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Informationen zum Autor Patrice L. Spath, MA, RHIT, is president of Brown-Spath & Associates and assistant professor in the Department of Health Services Administration at the University of Alabama in Birmingham. She serves on the advisory board for WebM&M, an online case-based journal and forum on patient safety and health care quality sponsored by the Agency for Healthcare Research and Quality. Spath has authored numerous books and journal articles on health care performance improvement and patient safety. Klappentext Completely revised and updated, this second edition of Error Reduction in Health Care offers a step-by-step guide for implementing the recommendations of the Institute of Medicine to reduce the frequency of errors in health care services and to mitigate the impact of errors when they do occur. With contributions from noted leaders in health safety, Error Reduction in Health Care provides information on analyzing accidents and shows how systematic methods can be used to understand hazards before accidents occur. In the chapters, authors explore how to prioritize risks to accurately focus efforts in a systems redesign, including performance measures and human factors. This expanded edition covers contemporary material on innovative patient safety topics such as applying Lean principles to reduce mistakes, opportunity analysis, deductive adverse event investigation, improving safety through collaboration with patients and families, using technology for patient safety improvements, medication safety, and high reliability organizations. Praise for the prior edition: "The content exceeds the reader's expectations and the text is a worthy reference in a climate of growing national attention. Its scope constitutes mandatory reading for executive and middle managers, as well as quality assurance and risk management professionals and physician leaders. The distinguished contributors bring unsurpassed expertise from a variety of sources, both inside and outside of health care. This publication provides not only a theoretical framework to gain an understanding of the nature of error, but also outlines useful, practical, proven strategies for beginning a patient safety initiative in any health care organization. This is one of the first comprehensive references available since the subject has gained national attention." -- Doody's Publishing, five-star review Zusammenfassung * This definitive text explains how to implement Institute of Medicine guidelines to reduce the frequency of errors in health care services and mitigate the impact of those errors that do occur. * All chapters will be updated with key concepts/learning objectives! key terms! and discussion questions. Inhaltsverzeichnis Figures, Tables, and Exhibits v Foreword ix Lucian L. Leape Preface xi The Editor xvii The Authors xix PART ONE: The Basics of Patient Safety Chapter 1 A Formula for Errors: Good People + Bad Systems 3 Susan McClanahan, Susan T. Goodwin, and Jonathan B. Perlin Chapter 2 The Human Side of Medical Mistakes 21 Sven Ternov Chapter 3 High Reliability and Patient Safety 35 Yosef D. Dlugacz and Patrice L. Spath PART TWO: Measure and Evaluate Patient Safety Chapter 4 Measuring Patient Safety Performance 59 Karen Ferraco and Patrice L. Spath Chapter 5 Analyzing Patient Safety Performance 103 Karen Ferraco and Patrice L. Spath Chapter 6 Using Performance Data to Prioritize Safety Improvement Projects 119 Robert Latino PART THREE: Reactive and Proactive Safety Investigations Chapter 7 Accident Investigation and Anticipatory Failure Analysis 143 Sanford E. Feldman and Douglas W. Roblin Chapter 8 MTO and DEB Analys...
