Patient Safety HandbookBarbara J. Youngberg In the current climate of managed care, tight cost controls, limited resources, and the growing demand for health care services, conditions for medical errors are ripe. Nearly 100,000 people die each year from medical errors and tens of thousands more are injured. This comprehensive handbook on patient safety reflects the goals of many in the health care industry to advance the reliability of healthcare systems worldwide. With contributions from prominent thought leaders in the field, this thoroughly revised, Second Edition of The Patient Safety Handbook looks at all the recent changes in the industry and offers practical guidance on implementing systems and processes to improve outcomes and advance patient safety. The book covers the full spectrum of patient safety and risk reduction-- from the fundamentals of the science of safety, through a thorough discussion of operational issues, and the application of the principles of research. Real-life case studies from renowned health care organizations and their leadership help the reader understand the practical application of the strategies presented.Key Features: - Offers contributions from prominent thought leaders in both academia and the profession.- Examines the newest scientific advances in the science of safety.- Includes real-life case studies from renowned health care organizations. |
Contents
Understanding the First Institute Of Medicine Report and Its Impact On Patient Safety | 1 |
Patient Safety Movement The Progress and the Work That Remains | 17 |
Accelerating Patient Safety Improvement | 29 |
The Importance of Leadership to Advance Patient Safety | 39 |
An Organization Development Framework For Transformational Change in Patient Safety A Guide For Hospital Senior Leaders | 57 |
The Role of the Board of Directors in Advancing Patient Safety | 69 |
Toward A Philosophy of Patient Safety Expanding the Systems Approach to Medical Error | 87 |
Mistaking Error | 99 |
Health Information Technology and Patient Safety | 291 |
Sleep Deprivation in Healthcare Professionals The Effect on Patient Safety | 299 |
Supporting Healthcare Providers Impacted by Adverse Medical Events | 313 |
Patient HandoffsPerils and Opportunities | 323 |
When Employees Are Safe Patients Are Safer | 333 |
Identifying and Addressing Physicians at High Risk for Medical Malpractice Claims | 347 |
Medical Malpractice Litigation Conventional Wisdom Versus Reality | 369 |
Quality and Safety Education for Nurses Integrating Quality and Safety Competencies into Nursing Education | 381 |
The Investigation and Analysis of Clinical Incidents | 111 |
Applying Epidemiology to Patient Safety | 125 |
Patient Safety is an Organizational Systems Issue Lessons From a Variety of Industries | 143 |
Admitting Imperfection Revelations From the Cockpit For the World of Medicine | 157 |
Creating a Just Culture A Nonpunitive Approach to Medical Errors | 169 |
Addressing Clinician Performance Problems as a Systems Issue | 179 |
Improving Health Literacy to Advance Patient Safety | 185 |
The Leadership Role of the Chief Operating Officer in Aligning Strategy and Operations to Create Patient Safety | 201 |
The Role of the Risk Manager in Creating Patient Safety | 217 |
Reducing Medical Errors The Role of the Physician | 225 |
Engaging General Counsel in the Pursuit of Safety | 233 |
Growing Nursing Leadership in the Field of Patient Safety | 243 |
Teamwork Communications and Training | 257 |
Teamwork The Fundamental Building Block of HighReliability Organizations and Patient Safety | 265 |
Supporting a Culture of Safety The Magnet Recognition Program | 393 |
Teaching Physicians to Provide Safe Patient Care | 425 |
Improving the Safety of the Medication Use Process | 461 |
Using Simulation to Advance Patient Safety | 495 |
Moving from Traditional Informed Consent to Shared PatientProvider Decision Making | 505 |
Trust Disclosure Apology How We Act When Things Go Wrong Has an Impacton Patient Safety | 521 |
Why What and How Ought Harmed Parties Be Told? The Art Mechanics and Ambiguities of Error Disclosure | 531 |
Moving Beyond Blame to Create an Environment That Rewards Reporting | 545 |
The Role of Ethics and Ethics Services in Patient Safety | 551 |
TelemedicineRisk Management and Patient Safety | 561 |
The Criminalization of Medical Malpractice from Past to Present and the Implications on Patient Safety and Voluntary Error Reporting | 579 |
Aligning Patients Payers and Providers Bringing Quality and Safety into the Reimbursement Equation | 591 |
| 605 | |
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Common terms and phrases
ACGME administration adverse events analysis assessment behavior caregivers Center clini clinical clinicians collaboration committee communication CPOE create culture of safety decision disclosure drug effective ensure environment ethical evaluation factors failure focus goal handoffs harm health care health literacy health system healthcare organizations healthcare professionals healthcare providers hospital identified implementation improve patient safety incident individual informed consent injuries Institute of Medicine intervention involved IOM report issues Joint Commission Journal Kaiser Permanente leaders leadership learning Magnet medi medical education medical errors medical malpractice medical school Medicare MedTeams ment National nurses occur organizational outcomes performance physi physicians potential practice prevent problem procedures profes quality and safety quality improvement responsibility result Retrieved risk management role root cause analysis safe simulation skills specific staff standards strategies teamwork telemedicine tient tion tive