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Error Reduction in Health Care:

A Systems Approach to Improving Patient Safety
Front Cover
Patrice L. Spath
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John Wiley & Sons, Feb 25, 2011 - Medical - 375 pages

Error Reduction in Health Care

Completely revised and updated, this second edition of Error Reduction in Health Care offers a step-by-step guide for implementing the recommendations of the Institute of Medicine to reduce the frequency of errors in health care services and to mitigate the impact of errors when they do occur.

With contributions from noted leaders in health safety, Error Reduction in Health Care provides information on analyzing accidents and shows how systematic methods can be used to understand hazards before accidents occur. In the chapters, authors explore how to prioritize risks to accurately focus efforts in a systems redesign, including performance measures and human factors.

This expanded edition covers contemporary material on innovative patient safety topics such as applying Lean principles to reduce mistakes, opportunity analysis, deductive adverse event investigation, improving safety through collaboration with patients and families, using technology for patient safety improvements, medication safety, and high reliability organizations.

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Contents

The Basics of Patient Safety
3
FIGURES TABLES AND EXHIBITS
9
The Human Side of Medical Mistakes
21
High Reliability and Patient Safety
35
Measure and Evaluate Patient Safety
59
Analyzing Patient Safety Performance
103
Using Performance Data to Prioritize Safety
119
2 Conclusions and Recommendations for Blood Redraw
137
1 Checklist for Auditing the Safety of the Physical
232
Improve Patient Safety with Lean Techniques
245
1 MistakeProofing Case Study in Perioperative Services
260
Focused Patient Safety Initiatives
269
1 Information Technology Implement Scenario
284
A Structured Teamwork System to Reduce Clinical
297
1 Senior Leader Actions Necessary to Support Teamwork
327
Medication Safety Improvement
335

Reactive and Proactive Safety Investigations
143
MTO and DEB Analysis Can Find System
157
Using Deductive Analysis to Examine Adverse
171
How to Make Health Care Processes Safer
197
1 Checklist for Proactive RiskReduction Activities
213
Reducing Errors Through Work System
217
1 Medication Error Case Study
343
Glossary
369
Exhibits
371
Index
383
Tables
384
Copyright

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About the author (2011)

Patrice L. Spath, MA, RHIT, is president of Brown-Spath & Associates and assistant professor in the Department of Health Services Administration at the University of Alabama in Birmingham. She serves on the advisory board for WebM&M, an online case-based journal and forum on patient safety and health care quality sponsored by the Agency for Healthcare Research and Quality. Spath has authored numerous books and journal articles on health care performance improvement and patient safety.

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