Patient Safety - Tips to Help You Take an Active Part in Your Health Care : Information for Patients, Families and Care Providers

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Author :
Publisher : British Columbia, Ministry of Health Services, [200-?]
ISBN 13 :
Total Pages : 1 pages
Book Rating : 4.:/5 (74 download)

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Book Synopsis Patient Safety - Tips to Help You Take an Active Part in Your Health Care : Information for Patients, Families and Care Providers by : British Columbia. Ministry of Health Services

Download or read book Patient Safety - Tips to Help You Take an Active Part in Your Health Care : Information for Patients, Families and Care Providers written by British Columbia. Ministry of Health Services and published by British Columbia, Ministry of Health Services, [200-?]. This book was released on 200? with total page 1 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Resident Duty Hours

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Publisher : National Academies Press
ISBN 13 : 0309131529
Total Pages : 427 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Resident Duty Hours by : Institute of Medicine

Download or read book Resident Duty Hours written by Institute of Medicine and published by National Academies Press. This book was released on 2009-04-27 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Patient Safety and Quality

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Publisher : Department of Health and Human Services
ISBN 13 :
Total Pages : 592 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Patient Safety and Quality by : Ronda Hughes

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "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/

Patient Safety

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Publisher : Routledge
ISBN 13 : 1317083229
Total Pages : 340 pages
Book Rating : 4.3/5 (17 download)

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Book Synopsis Patient Safety by : Lorri Zipperer

Download or read book Patient Safety written by Lorri Zipperer and published by Routledge. This book was released on 2016-05-13 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Safety: Perspectives on Evidence, Information and Knowledge Transfer provides background on the patient safety movement, systems safety, human error and other key philosophies that support change and innovation in the reduction of medical error. The book draws from multidisciplinary areas within the acute care environment to share models that support the proactive changes necessary to provide safe care delivery. The publication discusses how the tenets of safety (described in the beginning of the book) can be actively applied in the field to make evidence, information and knowledge (EIK) sharing processes reliable, effective and safe. This is a wide-ranging and important book that is designed to raise awareness of the latent risks for patient safety that are present in the EIK identification, acquisition and distribution processes, structures, and systems of many healthcare institutions across the world. The expert contributors offer systemic, evidence-based improvement processes, assessment concepts and innovative activities to identify these risks to minimize their potential to adversely impact care. These ideas are presented to create opportunities for the field to design and use strategies that enable meaningful implementation and management of EIK. Their thoughts will enable healthcare staff to see EIK as a tangible element contributing toward sustainable patient safety improvements.

Patient Safety

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Publisher : Springer Science & Business Media
ISBN 13 : 1461474191
Total Pages : 412 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis Patient Safety by : Abha Agrawal

Download or read book Patient Safety written by Abha Agrawal and published by Springer Science & Business Media. This book was released on 2013-10-04 with total page 412 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite the evolution and growing awareness of patient safety, many medical professionals are not a part of this important conversation. Clinicians often believe they are too busy taking care of patients to adopt and implement patient safety initiatives and that acknowledging medical errors is an affront to their skills. Patient Safety provides clinicians with a better understanding of the prevalence, causes and solutions for medical errors; bringing best practice principles to the bedside. Written by experts from a variety of backgrounds, each chapter features an analysis of clinical cases based on the Root Cause Analysis (RCA) methodology, along with case-based discussions on various patient safety topics. The systems and processes outlined in the book are general and broadly applicable to institutions of all sizes and structures. The core ethic of medical professionals is to “do no harm”. Patient Safety is a comprehensive resource for physicians, nurses and students, as well as healthcare leaders and administrators for identifying, solving and preventing medical error.

Keeping Patients Safe

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Publisher : National Academies Press
ISBN 13 : 0309187362
Total Pages : 485 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Keeping Patients Safe by : Institute of Medicine

Download or read book Keeping Patients Safe written by Institute of Medicine and published by National Academies Press. This book was released on 2004-03-27 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

How to Stay Safe When Entering the Healthcare System

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Author :
Publisher : Universal-Publishers
ISBN 13 : 1627344063
Total Pages : 208 pages
Book Rating : 4.6/5 (273 download)

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Book Synopsis How to Stay Safe When Entering the Healthcare System by : David Mayer, MD

Download or read book How to Stay Safe When Entering the Healthcare System written by David Mayer, MD and published by Universal-Publishers. This book was released on 2022-10-15 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is an urgent call to action centering on the author's thirty-five-year mission to raise awareness of the 250,000 lives that are lost each year to preventable medical harm and the harm faced by healthcare professionals in the form of workplace violence, depression, and burnout resulting in suicide rates higher than almost every other industry. The book's narrative-driven timeline follows the author's 2,452-mile walk to thirty-seven Major League Ballparks using his love of baseball as a way to garner media attention for his mission and indulge in the welcome relief of baseball nostalgia. Written for both medical professional and lay readers, the book pulls in stories of patients and caregivers harmed as a catalyst for change in our healthcare system, and as a way for the public to connect with the issues faced by healthcare professionals. Also included are pivotal anecdotes and stories from his medical career that propelled him to become an internationally recognized patient safety leader. This book will educate, inform, and entertain medical, nursing, and allied healthcare professionals; patients and families affected or harmed by medical care; healthcare leaders; medical, nursing and pharmacy students; and politicians interested in healthcare reform. After reading this book, the lay public will be empowered to question healthcare professionals about the quality of their care and learn how to stay safe when entering the healthcare system. WORDS OF PRAISE The personal stories reveal how Dr. Mayer confronts brutal truths of preventable patient harm, fixes what needs to be changed, and teaches next generation physicians to be leaders in patient safety. You won't want to put the book down, a real page-turner. --Rosemary Gibson, Nationally Acclaimed Author of Wall of Silence and China Rx Dr. Mayer is a literal trailblazer in patient safety, as his astonishing walk across America attests. This book cements his legacy as a patient safety titan, and is, at its core, a vital wake-up call to action for all of us. Read this book and prepare to be inspired. I know I was. --Steve Burrows, Writer/Director of HBO’s Award-winning Documentary Bleed Out. Dr Mayer is an international leader in promoting patient safety. This book is part of that mission. It is a book about an epic walk. It is a book about the art of good medical care. And it is a book that will help readers understand that we all have a role in making our health system safer. --Kim Oates AO MD DSC FRACP, Emeritus Professor, Child and Adolescent Health University of Sydney, Australia Dr. Mayer put himself on the line in walking for patient safety representing all involved in healthcare just as he put his career on the line through unwavering transparency, commitment to social justice, and support for all members of the care teams. It is leaders like Dr. Mayer and the stories within these pages that inspire their courageous dedication to do the right thing for every patient every day every time. --Gwen Sherwood, PhD, RN, FAAN, ANEF, Professor Emeritus, University of North Carolina at Chapel Hill School of Nursing, Co-Editor, Quality and Safety in Nursing: A Competency Approach to Improving Outcomes

Safer Healthcare

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Publisher : Springer
ISBN 13 : 3319255592
Total Pages : 170 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis Safer Healthcare by : Charles Vincent

Download or read book Safer Healthcare written by Charles Vincent and published by Springer. This book was released on 2016-01-13 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors of this book set out a system of safety strategies and interventions for managing patient safety on a day-to-day basis and improving safety over the long term. These strategies are applicable at all levels of the healthcare system from the frontline to the regulation and governance of the system. There have been many advances in patient safety, but we now need a new and broader vision that encompasses care throughout the patient’s journey. The authors argue that we need to see safety through the patient’s eyes, to consider how safety is managed in different contexts and to develop a wider strategic and practical vision in which patient safety is recast as the management of risk over time. Most safety improvement strategies aim to improve reliability and move closer toward optimal care. However, healthcare will always be under pressure and we also require ways of managing safety when conditions are difficult. We need to make more use of strategies concerned with detecting, controlling, managing and responding to risk. Strategies for managing safety in highly standardised and controlled environments are necessarily different from those in which clinicians constantly have to adapt and respond to changing circumstances. This work is supported by the Health Foundation. The Health Foundation is an independent charity committed to bringing about better health and health care for people in the UK. The charity’s aim is a healthier population in the UK, supported by high quality health care that can be equitably accessed. The Foundation carries out policy analysis and makes grants to front-line teams to try ideas in practice and supports research into what works to make people’s lives healthier and improve the health care system, with a particular emphasis on how to make successful change happen. A key part of the work is to make links between the knowledge of those working to deliver health and health care with research evidence and analysis. The aspiration is to create a virtuous circle, using what works on the ground to inform effective policymaking and vice versa. Good health and health care are vital for a flourishing society. Through sharing what is known, collaboration and building people’s skills and knowledge, the Foundation aims to make a difference and contribute to a healthier population.

The Handbook of Patient Safety Compliance

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Publisher : John Wiley & Sons
ISBN 13 : 1119386357
Total Pages : 283 pages
Book Rating : 4.1/5 (193 download)

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Book Synopsis The Handbook of Patient Safety Compliance by : Fay A. Rozovsky

Download or read book The Handbook of Patient Safety Compliance written by Fay A. Rozovsky and published by John Wiley & Sons. This book was released on 2016-12-05 with total page 283 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written for virtually every professional and leader in the health care field, as well as students who are preparing for careers in health services delivery, this book presents a framework for developing a patient safety program, shows how best to examine events that do occur, and reveals how to ensure that appropriate corrective and preventative actions are reviewed for effectiveness. The book covers a comprehensive selection of topics including The link between patient safety and legal and regulatory compliance The role of accreditation and standard-setting organizations in patient safety Failure modes and effect analysis Voluntary and regulatory oversight of medical error Evidence-based outcomes and standards of care Creation and preservation of reports, data, and device evidence in medical error situations Claims management when dealing with patient safety events Full disclosure Patient safety in human research Managing confidentiality in the face of litigation Managing patient safety compliance through accountability-based credentialing for health care professionals Planning for the future

To Err Is Human

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Publisher : National Academies Press
ISBN 13 : 0309261740
Total Pages : 312 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis To Err Is Human by : Institute of Medicine

Download or read book To Err Is Human written by Institute of Medicine and published by National Academies Press. This book was released on 2000-04-01 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

Patient Safety

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Publisher : National Academies Press
ISBN 13 : 0309090776
Total Pages : 551 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Patient Safety by : Institute of Medicine

Download or read book Patient Safety written by Institute of Medicine and published by National Academies Press. This book was released on 2003-12-20 with total page 551 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans should be able to count on receiving health care that is safe. To achieve this, a new health care delivery system is needed â€" a system that both prevents errors from occurring, and learns from them when they do occur. The development of such a system requires a commitment by all stakeholders to a culture of safety and to the development of improved information systems for the delivery of health care. This national health information infrastructure is needed to provide immediate access to complete patient information and decision-support tools for clinicians and their patients. In addition, this infrastructure must capture patient safety information as a by-product of care and use this information to design even safer delivery systems. Health data standards are both a critical and time-sensitive building block of the national health information infrastructure. Building on the Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Patient Safety puts forward a road map for the development and adoption of key health care data standards to support both information exchange and the reporting and analysis of patient safety data.

Nursing Interventions Classification (NIC)

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323100112
Total Pages : 638 pages
Book Rating : 4.3/5 (231 download)

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Book Synopsis Nursing Interventions Classification (NIC) by : Gloria M. Bulechek, PhD, RN, FAAN

Download or read book Nursing Interventions Classification (NIC) written by Gloria M. Bulechek, PhD, RN, FAAN and published by Elsevier Health Sciences. This book was released on 2012-11-01 with total page 638 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covering the full range of nursing interventions, Nursing Interventions Classification (NIC), 6th Edition provides a research-based clinical tool to help in selecting appropriate interventions. It standardizes and defines the knowledge base for nursing practice while effectively communicating the nature of nursing. More than 550 nursing interventions are provided - including 23 NEW labels. As the only comprehensive taxonomy of nursing-sensitive interventions available, this book is ideal for practicing nurses, nursing students, nursing administrators, and faculty seeking to enhance nursing curricula and improve nursing care. More than 550 research-based nursing intervention labels with nearly 13,000 specific activities Definition, list of activities, publication facts line, and background readings provided for each intervention. NIC Interventions Linked to 2012-2014 NANDA-I Diagnoses promotes clinical decision-making. New! Two-color design provides easy readability. 554 research-based nursing intervention labels with nearly 13,000 specific activities. NEW! 23 additional interventions include: Central Venous Access Device Management, Commendation, Healing Touch, Dementia Management: Wandering, Life Skills Enhancement, Diet Staging: Weight Loss Surgery, Stem Cell Infusion and many more. NEW! 133 revised interventions are provided for 49 specialties, including five new specialty core interventions. NEW! Updated list of estimated time and educational level has been expanded to cover every intervention included in the text.

Establishing a Culture of Patient Safety

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Publisher : Quality Press
ISBN 13 : 0873898192
Total Pages : 209 pages
Book Rating : 4.8/5 (738 download)

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Book Synopsis Establishing a Culture of Patient Safety by : Judith A. Pauley

Download or read book Establishing a Culture of Patient Safety written by Judith A. Pauley and published by Quality Press. This book was released on 2012-01-01 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this book is to provide a road map to help healthcare professionals establish a "culture of patient safety" in their facilities and practices, provide high quality healthcare, and increase patient and staff satisfaction by improving communication among staff members and between medical staff and patients. It achieves this by describing what each of six types of people will do in distress, by providing strategies that will allow healthcare professionals to deal more effectively with staff members and patients in distress, and by showing healthcare professionals how to keep themselves out of distress by getting their motivational needs met positively every day. The concepts described in this book are scientifically based and have withstood more than 40 years of scrutiny and scientific inquiry. They were first used as a clinical model to help patients help themselves, and indeed are still used clinically. The originator of the concepts, Dr. Taibi Kahler, is an internationally recognized clinical psychologist who was awarded the 1977 Eric Berne Memorial Scientific Award for the clinical application of a discovery he made in 1971. That discovery enabled clinicians to shorten significantly the treatment time of patients by reducing their resistance as a result of miscommunication between their doctors and themselves.

Textbook of Patient Safety and Clinical Risk Management

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Publisher : Springer Nature
ISBN 13 : 3030594033
Total Pages : 496 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Textbook of Patient Safety and Clinical Risk Management by : Liam Donaldson

Download or read book Textbook of Patient Safety and Clinical Risk Management written by Liam Donaldson and published by Springer Nature. This book was released on 2020-12-14 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Guidelines for Preventing Workplace Violence for Health-care and Social-service Workers

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Author :
Publisher :
ISBN 13 :
Total Pages : 40 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis Guidelines for Preventing Workplace Violence for Health-care and Social-service Workers by :

Download or read book Guidelines for Preventing Workplace Violence for Health-care and Social-service Workers written by and published by . This book was released on 2003 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Your Patient Safety Survival Guide

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Author :
Publisher : Rowman & Littlefield
ISBN 13 : 1538102102
Total Pages : 223 pages
Book Rating : 4.5/5 (381 download)

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Book Synopsis Your Patient Safety Survival Guide by : Gretchen LeFever Watson

Download or read book Your Patient Safety Survival Guide written by Gretchen LeFever Watson and published by Rowman & Littlefield. This book was released on 2017-08-03 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year, one out of every four hospital patients in the United States will be harmed by the care they receive. Over 400,000 will die as a result. Dr. Gretchen LeFever Watson's definitive guide empowers patients to be patient safety advocates. It takes a village to combat preventable errors and omissions that cause millions of deaths and sickness in our nation’s hospitals and care facilities. Although most of these deaths are due to human and system errors—not faulty medical decisions or diagnoses—this annual death toll—as well as the millions of additional incidents of survivable patient harm—could be cut in half through consistent use of simple and nearly cost-free safety behaviors. In Your Patient Safety Survival Guide, Gretchen LeFever Watson delivers a patient-centered blueprint on how to transform the patient-safety movement so that millions of unnecessary illnesses and deaths in hospitals, outpatient facilities, and nursing homes can be avoided. She provides key safety habits that people must learn to recognize so they can be sure hospital personnel use them during every patient encounter. She also explains how addressing the most common safety problems will set the stage for tackling a wide range of issues, including healthcare’s role in the overuse of opiate painkillers and its related heroin epidemic. Watson’s call for a more sensible societal response to medical and human error in hospitals promotes a timely and full disclosure of all mistakes—an approach that has been proven to accelerate the emotional recovery of everyone affected by patient safety events while also reducing the financial burden on hospitals, providers, and patients. Readers will learn how to: • Change behavior to catch medical errors before they result in illness or death. • Prevent the spread of dangerous infections in hospitals and other care facilities. • Leverage the power of basic safety/hygiene habits. • Eliminate mistakes during surgery and other invasive procedures. • Avoid medication errors and the overuse of opiates • Raise awareness and inspire civic action in their communities.

First, Do Less Harm

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Publisher : Cornell University Press
ISBN 13 : 0801464072
Total Pages : 304 pages
Book Rating : 4.8/5 (14 download)

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Book Synopsis First, Do Less Harm by : Ross Koppel

Download or read book First, Do Less Harm written by Ross Koppel and published by Cornell University Press. This book was released on 2012-04-23 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.