Error Reduction in Health Care: A Systems Approach to Improving Patient Safety / Edition 1by Patrice L. Spath, Lucian L. Leape
Pub. Date: 07/13/2000
An AHA Press/Jossey-Bass Publication"Error Reduction in Health Care explores the complex causes of medical mistakes and offers sound advice for leaders who want to reduce the frequency of errors in health care services and mitigate the impact of those errors that do occur. The book is packed pull of examples of thorough incident investigations and process
An AHA Press/Jossey-Bass Publication"Error Reduction in Health Care explores the complex causes of medical mistakes and offers sound advice for leaders who want to reduce the frequency of errors in health care services and mitigate the impact of those errors that do occur. The book is packed pull of examples of thorough incident investigations and process improvement recommAndations from leaders in the field of health care quality and risk management. Reducing errors in rightly becoming a higher and higher priority in the health care world, and this book will help committed clinicians and administrators make progress toward the goal."—Donald M. Berwick, president and CEO, Institute for Healthcare Improvement"This book, with its step-by-step guide to operationalizing error reduction, is a must-read for hospital administrators, senior medical staff, and conscientious board members."—Michael L. Millenson, principal, William M. Mercer, Inc. and author of Demanding Medical Excellence: Doctors and Accountability in the Information Age"Error Reduction in Health Care provides a clear focus on issues that make a difference to patients and health care providers. Every improvement program needs to consider this book as essential in continuous improvement training."—Paula S. Swain, Swain and Associates, Healthcare Accreditation and Compliance Specialists"A timely gathering of distinguished authors to guide health care professionals through the mazes of error investigation and reduction strategies. A must read for those of us responsible for adverse event review processes."—Susan Anderson, Risk Management Consultant, University of Michigan Health System
Table of Contents
About the Editor.
About the Contributors.
A Formula for Errors: Good People + Bad Systems (S. McClanahan, et al.).
Measuring Performance of High-Risk Processes (K. Ferraco & P. Spath).
The Human Side of Medical Mistakes (S. Ternov).
Accident Investigation and Anticipatory Failure Analysis in Hospitals (S. Feldman & D. Roblin).
Automating Root Cause Analysis (R. Latino).
One Hospital's View of Software Facilitation of Root Cause Analysis (K. Hirsch & D. Wallace).
Proactively Error-Proofing Health Care Processes (R. Croteau & P. Schyve).
Reducing Errors through Work Systems Improvements (P. Spath).
A Structured Teamwork System to Reduce Clinical Errors (D. Risser, et al.).
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