Error Reduction in Health Care: A Systems Approach to Improving Patient Safety / Edition 1

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Overview

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 recommendations from leaders in the field of health care quality and risk management.

The book contains black-and-white illustrations.

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Editorial Reviews

Journal of the American Medical Association
On November 30, 1999, the Institute of Medicine reported that as many as 98,000 patients die each year because of medical errors, igniting growing concern about patient safety in hospitals. This book is a timely and well thought-out response....The current public demand for change comes at the risk of increased medical-legal liability and potentially onerous bureaucracy. But it also offers an enormous opportunity to improve our ability as physicians to provide excellent, error-free care to our patients. This book offers a constructive and proactive means to that end.
Catherine J. Buck
This is one of the first comprehensive references available since the release of the Institute of Medicine Report. The full spectrum of patient safety management is covered, from the prospective identification and evaluation of hazardous situations through error reporting and analysis. This text contains easily applied strategies for error reduction across the continuum of healthcare. The editor aims to detail essential information on the subject matter as well as offer both reactive and proactive methods of patient safety improvement. 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 healthcare. This valuable effort, according to the editor, is written for healthcare professionals. The information presented can be easily and practically applied to almost any healthcare setting and provides a step-by-step guide to operationalize a variety of patient safety initiatives. The concepts of latent errors, situational factors, and defective system barriers are clearly addressed. The chapter on automating root cause analysis will catch the attention of any quality assessment professional and provides practical options for error analysis. The review of proven error reduction techniques in the areas of medication administration, patient assessment, and use of restraints provide immediately useful approaches. As the healthcare industry struggleswith a less than favorable public perception, the editor of 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 healthcare organization. This is one of the first comprehensive references available since the subject has gained national attention.
Booknews
Doctors, nurses, and professionals in risk management and quality control, examine the causes of medical mistakes and offer advice for reducing the frequency of errors in health care services based on systems theory and a non-punitive reporting structure. Articles cover topics such as the human side of medical mistakes, automating root cause analysis, error-proofing health care processes, and using a structured teamwork system to reduce clinical errors. Annotation c. Book News, Inc., Portland, OR (booknews.com)
From The Critics
Reviewer: Catherine J. Buck, RN, MSN (Froedtert Hospital)
Description: This is one of the first comprehensive references available since the release of the Institute of Medicine Report. The full spectrum of patient safety management is covered, from the prospective identification and evaluation of hazardous situations through error reporting and analysis. This text contains easily applied strategies for error reduction across the continuum of healthcare.
Purpose: The editor aims to detail essential information on the subject matter as well as offer both reactive and proactive methods of patient safety improvement. 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 healthcare.
Audience: This valuable effort, according to the editor, is written for healthcare professionals.
Features: The information presented can be easily and practically applied to almost any healthcare setting and provides a step-by-step guide to operationalize a variety of patient safety initiatives. The concepts of latent errors, situational factors, and defective system barriers are clearly addressed. The chapter on automating root cause analysis will catch the attention of any quality assessment professional and provides practical options for error analysis. The review of proven error reduction techniques in the areas of medication administration, patient assessment, and use of restraints provide immediately useful approaches.
Assessment: As the healthcare industry struggles with a less than favorable public perception, the editor of 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 healthcare organization. This is one of the first comprehensive references available since the subject has gained national attention.
Doody's Review Service
Reviewer: Catherine J. Buck, RN, MSN (Froedtert Hospital)
Description: This is one of the first comprehensive references available since the release of the Institute of Medicine Report. The full spectrum of patient safety management is covered, from the prospective identification and evaluation of hazardous situations through error reporting and analysis. This text contains easily applied strategies for error reduction across the continuum of healthcare.
Purpose: The editor aims to detail essential information on the subject matter as well as offer both reactive and proactive methods of patient safety improvement. 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 healthcare.
Audience: This valuable effort, according to the editor, is written for healthcare professionals.
Features: The information presented can be easily and practically applied to almost any healthcare setting and provides a step-by-step guide to operationalize a variety of patient safety initiatives. The concepts of latent errors, situational factors, and defective system barriers are clearly addressed. The chapter on automating root cause analysis will catch the attention of any quality assessment professional and provides practical options for error analysis. The review of proven error reduction techniques in the areas of medication administration, patient assessment, and use of restraints provide immediately useful approaches.
Assessment: As the healthcare industry struggles with a less than favorable public perception, the editor of 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 healthcare organization. This is one of the first comprehensive references available since the subject has gained national attention.

5 Stars! from Doody
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Product Details

  • ISBN-13: 9780787955960
  • Publisher: Wiley
  • Publication date: 7/13/2000
  • Series: J-B AHA Press Series , #2
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 320
  • Product dimensions: 9.00 (w) x 6.00 (h) x 0.88 (d)

Meet the Author

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.

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Table of Contents

List of Figures and Tables.
About the Editor.
About the Contributors.
Foreward.
Preface.
Acknowledgements.
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.).
Index.
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