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To Do No Harm: Ensuring Patient Safety in Health Care Organizations / Edition 1
     

To Do No Harm: Ensuring Patient Safety in Health Care Organizations / Edition 1

by Julianne M. Morath RN, MS, Joanne E. Turnbull PHD, Lucian L. Leape
 

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ISBN-10: 1118016106

ISBN-13: 9781118016107

Pub. Date: 10/26/2010

Publisher: Wiley

The release of an Institute of Medicine report in late 1999 changed the landscape of patient safety quickly and dramatically. The news that as many as 98,000 individuals die each year from preventable medical error captured the attention of both the lay and professional public, nationally and internationally. This book is a comprehensive field guide that summarizes

Overview

The release of an Institute of Medicine report in late 1999 changed the landscape of patient safety quickly and dramatically. The news that as many as 98,000 individuals die each year from preventable medical error captured the attention of both the lay and professional public, nationally and internationally. This book is a comprehensive field guide that summarizes and translates the science of safety and human factors research for practical application in care delivery and patient care. Patient safety has now become the top priority in health care leadership and management. Yet because the science of safety and accident prevention is new to health care, there has been a shortage of practical, technical guidance in this area.


Product Details

ISBN-13:
9781118016107
Publisher:
Wiley
Publication date:
10/26/2010
Series:
J-B AHA Press Series , #151
Edition description:
New Edition
Pages:
384
Product dimensions:
7.50(w) x 9.20(h) x 0.90(d)

Table of Contents

Foreword (Lucian L. Leape).

Preface.

Acknowledgments.

The Authors.

Introduction.

1. Declare Patient Safety Urgent and a Priority.

2. Error and Harm in Health Care.

3. Understanding the Basics of Patient Safety.

4. Assume Executive Responsibility.

5. Import New Knowledge and Skills.

6. Install a Blameless Reporting System.

7. Assign Accountability.

8. Align External Controls and Reform Education.

9. Accelerate Change For Improvement.

10. The End of the Beginning.

References.

Glossary.

Appendixes.

1. Checklist for Assessing Institutional Resilience.

2. Creating De-Identified Case Studies for Dissemination.

3. Medical Accidents Policy: Reporting and Disclosure, Including Sentinel Events.

4. Medication Safety Team Feedback Form.

5. Patient Safety Workplan.

6. Safety Learning Report.

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

8. Complexity Lens Reflection.

9. A Brief Look at Gaps in the Continuity of Care.

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

11. A Reminder on Every Chart.

12. List of Serious Reportable Events in Health Care.

13. Statement of Principle: Talking to Patients About Health Care Injury.

14. VHA Patient Safety Organizational Assessment.

Additional Readings.

Resources.

Index.

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