To Do No Harm
Ensuring Patient Safety in Health Care Organizations
1st Edition
Published on 12. October 2010
Book
Paperback/Softback
386 pages
978-1-118-01610-7 (ISBN)
Description
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.
More details
Series
Language
English
Place of publication
New York
United States
Publishing group
John Wiley & Sons Inc
Target group
Professional and scholarly
Dimensions
Height: 235 mm
Width: 191 mm
Thickness: 20 mm
Weight
663 gr
ISBN-13
978-1-118-01610-7 (9781118016107)
Copyright in bibliographic data is held by Nielsen Book Services Limited or its licensors: all rights reserved.
Schweitzer Classification
Other editions
Additional editions
Julianne M. Morath | Joanne E. Turnbull
To Do No Harm
Ensuring Patient Safety in Health Care Organizations
E-Book
05/2005
Jossey-Bass
€39.99
Available for download
Julianne M. Morath | Joanne E. Turnbull
To Do No Harm
Ensuring Patient Safety in Health Care Organizations
Book
01/2005
Jossey-Bass
€65.79
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Persons
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.
Content
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
Appendixes
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
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
Appendixes
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