Error Reduction in Health Care
A Systems Approach to Improving Patient Safety
2nd Edition
Published on 25. February 2011
416 pages
978-1-118-00156-1 (ISBN)
Description
Error Reduction in Health Care
Completely revised and updated, this second edition of ErrorReduction in Health Care offers a step-by-step guide forimplementing the recommendations of the Institute of Medicine toreduce the frequency of errors in health care services and tomitigate the impact of errors when they do occur.
With contributions from noted leaders in health safety, ErrorReduction in Health Care provides information on analyzingaccidents and shows how systematic methods can be used tounderstand hazards before accidents occur. In the chapters, authorsexplore how to prioritize risks to accurately focus efforts in asystems redesign, including performance measures and humanfactors.
This expanded edition covers contemporary material on innovativepatient safety topics such as applying Lean principles to reducemistakes, opportunity analysis, deductive adverse eventinvestigation, improving safety through collaboration with patientsand families, using technology for patient safety improvements,medication safety, and high reliability organizations.
The Editor
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Other editions
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Book
04/2011
2nd Edition
Jossey-Bass
€87.00
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Person
Patrice L. Spath, MA, RHIT, is president of Brown-Spath &Associates and assistant professor in the Department of HealthServices Administration at the University of Alabama in Birmingham.She serves on the advisory board for WebM&M, an onlinecase-based journal and forum on patient safety and health carequality sponsored by the Agency for Healthcare Research andQuality. Spath has authored numerous books and journal articles onhealth care performance improvement and patient safety.
Content
Figures, Tables, and Exhibits.
Foreword (Lucien L. Leape).
Preface.
The Editor.
The Authors.
PART ONE The Basics of Patient Safety.
1: A Formula for Errors Good People + Bad Systems(Susan McClanahan, Susan T. Goodwin, and Jonathan B. Perlin).
2: The Human Side of Medical Mistakes (Sven Ternov).
3: High Reliability and Patient Safety (Yosef D. Dlugacz andPatrice L. Spath).
PART TWO Measure and Evaluate Patient Safety.
4: Measuring Performance of High-Risk Processes (Karen Ferracoand Patrice L. Spath).
5: Analyzing Patient Safety Performance (Karen Ferraco andPatrice L. Spath).
6: Using Performance Data to Prioritize Safety ImprovementProjects (Robert Latino).
PART THREE Reactive and Proactive SafetyInvestigations.
7: Accident Investigation and Anticipatory Failure Analysis
Sanford E. Feldman and Douglas W. Roblin
8: MTO and DEB Analysis Can Find System Breakdowns (SvenTernov).
9: Using Deductive Analysis to Examine Adverse Events (RobertLatino).
PART FOUR How to Make Health Care Processes Safer.
10: Proactively Error-Proofing Health Care Processes (Richard J.Croteau and Paul M. Schyve).
11: Reducing Errors Through Work Systems Improvements (PatriceL. Spath).
12: Improve Patient Safety with Lean Techniques (DanielleLavallee).
PART FIVE Focused Patient Safety Initiatives.
13: How Information Technology Can Improve Patient Safety (DonnaJ. Slovensky and Nir Menachemi).
14: A Structured Teamwork System to Reduce Clinical Errors(Daniel T. Risser, Robert Simon, Matthew M. Rice, Mary L.Salisbury, and John C. Morey).
15: Medication Safety Improvement (Yosef D. Dlugacz).
Glossary.
Index.
