Patient Safety Handbook

by Youngberg, Barbara J.

• ISBN13: 9780763774042
• ISBN10: 0763774049
• Edition: 2nd
• Format: Paperback
• Copyright: 2012-09-21
• Publisher: Jones & Bartlett Learning

Summary

Nearly 100,000 people die each year from medical errors in American hospitals. Tens of thousands more are injured. This comprehensive handbook on patient safety and risk management reflects the goals of many in the health care industry to advance the reliability of healthcare systems worldwide. This thoroughly revised Second Edition 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. Covering the full spectrum of patient safety and risk reduction, it builds from the fundamentals of the science of safety, to a thorough discussion of operational issues and the actual application of the principles of research. Real-life case studies from prominent health care organizations and their leadership help you apply proven strategies to your patient safety program.

Table of Contents

Chapter1 Understanding the First Institute of Medicine Report and its Impact on Patient Safety
Chapter2 The Patient Safety Movement: The Progress and the Work that Remains
Chapter3 Accelerating Patient Safety Improvement
Chapter4 The Importance of Leadership to Advance Patient Safety
Chapter5 An Organizational Development Framework for Transformational Change in Patient Safety: A Guide for Organizational Leaders
Chapter6 The Role of the Board of Directors in Advancing Patient Safety
Chapter7 Toward A Philosophy Of Patient Safety: Expanding The Systems Approach To Medical Error
Chapter8 Mistaking Error
Chapter9 The Investigation and Analysis of Clinical Incidents
Chapter10 Applying Epidemiology to Patient Safety
Chapter11 Patient Safety Is An Organizational Systems Issue: Lessons From a Variety of Industries
Chapter12 Admitting Imperfections: Revelations from the Cockpit for the World of Medicine
Chapter13 Creating a Just Culture: A Non-punitive Approach to Medical Error
Chapter14 Addressing Clinician Performance problems as a Systems Issue
Chapter15 Health Care Literacy and Patient Safety
Chapter16 The Leadership Role of the Chief Operating Officer in Aligning Strategy and Operations to Create Patient Safety
Chapter17 The Role of the Risk Manager in Advancing Patient Safety
Chapter18 Reducing Medical Errors: The Role of the Physician
Chapter19 Engaging General Counsel in the Pursuit of Safety
Chapter20 Growing Nursing Leadership in the Field of Patient Safety
Chapter21 Teamwork, Communication and Training
Chapter22 Teamwork: The Fundamental Building Block of High Reliability Organizations and Patient Safety
Chapter23 Health Information Technology and Patient Safety
Chapter24 Deprivation in Health Care Professionals: The Impact On Patient Safety
Chapter25 Supporting Healthcare Providers Impacted by Adverse Medical Events
Chapter26 Patient Handoffs - Peril and Opportunity
Chapter27 When Employees are Safe, Patients are Safer
Chapter28 Addressing Behavior Characteristics of Providers that Cause Liability Claims and Erode a Safety Culture
Chapter29 Medical Malpractice Litigation: Conventional Wisdom vs. Reality
Chapter30 Quality and Safety Education for Nurses: Integrating Quality and Safety Competencies into Nursing Education
Chapter31 Supporting a Culture of Safety: The Magnet® Recognition Program
Chapter32 Improving the Safety of the Medication Use Process
Chapter33 Unmet Needs: Teaching Physicians to Provide Safe Patient Care
Chapter34 Using Simulation to Advance Patient Safety
Chapter35 The Importance of Shared Decision Making in Patient Safety
Chapter36 Trust, Disclosure and Apology--How we act when things go wrong has an impact on Patient Safety
Chapter37 Why, What and How Ought Harmed Parties Be Told? The Art, Mechanics, and Ambiguities of Err or Disclosure
Chapter38 Moving Beyond Blame to a Culture that Rewards Reporting
Chapter39 The Role of Ethics and Ethics Services in Patient Safety
Chapter40 Telemedicine and Patient Safety
Chapter41 The Criminalization of Healthcare: Its Impact in Patient Safety
Chapter42 Aligning Patients, Payors and Providers: Bringing Quality and Safety into the Reimbursement Equation