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Root Cause Analysis Rca For The Improvement Of Healthcare Systems And Patient Safety
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Book Synopsis Root Cause Analysis (RCA) for the Improvement of Healthcare Systems and Patient Safety by : David Allison, CPPS
Download or read book Root Cause Analysis (RCA) for the Improvement of Healthcare Systems and Patient Safety written by David Allison, CPPS and published by CRC Press. This book was released on 2021-08-23 with total page 143 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book follows a proven training outline, including real-life examples and exercises, to teach healthcare professionals and students how to lead effective and successful Root Cause Analysis (RCA) to eliminate patient harm. This book discusses the need for RCA in the healthcare sector, providing practical advice for its facilitation. It addresses when to use RCA, how to create effective RCA action plans, and how to prevent common RCA failures. An RCA training curriculum is also included. This book is intended for those leading RCAs of patient harm events, leaders, students, and patient safety advocates who are interested in gaining more knowledge about RCA in healthcare.
Book Synopsis Patient Safety by : Robert J. Latino
Download or read book Patient Safety written by Robert J. Latino and published by CRC Press. This book was released on 2008-10-14 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: Are you ready and willing to get to the root causes of problems? As Medicare, Medicaid, and major insurance companies increasingly deny payment for never events, it has become imperative that hospitals and doctors develop new ways to prevent these avoidable catastrophes from recurring. Proactive tools such as root cause analysis (RCA), basic failur
Book Synopsis Root Cause Analysis (RCA) for the Improvement of Healthcare Systems and Patient Safety by : David Allison, CPPS
Download or read book Root Cause Analysis (RCA) for the Improvement of Healthcare Systems and Patient Safety written by David Allison, CPPS and published by CRC Press. This book was released on 2021-08-24 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book follows a proven training outline, including real-life examples and exercises, to teach healthcare professionals and students how to lead effective and successful Root Cause Analysis (RCA) to eliminate patient harm. This book discusses the need for RCA in the healthcare sector, providing practical advice for its facilitation. It addresses when to use RCA, how to create effective RCA action plans, and how to prevent common RCA failures. An RCA training curriculum is also included. This book is intended for those leading RCAs of patient harm events, leaders, students, and patient safety advocates who are interested in gaining more knowledge about RCA in healthcare.
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.
Book Synopsis Making Healthcare Safe by : Lucian L. Leape
Download or read book Making Healthcare Safe written by Lucian L. Leape and published by Springer Nature. This book was released on 2021-05-28 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Implementation of Enhanced Root Cause Analysis Process to Improve Patient Safety by : Amy C. Plotts
Download or read book Implementation of Enhanced Root Cause Analysis Process to Improve Patient Safety written by Amy C. Plotts and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Root cause analysis (RCA) is a tool for identifying prevention strategies that use a multidisciplinary team approach to analyze healthcare-related adverse events and near misses. A key to improving patient safety and providing quality care is a thorough RCA process that identifies, reports, reviews, and addresses problems related to adverse events and near misses. Problem: The stakeholders want to improve turnaround time for RCA completion without compromising the quality of the process to improve patient safety and quality outcomes. Improving the RCA process is a local practice problem in the suburban academic medical setting based on data from senior directors of patient safety, risk management, and quality. Methods: A revised RCA workflow process was designed for this quality improvement project using the Plan-Do-Study-Act (PDSA) cycle. The project consisted of implementing an enhanced RCA process to improve the timeliness from RCA declaration to analysis completion to ensure that factors leading to significant events are addressed quickly. The mean time for pre- and post-implementation phases were calculated to evaluate the effect of an enhanced process to improve the timeliness of RCA completion. Results: Comparing pre-intervention and post-intervention mean time for RCA declaration to completion was 79.2 to 31.7 days. A t-test to compare the means of RCA days to completion using a level of significance of 0.05 identified a statistical difference between pre-and post-intervention groups. Conclusions: The new RCA process demonstrated a correlation between the intervention and timeliness of RCA completion.
Book Synopsis Maximize Patient Safety with Advanced Root Cause Analysis by : Catherine Corbett (CQM.)
Download or read book Maximize Patient Safety with Advanced Root Cause Analysis written by Catherine Corbett (CQM.) and published by Hcpro Incorporated. This book was released on 2004 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Quality and Safety in Radiology by : Hani H. Abujudeh
Download or read book Quality and Safety in Radiology written by Hani H. Abujudeh and published by Oxford University Press. This book was released on 2012-03-08 with total page 373 pages. Available in PDF, EPUB and Kindle. Book excerpt: Radiology has been transformed by new imaging advances and a greater demand for imaging, along with a much lower tolerance for error as part of the Quality & Safety revolution in healthcare. With a greater emphasis on patient safety and quality in imaging practice, imaging specialists are increasingly charged with ensuring patient safety and demonstrating that everything done for patients in their care meets the highest quality and safety standards. This book offers practical guidance on understanding, creating, and implementing quality management programs in Radiology. Chapters are comprehensive, detailed, and organized into three sections: Core Concepts, Management Concepts, and Educational & Special Concepts. Discussions are applicable to all practice settings: community hospitals, private practice, academic radiology, and government/military practice, as well as to those preparing for the quality and safety questions on the American Board of Radiology's "Maintenance of Certification" or initial Board Certification Examinations. Bringing together the various elements that comprise the quality and safety agenda for Radiology, this book serves as a thorough roadmap and resource for radiologists, technicians, and radiology managers and administrators.
Book Synopsis Pediatric Board Study Guide by : Osama Naga
Download or read book Pediatric Board Study Guide written by Osama Naga and published by Springer. This book was released on 2015-03-27 with total page 611 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covers the most frequently asked and tested points on the pediatric board exam. Each chapter offers a quick review of specific diseases and conditions clinicians need to know during the patient encounter. Easy-to-use and comprehensive, clinicians will find this guide to be the ideal final resource needed before taking the pediatric board exam.
Book Synopsis Advances in Patient Safety by : Kerm Henriksen
Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Book Synopsis Patient Safety in Dialysis Access by : M.K. Widmer
Download or read book Patient Safety in Dialysis Access written by M.K. Widmer and published by Karger Medical and Scientific Publishers. This book was released on 2015-02-11 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: Not only are dialysis access creation and maintenance prone to complications, but patients suffering from end-stage renal disease and its comorbidities generally have a high risk of adverse events during their continuous treatment. Preventive strategies are key to avoid harm and to improve the outcome of the treatment of the growing number of patients with chronic kidney failure, especially as doctors and nurses are not always aware of the consequences of unsafe behavior. This publication is intended for health care professionals – nurses as well as doctors – and aims to raise the awareness of patient safety aspects, combining medical education with evidence-based medicine. After a general overview of the topic, an international panel of authors provides a diversified insight into important concepts and technical tricks essential to create and maintain a functional dialysis access.
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.
Book Synopsis Patient Safety: Research Into Practice by : Walshe, Kieran
Download or read book Patient Safety: Research Into Practice written by Walshe, Kieran and published by McGraw-Hill Education (UK). This book was released on 2005-11-01 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presents a research-based perspective on patient safety, drawing together the most recent ideas on how to understand patient safety issues, along with how research findings are used to shape policy and practice.
Download or read book Patient Safety written by Russell Kelsey and published by CRC Press. This book was released on 2016-11-30 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: At a time of increasing regulatory scrutiny and medico-legal risk, managing serious clinical incidents within primary care has never been more important. Failure to manage appropriately can have serious consequences both for service organisations and for individuals involved. This is the first book to provide detailed guidance on how to conduct incident investigations in primary care. The concise guide: explains how to recognise a serious clinical incident, how to conduct a root cause analysis investigation, and how and when duty of candour applies covers the technical aspects of serious incident recognition and report writing includes a wealth of practical advice and 'top tips', including how to manage the common pitfalls in writing reports offers practical advice as well as some new and innovative tools to help make the RCA process easier to follow explores the all-important human factors in clinical incidents in detail, with multiple examples and worked-through cases studies as well as in-depth sample reports and analysis. This book offers a master class for anyone performing RCA and aiming to demonstrate learning and service improvement in response to serious clinical incidents. It is essential reading for any clinical or governance leads in primary care, including GP practices, 'out-of-hours', urgent care centres, prison health and NHS 111. It also offers valuable insights to any clinician who is in training or working at the coal face who wishes to understand how serious clinical are investigated and managed.
Book Synopsis Handbook of Venous Thromboembolism by : Jecko Thachil
Download or read book Handbook of Venous Thromboembolism written by Jecko Thachil and published by John Wiley & Sons. This book was released on 2017-11-09 with total page 641 pages. Available in PDF, EPUB and Kindle. Book excerpt: A clinically oriented handbook providing up-to-date recommendations for mastering the practical aspects of patient management for venous thromboembolism Venous thromboembolism (VTE) is associated with high morbidity and mortality both in and out of the hospital setting, and is one of the commonest reasons for hospital attendances and admissions. Designed as a practical resource, the Handbook of Venous Thromboembolism covers the practical aspects of venous thromboembolism management in short and easily followed algorithms and tables. This important text helps physicians keep up-to-date with the latest recommendations for treating venous thromboembolism in clinic-oriented settings. Experts in fields such as the radiological diagnosis of pulmonary embolism and thrombophilia testing, give a succinct summary of the investigation, diagnosis and treatment of venous thromboembolism and include evidence-based guidelines. With contributions from a team on internationally recognized experts, Handbook of Venous Thromboembolism is a source of information that specialists in the field can recommend to non-specialists and which the latter will be able to review to assist in their education and management of this wide-spread condition. This vital resource: Comprises of a clinically focused handbook, useful as a daily resource for the busy physician Offers a handbook written by an international team of specialists offering their experience on the practical aspects of venous thromboembolism management Addresses venous thrombosis prevention, a major focus for healthcare providers Includes coverage on controversies in the management of venous thromboembolism so clinicians can understand how experts are practicing in real scenarios Written for hematology trainees, emergency and acute medicine physicians, junior doctors, and primary care physicians, Handbook of Venous Thromboembolism covers the basics for treating patients with venous thromboembolism and offers guidelines from noted experts in the field.
Book Synopsis Error Reduction in Health Care by : Patrice L. Spath
Download or read book Error Reduction in Health Care written by Patrice L. Spath and published by John Wiley & Sons. This book was released on 2011-02-25 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: Error Reduction in Health Care Completely revised and updated, this second edition of Error Reduction in Health Care offers a step-by-step guide for implementing the recommendations of the Institute of Medicine to reduce the frequency of errors in health care services and to mitigate the impact of errors when they do occur. With contributions from noted leaders in health safety, Error Reduction in Health Care provides information on analyzing accidents and shows how systematic methods can be used to understand hazards before accidents occur. In the chapters, authors explore how to prioritize risks to accurately focus efforts in a systems redesign, including performance measures and human factors. This expanded edition covers contemporary material on innovative patient safety topics such as applying Lean principles to reduce mistakes, opportunity analysis, deductive adverse event investigation, improving safety through collaboration with patients and families, using technology for patient safety improvements, medication safety, and high reliability organizations. The Editor
Book Synopsis Root Cause Analysis, Second Edition by : Bjørn Andersen
Download or read book Root Cause Analysis, Second Edition written by Bjørn Andersen and published by Quality Press. This book was released on 2006-01-01 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: This updated and expanded edition discusses many different tools for root cause analysis and presents them in an easy-to-follow structure: a general description of the tool, its purpose and typical applications, the procedure when using it, an example of its use, a checklist to help you make sure if is applied properly, and different forms and templates (that can also be found on an accompanying CD-ROM). The examples used are general enough to apply to any industry or market. The layout of the book has been designed to help speed your learning. Throughout, the authors have split the pages into two halves: the top half presents key concepts using brief languagealmost keywordsand the bottom half uses examples to help explain those concepts. A roadmap in the margin of every page simplifies navigating the book and searching for specific topics. The book is suited for employees and managers at any organizational level in any type of industry, including service, manufacturing, and the public sector.
