like to thank Dr. Paul Barach for his invaluable insights as well as his contributions to the chapter’s final edits.


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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Center for Heart and Vascular Care, Anadolu Medical Center, Cardiovascular SurgeryBayramoglu, IstanbulTurkey
  2. 2.Anadolu Medical Center, Pulmonary DiseasesBayramoglu, IstanbulTurkey

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