Patient Safety and Quality Improvement in Healthcare: A Case-Based Approach

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Rahul K. Shah, Sandip A. Godambe
Springer Nature, Dec 15, 2020 - Medical - 383 pages
This text uses a case-based approach to share knowledge and techniques on how to operationalize much of the theoretical underpinnings of hospital quality and safety. Written and edited by leaders in healthcare, education, and engineering, these 22 chapters provide insights as to where the field of improvement and safety science is with regards to the views and aspirations of healthcare advocates and patients. Each chapter also includes vignettes to further solidify the theoretical underpinnings and drive home learning. End of chapter commentary by the editors highlight important concepts and connections between various chapters in the text.
Patient Safety and Quality Improvement in Healthcare: A Case-Based Approach presents a novel approach towards hospital safety and quality with the goal to help healthcare providers reach zero harm within their organizations.
 

Contents

Introduction A CaseBased Approach to Quality Improvement
1
Organizational Safety Culture The Foundation for Safety and Quality Improvement
15
Creation of Quality Management Systems Frameworks for Performance Excellence
36
Reliability Resilience and Developing a ProblemSolving Culture
55
Building an Engaging Toyota Production System Culture to Drive Winning Performance for Our Patients Caregivers Hospitals and Communities
69
What to Do When an Event Happens Building Trust in Every Step
116
Communication with Disclosure and Its Importance in Safety
143
Using Data to Drive Change
155
Pathways and Guidelines An Approach to Operationalizing Patient Safety and Quality Improvement
245
Accountable Justifications and Peer Comparisons as Behavioral Economic Nudges to Improve Clinical Practice
255
Diagnostic Errors and Their Associated Cognitive Biases
265
An Improvement Operating System A Case for a Digital Infrastructure for Continuous Improvement
280
Patient Flow in Healthcare A Key to Quality
293
It Takes Teamwork Consideration of Difficult HospitalAcquired Conditions
309
Human Factors in Healthcare
319
Workforce Safety
335

Quality Methodology
173
Designing Improvement Teams for Success
193
Handoffs Reducing Harm Through High Reliability and InterProfessional Communication
207
Safety II A Novel Approach to Reducing Harm
219
Bundles and Checklists
231
Changing the Improvement Paradigm for Our Kids
353
Afterword
374
Index
377
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About the author (2020)

Rahul K. Shah, MD, MBA, Children’s National Health System, Washington, DC
Sandip A. Godambe, MD, PhD, MBA, Children’s Hospital of The King’s Daughters Health System, Norfolk, VA

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