ISBN-10:
1567932304
ISBN-13:
9781567932300
Pub. Date:
08/15/2004
Publisher:
Health Administration Press
Leading a Patient-Safe Organization

Leading a Patient-Safe Organization

by Matthew J. Lambert

Hardcover

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Product Details

ISBN-13: 9781567932300
Publisher: Health Administration Press
Publication date: 08/15/2004
Edition description: AMERICAN COLLEGE OF HEALTHCARE EXEC
Pages: 78
Product dimensions: 8.50(w) x 11.00(h) x 0.30(d)

Table of Contents

Introduction1
Chapter 1Medical Error3
Frameworks for Understanding Error
The Systems Nature of Error
Healthcare as a System
Reconciling the System and Human Causes of Error
Communication and Risk Management
Preventable Errors
The Blessing and Curse of Technology
Chapter 2Leadership Role15
Leadership Structure of U.S. Hospitals
Cultures of the Health Professions
Lack of Awareness
Narrow Focus
Difference Between Perception and Reality
Complexity of the Healthcare Executive's Job
Era of Public Reporting and Accountability
Perceived Lack of a Business Case for Quality
Difficulty of Assessing Physician Competence
The Potential for Conflict Over Outcomes Reporting
A Final Note
Chapter 3Culture of Safety38
Commitment
Trust
Organizational Assessment
Core Business
Underreporting
Lessons from Other Industries
Communication and Collaboration
Adverse Outcome Assessment
Safety Space
Causes of Error
Strategies for Creating a Safety Culture
Conclusion61
Appendix A64
Appendix B69
Suggested Readings76
About the Author77
Acknowledgments77

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