Health It And Patient Safety

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To Err Is Human

Institute of Medicine,Committee on Quality of Health Care in America
To Err Is Human Book PDF

Author : Institute of Medicine,Committee on Quality of Health Care in America
Publisher : National Academies Press
Page : 312 pages
File Size : 53,5 Mb
Release : 2000-03-01
Category : Medical
ISBN : 9780309068376

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To Err Is Human by Institute of Medicine,Committee on Quality of Health Care in America Pdf

Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine

Health IT and Patient Safety

Institute of Medicine,Board on Health Care Services,Committee on Patient Safety and Health Information Technology
Health IT and Patient Safety Book PDF

Author : Institute of Medicine,Board on Health Care Services,Committee on Patient Safety and Health Information Technology
Publisher : National Academies Press
Page : 234 pages
File Size : 42,8 Mb
Release : 2012-03-15
Category : Computers
ISBN : 9780309221153

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Health IT and Patient Safety by Institute of Medicine,Board on Health Care Services,Committee on Patient Safety and Health Information Technology Pdf

IOM's 1999 landmark study To Err is Human estimated that between 44,000 and 98,000 lives are lost every year due to medical errors. This call to action has led to a number of efforts to reduce errors and provide safe and effective health care. Information technology (IT) has been identified as a way to enhance the safety and effectiveness of care. In an effort to catalyze its implementation, the U.S. government has invested billions of dollars toward the development and meaningful use of effective health IT. Designed and properly applied, health IT can be a positive transformative force for delivering safe health care, particularly with computerized prescribing and medication safety. However, if it is designed and applied inappropriately, health IT can add an additional layer of complexity to the already complex delivery of health care. Poorly designed IT can introduce risks that may lead to unsafe conditions, serious injury, or even death. Poor human-computer interactions could result in wrong dosing decisions and wrong diagnoses. Safe implementation of health IT is a complex, dynamic process that requires a shared responsibility between vendors and health care organizations. Health IT and Patient Safety makes recommendations for developing a framework for patient safety and health IT. This book focuses on finding ways to mitigate the risks of health IT-assisted care and identifies areas of concern so that the nation is in a better position to realize the potential benefits of health IT. Health IT and Patient Safety is both comprehensive and specific in terms of recommended options and opportunities for public and private interventions that may improve the safety of care that incorporates the use of health IT. This book will be of interest to the health IT industry, the federal government, healthcare providers and other users of health IT, and patient advocacy groups.

Advances in Patient Safety

Kerm Henriksen
Advances in Patient Safety Book PDF

Author : Kerm Henriksen
Publisher : Unknown
Page : 526 pages
File Size : 43,5 Mb
Release : 2005
Category : Medical
ISBN : CHI:70548902

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Advances in Patient Safety by Kerm Henriksen Pdf

v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

Making Healthcare Safe

Lucian L. Leape
Making Healthcare Safe Book PDF

Author : Lucian L. Leape
Publisher : Springer Nature
Page : 450 pages
File Size : 45,5 Mb
Release : 2021-05-28
Category : Medical
ISBN : 9783030711238

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Making Healthcare Safe by Lucian L. Leape Pdf

This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement’s founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today’s modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an “insider’s” tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care.

Patient Safety and Quality

Ronda Hughes
Patient Safety and Quality Book PDF

Author : Ronda Hughes
Publisher : Department of Health and Human Services
Page : 592 pages
File Size : 47,7 Mb
Release : 2008
Category : Medical
ISBN : IOWA:31858055672798

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Patient Safety and Quality by Ronda Hughes Pdf

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Medication Safety

Henri Richard Manasse
Medication Safety Book PDF

Author : Henri Richard Manasse
Publisher : ASHP
Page : 394 pages
File Size : 54,6 Mb
Release : 2005
Category : Medical
ISBN : 9781585280896

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Medication Safety by Henri Richard Manasse Pdf

Medication safety is the most challenging goal for pharmacy practice and patient safety professionals in all health care facilities. This book serves as an essential reference guide for planning and implementing a medication safety program. Written by nationally-recognized experts, Medication Safety: A Guide for Health Care Facilities provides a comprehensive analysis of principles and practices associated with the prevention and identification of medication errors, as well as interdisciplinary, facility-wide recommendations for achieving medication safety in all settings. This book is divided into four sections so users can easily find the information they need: the Importance of Medication Safety, the Medication Safety Team, Building a Safe Medication Use System, and Measuring Medication Safety.

Textbook of Patient Safety and Clinical Risk Management

Liam Donaldson,Walter Ricciardi,Susan Sheridan,Riccardo Tartaglia
Textbook of Patient Safety and Clinical Risk Management Book PDF

Author : Liam Donaldson,Walter Ricciardi,Susan Sheridan,Riccardo Tartaglia
Publisher : Springer Nature
Page : 496 pages
File Size : 43,8 Mb
Release : 2020-12-14
Category : Medical
ISBN : 9783030594039

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Textbook of Patient Safety and Clinical Risk Management by Liam Donaldson,Walter Ricciardi,Susan Sheridan,Riccardo Tartaglia Pdf

Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.

Handbook of Research on Patient Safety and Quality Care through Health Informatics

Michell, Vaughan
Handbook of Research on Patient Safety and Quality Care through Health Informatics Book PDF

Author : Michell, Vaughan
Publisher : IGI Global
Page : 486 pages
File Size : 55,9 Mb
Release : 2013-09-30
Category : Medical
ISBN : 9781466645479

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Handbook of Research on Patient Safety and Quality Care through Health Informatics by Michell, Vaughan Pdf

Medical and health activities can greatly benefit from the effective use of health informatics. By capturing, processing, and disseminating information to the correct systems and processes, decision-making can be more successful and quality care and patient safety would see significant improvements. The Handbook of Research on Patient Safety and Quality Care through Health Informatics highlights current research and trends from both professionals and researchers on health informatics as applied to the needs of patient safety and quality care. Bringing together theory and practical approaches for patient needs, this book is essential for educators and trainers at multiple experience levels in the fields of medicine and medical informatics.

Patient Safety

Charles Vincent
Patient Safety Book PDF

Author : Charles Vincent
Publisher : John Wiley & Sons
Page : 430 pages
File Size : 54,8 Mb
Release : 2011-07-20
Category : Medical
ISBN : 9781444348071

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Patient Safety by Charles Vincent Pdf

When you are ready to implement measures to improve patient safety, this is the book to consult. Charles Vincent, one of the world's pioneers in patient safety, discusses each and every aspect clearly and compellingly. He reviews the evidence of risks and harms to patients, and he provides practical guidance on implementing safer practices in health care. The second edition puts greater emphasis on this practical side. Examples of team based initiatives show how patient safety can be improved by changing practices, both cultural and technological, throughout whole organisations. Not only does this benefit patients; it also impacts positively on health care delivery, with consequent savings in the economy. Patient Safety has been praised as a gateway to understanding the subject. This second edition is more than that – it is a revelation of the pervading influence of health care errors, and a guide to how these can be overcome. "... The beauty of this book is that it describes the complexity of patient safety in a simple coherent way and captures the breadth of issues that encompass this fascinating field. The author provides numerous ways in which the reader can take this subject further with links to the international world of patient safety and evidence based research... One of the most difficult aspects of patient safety is that of implementation of safer practices and sustained change. Charles Vincent, through this book, provides all who read it clear examples to help with these challenges" From a review in Hospital Medicine by Dr Suzette Woodward, Director of Patient Safety. Access 'Essentials of Patient Safety – Free Online Introduction': www.wiley.com/go/vincent/patientsafety/essentials

Patient Safety and Healthcare Improvement at a Glance

Sukhmeet Panesar,Andrew Carson-Stevens,Sarah Salvilla,Aziz Sheikh
Patient Safety and Healthcare Improvement at a Glance Book PDF

Author : Sukhmeet Panesar,Andrew Carson-Stevens,Sarah Salvilla,Aziz Sheikh
Publisher : John Wiley & Sons
Page : 144 pages
File Size : 42,7 Mb
Release : 2014-06-16
Category : Medical
ISBN : 9781118361351

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Patient Safety and Healthcare Improvement at a Glance by Sukhmeet Panesar,Andrew Carson-Stevens,Sarah Salvilla,Aziz Sheikh Pdf

Patient Safety and Healthcare Improvement at a Glance isa timely and thorough overview of healthcare quality writtenspecifically for students and junior doctors and healthcareprofessionals. It bridges the gap between the practical and thetheoretical to ensure the safety and wellbeing of patients.Featuring essential step-by-step guides to interpreting andmanaging risk, quality improvement within clinical specialties, andpractice development, this highly visual textbook offers the bestpreparation for the increased emphasis on patient safety andquality-driven focus in today’s healthcare environment. Healthcare Improvement and Safety at a Glance: • Maps out and follows the World Health OrganizationPatient Safety curriculum • Draws upon the quality improvement work of theInstitute for Healthcare Improvement This practical guide, covering a vital topic of increasingimportance in healthcare, provides the first genuine introductionto patient safety and quality improvement grounded in clinicalpractice.

First, Do Less Harm

Ross Koppel,Suzanne Gordon
First Do Less Harm Book PDF

Author : Ross Koppel,Suzanne Gordon
Publisher : Cornell University Press
Page : 304 pages
File Size : 49,6 Mb
Release : 2012-04-23
Category : Medical
ISBN : 9780801464072

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First, Do Less Harm by Ross Koppel,Suzanne Gordon Pdf

Each year, hospital-acquired infections, prescribing and treatment errors, lost documents and test reports, communication failures, and other problems have caused thousands of deaths in the United States, added millions of days to patients' hospital stays, and cost Americans tens of billions of dollars. Despite (and sometimes because of) new medical information technology and numerous well-intentioned initiatives to address these problems, threats to patient safety remain, and in some areas are on the rise. In First, Do Less Harm, twelve health care professionals and researchers plus two former patients look at patient safety from a variety of perspectives, finding many of the proposed solutions to be inadequate or impractical. Several contributors to this book attribute the failure to confront patient safety concerns to the influence of the "market model" on medicine and emphasize the need for hospital-wide teamwork and greater involvement from frontline workers (from janitors and aides to nurses and physicians) in planning, implementing, and evaluating effective safety initiatives. Several chapters in First, Do Less Harm focus on the critical role of interprofessional and occupational practice in patient safety. Rather than focusing on the usual suspects-physicians, safety champions, or high level management-these chapters expand the list of "stakeholders" and patient safety advocates to include nurses, patient care assistants, and other staff, as well as the health care unions that may represent them. First, Do Less Harm also highlights workplace issues that negatively affect safety: including sleeplessness, excessive workloads, outsourcing of hospital cleaning, and lack of teamwork between physicians and other health care staff. In two chapters, experts explain why the promise of health care information technology to fix safety problems remains unrealized, with examples that are at once humorous and frightening. A book that will be required reading for physicians, nurses, hospital administrators, public health officers, quality and risk managers, healthcare educators, economists, and policymakers, First, Do Less Harm concludes with a list of twenty-seven paradoxes and challenges facing everyone interested in making care safe for both patients and those who care for them.

Resident Duty Hours

Institute of Medicine,Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety
Resident Duty Hours Book PDF

Author : Institute of Medicine,Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety
Publisher : National Academies Press
Page : 427 pages
File Size : 44,9 Mb
Release : 2009-04-27
Category : Medical
ISBN : 9780309131520

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Resident Duty Hours by Institute of Medicine,Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety Pdf

Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue. Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning. All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety.

Improving Usability, Safety and Patient Outcomes with Health Information Technology

F. Lau,J.A. Bartle-Clar,G. Bliss
Improving Usability Safety and Patient Outcomes with Health Information Technology Book PDF

Author : F. Lau,J.A. Bartle-Clar,G. Bliss
Publisher : IOS Press
Page : 570 pages
File Size : 50,6 Mb
Release : 2019-03-26
Category : Medical
ISBN : 9781614999515

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Improving Usability, Safety and Patient Outcomes with Health Information Technology by F. Lau,J.A. Bartle-Clar,G. Bliss Pdf

Information technology is revolutionizing healthcare, and the uptake of health information technologies is rising, but scientific research and industrial and governmental support will be needed if these technologies are to be implemented effectively to build capacity at regional, national and global levels. This book, "Improving Usability, Safety and Patient Outcomes with Health Information Technology", presents papers from the Information Technology and Communications in Health conference, ITCH 2019, held in Victoria, Canada from 14 to 17 February 2019. The conference takes a multi-perspective view of what is needed to move technology forward to sustained and widespread use by transitioning research findings and approaches into practice. Topics range from improvements in usability and training and the need for new and improved designs for information systems, user interfaces and interoperable solutions, to governmental policy, mandates, initiatives and the need for regulation. The knowledge and insights gained from the ITCH 2019 conference will surely stimulate fruitful discussions and collaboration to bridge research and practice and improve usability, safety and patient outcomes, and the book will be of interest to all those associated with the development, implementation and delivery of health IT solutions.

Keeping Patients Safe

Institute of Medicine,Board on Health Care Services,Committee on the Work Environment for Nurses and Patient Safety
Keeping Patients Safe Book PDF

Author : Institute of Medicine,Board on Health Care Services,Committee on the Work Environment for Nurses and Patient Safety
Publisher : National Academies Press
Page : 485 pages
File Size : 55,8 Mb
Release : 2004-03-27
Category : Medical
ISBN : 9780309187367

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Keeping Patients Safe by Institute of Medicine,Board on Health Care Services,Committee on the Work Environment for Nurses and Patient Safety Pdf

Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.

Patient Safety

Sidney Dekker
Patient Safety Book PDF

Author : Sidney Dekker
Publisher : CRC Press
Page : 254 pages
File Size : 55,7 Mb
Release : 2016-04-19
Category : Technology & Engineering
ISBN : 9781439852262

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Patient Safety by Sidney Dekker Pdf

Increased concern for patient safety has put the issue at the top of the agenda of practitioners, hospitals, and even governments. The risks to patients are many and diverse, and the complexity of the healthcare system that delivers them is huge. Yet the discourse is often oversimplified and underdeveloped. Written from a scientific, human factors