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

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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.

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Product Details

  • ISBN-13: 9780787967703
  • Publisher: Wiley, John & Sons, Incorporated
  • Publication date: 2/20/2004
  • Series: J-B AHA Press Series, #137
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 384
  • Product dimensions: 7.32 (w) x 9.49 (h) x 1.32 (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

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
App. 1 Checklist for assessing institutional resilience 279
App. 2 Creating de-identified case studies for dissemination 283
App. 3 Medical accidents policy : reporting and disclosure, including sentinel events 285
App. 4 Medication safety and team feedback form 295
App. 5 Patient safety workplan 297
App. 6 Safety learning report 300
App. 7 Stop-the-line- policy : authority to intervene to restore patient safety 303
App. 8 Complexity lens reflection 308
App. 9 A brief look at gaps in the continuity of care 313
App. 10 A brief look at the new look in complex system failure, error, and safety 311
App. 11 A reminder on every chart 315
App. 12 List of serious reportable events in health care 316
App. 13 Statement of principle : talking to patients about health care injury 321
App. 14 VHA patient safety organizational assessment 322
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