To Do No Harm Ensuring Patient Safety in Health Care Organizations

by Morath, Julianne M.; Turnbull, Joanne E.; Leape, Lucian L.

• ISBN13: 9781118016107
• ISBN10: 1118016106
• Edition: 1st
• Format: Paperback
• Copyright: 2010-10-26
• Publisher: Jossey-Bass

Summary

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.

Author Biography

Julianne M. Morath is the chief operating officer and vice president of care delivery of Children's Hospitals and Clinics in Minneapolis - St. Paul, Minnesota. She is a board member of the National Patient Safety Foundation in Chicago, Illinois.

Joanne E. Turnbull, RN, MS, is a well-known writer and speaker on the subject of patient safety. Until 2001 she was the executive director of the National Patient Safety Foundation.

Table of Contents

Foreword

Preface

Acknowledgments

The Authors

Introduction

Declare Patient Safety Urgent and a Priority

Error and Harm in Health Care

Understanding the Basics of Patient Safety

Assume Executive Responsibility

Import New Knowledge and Skills

Install a Blameless Reporting System

Assign Accountability

Align External Controls and Reform Education

Accelerate Change For Improvement

The End of the Beginning

References

Glossary

Appendixes

Checklist for Assessing Institutional Resilience

Creating De-Identified Case Studies for Dissemination

Medical Accidents Policy: Reporting and Disclosure, Including Sentinel Events

Medication Safety Team Feedback Form

Patient Safety Workplan

Safety Learning Report

Stop-the-Line Policy: Authority to Intervene to Restore Patient Safety

Complexity Lens Reflection

A Brief Look at Gaps in the Continuity of Care

A Brief Look at the New Look in Complex System Failure, Error, and Safety

A Reminder on Every Chart

List of Serious Reportable Events in Health Care

Statement of Principle: Talking to Patients About Health Care Injury

VHA Patient Safety Organizational Assessment

Additional Readings

Resources

Index

Table of Contents provided by Publisher. All Rights Reserved.