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

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With this important resource, health care leaders from the board room to the point-of-care can learn how to apply the science of safe and best practices from industry to healthcare by changing leadership practices, models of service delivery, and methods of communication.

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Product Details

  • ISBN-13: 9781118016107
  • Publisher: Wiley
  • Publication date: 10/26/2010
  • Series: J-B AHA Press Series, #151
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 384
  • Sales rank: 1,043,029
  • Product dimensions: 7.50 (w) x 9.20 (h) x 0.90 (d)

Meet the Author

Julianne M. Morath is the chief operating officer and vice president of care delivery of Children's Hospitals and Clinics in Minneapolis - St. Paul, Minnesota. She is a board member of the National Patient Safety Foundation in Chicago, Illinois.

Joanne E. Turnbull, RN, MS, is a well-known writer and speaker on the subject of patient safety. Until 2001 she was the executive director of the National Patient Safety Foundation.

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Table of Contents

Foreword ix
Lucian L. Leape

Preface xv

Acknowledgments xxiii

The Authors xxvii

Introduction 1

1 Declare Patient Safety Urgent and a Priority 12

2 Error and Harm in Health Care 23

3 Understanding the Basics of Patient Safety 44

4 Assume Executive Responsibility 71

5 Import New Knowledge and Skills 96

6 Install a Blameless Reporting System 120

7 Assign Accountability 148

8 Align External Controls and Reform Education 181

9 Accelerate Change For Improvement 204

10 The End of the Beginning 234

References 245

Glossary 255


1 Checklist for Assessing Institutional Resilience 279

2 Creating De-Identified Case Studies for Dissemination 283

3 Medical Accidents Policy: Reporting and Disclosure,

Including Sentinel Events 285

4 Medication Safety Team Feedback Form 295

5 Patient Safety Workplan 297

6 Safety Learning Report 300

7 Stop-the-Line Policy: Authority to Intervene to Restore Patient Safety 303

8 Complexity Lens Reflection 308

9 A Brief Look at Gaps in the Continuity of Care 311

10 A Brief Look at the New Look in Complex System Failure, Error, and Safety 313

11 A Reminder on Every Chart 315

12 List of Serious Reportable Events in Health Care 316

13 Statement of Principle: Talking to Patients About Health Care Injury 321

14 VHA Patient Safety Organizational Assessment 322

Additional Readings 331

Resources 335

Index 345

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