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Patient Safety Handbook

Patient Safety Handbook - 04 edition

ISBN13: 978-0763731472

Cover of Patient Safety Handbook 04 (ISBN 978-0763731472)
ISBN13: 978-0763731472
ISBN10: 0763731471
Cover type: Print On Demand
Edition/Copyright: 04
Publisher: Jones & Bartlett Publishers
Published: 2004
International: No

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Patient Safety Handbook - 04 edition

ISBN13: 978-0763731472

Barbara Youngberg, Martin J. Hatlie

ISBN13: 978-0763731472
ISBN10: 0763731471
Cover type: Print On Demand
Edition/Copyright: 04
Publisher: Jones & Bartlett Publishers

Published: 2004
International: No
Summary

Nearly 100,000 people die each year from medical errors in American hospitals. Tens of thousands more are injured. This comprehensive handbook on patient safety and risk management reflects the goals of many in the health care industry to advance the reliability of healthcare systems worldwide. In the current climate of managed care, tight cost controls, limited resources, and the growing demand for health care services, conditions for errors are ripe.

The Patient Safety Handbook offers practical guidance on implementing systems and processes to improve outcomes and advance patient safety. Covering the full spectrum of patient safety and risk reduction, it builds from the fundamentals of the science of safety, to a thorough discussion of operational issues and the actual application of the principles of research. Real-life case studies from prominent health care organizations and their leadership help you apply proven strategies to your patient safety program.

  • Learn from other high-reliability industries--See how building a safe environment required leaders in the commercial airline, nuclear power, and automobile industries to challenge assumptions about their mission, core competencies, market, technology, and structures of their organizations' operations.
  • Create a healing organizational culture--Strategies are presented for refocusing your organization's environment from a culture of blame to a culture of sustainable change and trust that welcomes error detection and reporting as an opportunity to improve patient care and patient safety.
  • Understand why things go wrong--Learn what is gained through the investigation and analysis of clinical incidents, and benefit from the advice of noted experts as they present strategies for moving forward.
  • Joint Commission Standards defined--An overview of the JCAHO standards for patient safety and medical/health care error reduction helps you to interpret what the standards mean for your organization and how to ensure that you are compliant.
  • Utilize the concepts of epidemiology--Apply epidemiologic tools to augment your understanding of medical errors, and complement traditional case examination approaches.
  • Lead your organization through teamwork--Nowhere will you find a more in-depth discussion of teams, teamwork, collaboration, and communication--essential skills necessary to coordinate and implement a highly-integrated, organization-wide safety program.
  • Benefit from authoritative, hands-on guidance--Fulfill your commitment to improved patient safety, risk reduction, and renewed health care consumer confidence using the practical strategies outlined in this comprehensive reference.

Table of Contents

Introduction by Mildred K. Lehman

Chapter 1: Understanding the First IOM Report and Its Impact on Patient Safety

Chapter 2: The Second Report on Safety from the IOM: Crossing the Quality Chasm

Chapter 3: Interpersonal Relationships: The "Soft Stuff" of Patient Safety

Chapter 4: An Organization Development Framework for Transformation to a Culture of Safety

Chapter 5: Toward a Philosophy of Patient Safety: Expanding the Systems Approach to Medical Error

Chapter 6: The Fallacy of the Body Count: Why the Interest in Patient Safety and Why Now?

Chapter 7: Fallacies on Counting Error

Chapter 8: The Investigation and Analysis on Clinical Incidents

Chapter 9: Patient Safety and Errors Reduction Standards

Chapter 10: Applying Epidemiology in Patient Safety

Chapter 11: Patient Safety Is an Organizational Systems Issue: Lessons from a Variety of Industries

Chapter 12: Admitting Imperfection: Revelations from the Cockpit for the World of Medicine

Chapter 13: Reporting and Preventing Medical Mishaps: Safety Lessons Learned from Nuclear Power

Chapter 14: Trial and Error in My Quest to be a Partner in My Healthcare

Chapter 15: Health Care Literacy and Patient Safety: The New Paradox

Chapter 16: Using Root Cause Analysis to Analyze Issues of Safety

Chapter 17: The Leadership Role of the Chief Operating Officer in Aligning Strategy and Operations

Chapter 18: The Successful Quality Professional: Framework, Attributes, and Roles

Chapter 19: The Role of the Risk Manager in Creating Patient Safety

Chapter 20: Reducing Medical Errors: The Role of the Physician

Chapter 21: Engaging General Counsel in the Pursuit of safety

Chapter 22: Growing Nursing Leadership in the Field of Patient Safety

Chapter 23: Engaging the Board of Directors and Creating a Governance Structure

chapter 24: Teamwork Communications and Training

Chapter 25: Teamwork: The Fundamental Building Block of High Reliability Organizations and Patient Safety

Chapter 26: Moving Beyond Blame to Create an Environment that Rewards Reporting

Chapter 27: Addressing Clinician Performance Problems as a Systems Issue

Chapter 28: Advancing Patient Complaint and Healthcare Worker Safety by Preventing Infections

Chapter 29: The Baldridge Approach to Patient Safety

Chapter 30: Outlining the Business Case for Patient Safety

Chapter 31: The Economics of Patient Safety

Chapter 32: The Role of Ethics and Ethics Services in Patient Safety

Chapter 33: What Can One Learn from the Canadian Approach to Patient Safety?

Chapter 34: How We Started Patient Safety in Israel

Chapter 35: Public Legislation and Professional Self-Regulation: Quality and Safety Efforts in Norwegian Health Care

Chapter 36: The Handling of a Catastrophic Medical Error Event: A Case Study

Chapter 37: Why, What, and How Ought Harmed Parties be Told? The Art, Mechanics, and Ambiguities

Chapter 38: Disclosure of Medical Error: Liability, Insurance, and Risk Management Implications

Chapter 39: Medical Error and Patient Safety: Communicating with the Media

Chapter 40: Using Best Practices to Improve Medication Safety

Chapter 41: Improving the Safety of the Medication Use Process

Chapter 42: Designing a Safer Systems for Medications: A Case Study

Chapter 43: One Organization's Advocacy Effort for Error Prevention: Institute For Safe Medical Practices

Chapter 44: The Role of the Laboratory in Patient Safety

Chapter 45: Partnership and Collaboration on Patient Safety with Health Care Suppliers

Chapter 46: Patient Safety Training and New Technology

Chapter 47: No-Fault Compensation for Medical Injuries: Prospect for Error Prevention

Chapter 48: The Criminalization of Health Care: When is Medical Malpractice a Crime?

Chapter 49: That Does the Leapfrog Group Portend for Health Care Providers?

Chapter 50: The Future of Patient Safety: Reflections on History, the Data, and What it Will take to Succeed