To Do No Harm: Ensuring Patient Safety in Health Care Organizations
With this important resource, health care leaders from the board room to the point-of-care can learn how to apply the science of safe and best practices from industry to healthcare by changing leadership practices, models of service delivery, and methods of communication.
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The End of the Beginning
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accountability administration adverse events Aligning Appreciative Inquiry aviation blame Center clinicians communication creating safety crew resource management culture of safety developed disclosure ECMO effective ensure environment example executive experience failure focus focused front-line goal groups harm harm-free health care organizations health care system Healthcare hindsight bias Hospitals and Clinics HROs human factors identified implementation individual initiatives involved JCAHO knowledge leadership lessons medical accident medical error Medicine misses National Patient Safety National Quality Forum nurse occur Office of Patient operations organizational participants Patient Safety Foundation patients and families performance physician potential practice prevent problem procedures professionals reduce reporting system requires responsibility root cause analysis safe safety culture Safety Reporting safety science sentinel event sharp end Six Sigma staff members strategies surgery Swiss Cheese Model team members teamwork tient tion understanding unit vulnerabilities