Partnering With Patients To Reduce Medical Errors

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Patient Safety and Quality

Author : Ronda Hughes
Publisher : Department of Health and Human Services
Page : 592 pages
File Size : 55,6 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/

The Patient's Guide to Preventing Medical Errors

Author : Karin J. Berntsen
Publisher : Bloomsbury Publishing USA
Page : 285 pages
File Size : 55,7 Mb
Release : 2004-10-30
Category : Health & Fitness
ISBN : 9780313013676

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The Patient's Guide to Preventing Medical Errors by Karin J. Berntsen Pdf

A nation watched in horror as 17-year-old Jessica Santillian died needlessly after a heart-lung transplant in 2003. She had been given organs with the wrong blood type. That error killed her. It is just one among tens of thousands of less publicized errors that occur in U.S. hospitals each year. Author Karin Berntsen, a veteran of the hospital and health care industry, takes us through the headlines, and the events never publicized, into hospital wards and surgical rooms to see how errors are made causing disability or death. She gives graphic examples of actual events that illustrate the problems cited in a federal Institute of Medicine report showing medical errors in the hospital cause 44,000 to 98,000 deaths each year. Those errors include medication mistakes, wrong site or side surgery, and botched transfusions. Berntsen explains why these are not just human errors with one or two people responsible; they are systems failures that require a major culture change to remedy. And that change, she argues, may not come without action by the very people the medical system is designed to help: patients. She offers clear actions consumers can take to assure they are not on the receiving end of a medical error. The book details over 200 tips for improving patient safety. U.S. hospitals have countless stories of miraculous healing and recovery; the greatest technology, most advanced medicines, and best research in the world. On the other hand, we have a system where medical errors bring more than 120 fatalities each day across the country in hospitals. An airline crash causing that many deaths daily would paralyze that industry. But because the deaths and harm are diluted across and deep within the silence of hospitals, it is easier to be complacent. There is, says Berntsen, an urgent need to pause and take inventory, a need for clinicians and consumers to come together as partners for change.

Patient Safety Tool Kit

Author : Anonim
Publisher : World Health Organization
Page : 114 pages
File Size : 48,5 Mb
Release : 2016-02-15
Category : Medical
ISBN : 9789290220589

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Patient Safety Tool Kit by Anonim Pdf

The Patient safety tool kit describes the practical steps and actions needed to build a comprehensive patient safety improvement programme in hospitals and other health facilities. It is intended to provide practical guidance to health care professionals in implementing such programmes outlining a systematic approach to identifying the what and the how of patient safety. The tool kit is a component of the WHO patient safety friendly hospital initiative and complements the Patient safety assessment manual also published by WHO Regional Office for the Eastern Mediterranean.

Textbook of Patient Safety and Clinical Risk Management

Author : Liam Donaldson,Walter Ricciardi,Susan Sheridan,Riccardo Tartaglia
Publisher : Springer Nature
Page : 496 pages
File Size : 44,5 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.

Preventing Medication Errors

Author : Institute of Medicine,Board on Health Care Services,Committee on Identifying and Preventing Medication Errors
Publisher : National Academies Press
Page : 481 pages
File Size : 45,5 Mb
Release : 2007-01-11
Category : Medical
ISBN : 9780309101479

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Preventing Medication Errors by Institute of Medicine,Board on Health Care Services,Committee on Identifying and Preventing Medication Errors Pdf

In 1996 the Institute of Medicine launched the Quality Chasm Series, a series of reports focused on assessing and improving the nation's quality of health care. Preventing Medication Errors is the newest volume in the series. Responding to the key messages in earlier volumes of the seriesâ€"To Err Is Human (2000), Crossing the Quality Chasm (2001), and Patient Safety (2004)â€"this book sets forth an agenda for improving the safety of medication use. It begins by providing an overview of the system for drug development, regulation, distribution, and use. Preventing Medication Errors also examines the peer-reviewed literature on the incidence and the cost of medication errors and the effectiveness of error prevention strategies. Presenting data that will foster the reduction of medication errors, the book provides action agendas detailing the measures needed to improve the safety of medication use in both the short- and long-term. Patients, primary health care providers, health care organizations, purchasers of group health care, legislators, and those affiliated with providing medications and medication- related products and services will benefit from this guide to reducing medication errors.

Keeping Patients Safe

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 : 43,7 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.

Making Healthcare Safe

Author : Lucian L. Leape
Publisher : Springer Nature
Page : 450 pages
File Size : 54,5 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.

To Err Is Human

Author : Institute of Medicine,Committee on Quality of Health Care in America
Publisher : National Academies Press
Page : 312 pages
File Size : 48,9 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

Improving Diagnosis in Health Care

Author : National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Board on Health Care Services,Committee on Diagnostic Error in Health Care
Publisher : National Academies Press
Page : 473 pages
File Size : 55,8 Mb
Release : 2015-12-29
Category : Medical
ISBN : 9780309377720

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Improving Diagnosis in Health Care by National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Board on Health Care Services,Committee on Diagnostic Error in Health Care Pdf

Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Advances in Human Factors and Ergonomics in Healthcare

Author : Vincent G. Duffy
Publisher : CRC Press
Page : 902 pages
File Size : 51,6 Mb
Release : 2010-06-11
Category : Technology & Engineering
ISBN : 9781439834985

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Advances in Human Factors and Ergonomics in Healthcare by Vincent G. Duffy Pdf

Based on recent research, this book discusses how to improve quality, safety, efficiency, and effectiveness in patient care through the application of human factors and ergonomics principles. It provides guidance for those involved with the design and application of systems and devices for effective and safe healthcare delivery from both a patient and staff perspective. Its huge range of chapters covers everything from the proper design of bed rails to the most efficient design of operating rooms, from the development of quality products to the rating of staff patient interaction. It considers ways to prevent elderly patient falls and ways to make best use of electronic health records. It covers staff intractions with patients as well as staff interaction with computers and medical devices. It also provides way to improve organizational aspects in a healthcare setting, and approaches to modeling and analysis specifically targeting those work aspects unique to healthcare. Explicitly, the book contains the following subject areas: I. Healthcare and Service Delivery II. Patient Safety III. Modeling and Analytical Approaches IV. Human-System Interface: Computers & Medical Devices V. Organizational Aspects This book would be of special value internationally to those researchers and practitioners involved in various aspects of healthcare delivery. Seven other titles in the Advances in Human Factors and Ergonomics Series are: Advances in Applied Digital Human Modeling Advances in Cross-Cultural Decision Making Advances in Cognitive Ergonomics Advances in Occupational, Social and Organizational Ergonomics Advances in Human Factors, Ergonomics and Safety in Manufacturing and Service Industries Advances in Ergonomics Modeling & Usability Evaluation Advances in Neuroergonomics and Human Factors of Special Populations

The Consumer's Guide to Medical Mistakes

Author : Robert A. Peraino
Publisher : Vantage Press, Inc
Page : 108 pages
File Size : 55,9 Mb
Release : 2005
Category : Medical
ISBN : 0533151287

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The Consumer's Guide to Medical Mistakes by Robert A. Peraino Pdf

MEDINFO 2021: One World, One Health — Global Partnership for Digital Innovation

Author : P. Otero,P. Scott,S.Z. Martin
Publisher : IOS Press
Page : 1180 pages
File Size : 44,5 Mb
Release : 2022-08-05
Category : Medical
ISBN : 9781643682655

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MEDINFO 2021: One World, One Health — Global Partnership for Digital Innovation by P. Otero,P. Scott,S.Z. Martin Pdf

The World Health Organization defines health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”, and its constitution also asserts that health for all people is “dependent on the fullest co-operation of individuals and States”. The ongoing pandemic has highlighted the power of both healthy and unhealthy information, so while healthcare and public health services have depended upon timely and accurate data and continually updated knowledge, social media has shown how unhealthy misinformation can be spread and amplified, reinforcing existing prejudices, conspiracy theories and political biases. This book presents the proceedings of MedInfo 2021, the 18th World Congress of Medical and Health Informatics, held as a virtual event from 2-4 October 2021, with pre-recorded presentations for all accepted submissions. The theme of the conference was One World, One Health – Global Partnership for Digital Innovation and submissions were requested under 5 themes: information and knowledge management; quality, safety and outcomes; health data science; human, organizational and social aspects; and global health informatics. The Programme Committee received 352 submissions from 41 countries across all IMIA regions, and 147 full papers, 60 student papers and 79 posters were accepted for presentation after review and are included in these proceedings. Providing an overview of current work in the field over a wide range of disciplines, the book will be of interest to all those whose work involves some aspect of medical or health informatics.

Medical Errors

Author : United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions
Publisher : Unknown
Page : 144 pages
File Size : 47,8 Mb
Release : 2000
Category : Medical
ISBN : PSU:000046320926

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Medical Errors by United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions Pdf

Medical Errors

Author : United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment
Publisher : Unknown
Page : 192 pages
File Size : 46,9 Mb
Release : 2000
Category : Consumer protection
ISBN : PSU:000046311023

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Medical Errors by United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment Pdf