Error Reduction in Health Care A Systems Approach to Improving Patient Safety

ISBN-10: 0470502401
ISBN-13: 9780470502402
Edition: 2nd 2011
Authors: Patrice L. Spath
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Description: Completely revised and updated this book offers a step-by-step guide for implementing the Institute of Medicine guidelines to reduce the frequency of errors in health care services and mitigate the impact of those errors that do occur. It explores  More...

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Book details

Edition: 2nd
Copyright year: 2011
Publisher: John Wiley & Sons, Limited
Publication date: 4/27/2011
Binding: Paperback
Pages: 416
Size: 7.00" wide x 9.25" long x 0.75" tall
Weight: 1.760
Language: English

Completely revised and updated this book offers a step-by-step guide for implementing the Institute of Medicine guidelines to reduce the frequency of errors in health care services and mitigate the impact of those errors that do occur. It explores the fundamental concepts and tools of error reduction, and shows how to design an effective error reduction initiative. The book pinpoints how to reduce and eliminate medical mistakes that threaten the health and safety of patients and teaches how to identify the root cause of medical errors, implement strategies for improvement, and monitor the effectiveness of these new approaches.

Patrice L. Spath, BA, ART, is a health care quality and information management specialist based in Forest Grove, Oregon. A much sought-after speaker, Ms. Spath has presented more than 350 educational programs on performance improvement, case management, patient safety improvement, clinical paths and outcomes management. She has also authored several books, video programs and journal articles on these subjects. For AHA Press she edited Clinical Paths: Tools for Outcomes Management (1994), Medical Effectiveness and Outcomes (1996), Beyond Clinical Paths: Advanced Tools for Outcomes Management (1997), and Provider Report Cards (1999). For Brown-Spath & Associates (www.brownspath.com), Ms. Spath has written several practical "how-to" books on health care quality and resource management topics. Ms. Spath is a regular columnist for Hospital Peer Review and Hospital Case Management, newsletters published by American Health Consultants. She is also editor of The Quality Resource, the bimonthly newsletter of the Quality Management Section of the American Health Information Management Association. She served on a work group of the Agency for Health Care Policy and Research to assist in the development of a model for translating practice guidelines into review criteria, performance measures, and standards of quality. She was a member of the Clinical Guidelines Panel of the Veterans Health Administration and a member of the Clinical Path Work Group of the Assocation of Operating Room Nurses, Inc. In 1998 the American Health Information Management Association presented Ms. Spath with the Legacy Award for her significant contributions to the health information management profession through her writings and presentations.

Figures, Tables, and Exhibits
Foreword
Preface
The Editor
The Authors
The Basics of Patient Safety
A Formula for Errors: Good People + Bad Systems
The Human Side of Medical Mistakes
High Reliability and Patient Safety
Measure and Evaluate Patient Safety
Measuring Patient Safety Performance
Analyzing Patient Safety Performance
Using Performance Data to Prioritize Safety Improvement Projects
Reactive and Proactive Safety Investigations
Accident Investigation and Anticipatory Failure Analysis
MTO and DEB Analysis Can Find System Breakdowns
Using Deductive Analysis to Examine Adverse Events
How to Make Health Care Processes Safer
Proactively Error-Proofing Health Care Processes
Reducing Errors Through Work System Improvements
Improve Patient Safety with Lean Techniques
Focused Patient Safety Initiatives
How Information Technology Can Improve Patient Safety
A Structured Teamwork System to Reduce Clinical Errors
Medication Safety Improvement
Glossary
Index

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