World patient safety day goals 2021-2022

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Author :
Publisher : World Health Organization
ISBN 13 : 9240035583
Total Pages : 10 pages
Book Rating : 4.2/5 (4 download)

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Book Synopsis World patient safety day goals 2021-2022 by :

Download or read book World patient safety day goals 2021-2022 written by and published by World Health Organization. This book was released on 2021-09-17 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt: World Patient Safety Day is observed on 17 September each year with the objectives of increasing public awareness and engagement, enhancing global understanding, and spurring global solidarity and action to promote patient safety. Each year a campaign is launched on a selected patient safety-related theme. The overall goal of World Patient Safety Day is to improve globally patient safety at the point of care. To support this endeavour, World Patient Safety Day goals are released every year. The goals aim to achieve tangible and measurable improvements at the point of health service delivery. Each goal is accompanied by suggested actions based on existing WHO guidance, which could facilitate improvement in the focused safety practice domain. Links to available WHO resources on the subject are provided with each goal. The World Patient Safety Day goals 2021–2022 are aimed at making maternal and newborn care safer. Target audiences are; health care facilities and health service providers, point of care health workers, patient groups, professional associations, policy makers, health administrators.

Global patient safety action plan 2021-2030

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Author :
Publisher : World Health Organization
ISBN 13 : 9240032703
Total Pages : 108 pages
Book Rating : 4.2/5 (4 download)

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Book Synopsis Global patient safety action plan 2021-2030 by : World Health Organization

Download or read book Global patient safety action plan 2021-2030 written by World Health Organization and published by World Health Organization. This book was released on 2021-08-03 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient safety is fundamental to the provision of health care in all settings. However, avoidable adverse events, errors and risks associated with health care remain major challenges for patient safety globally. The Seventy-second World Health Assembly in 2019 adopted resolution WHA72.6 on global action on patient safety and mandated for development of a global patient safety action plan. This global action plan was adopted by Seventy-Fourth World Health Assembly in 2021 with a vision of “a world in which no one is harmed in health care, and every patient receives safe and respectful care, every time, everywhere”. The purpose of the action plan is to provide strategic direction for all stakeholders for eliminating avoidable harm in health care and improving patient safety in different practice domains through policy actions on safety and quality of health services, as well as for implementation of recommendations at the point of care. The action plan provides a framework for countries to develop their respective national action plans on patient safety, as well to align existing strategic instruments for improving patient safety in all clinical and health-related programmes.

Global patient safety report 2024

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Author :
Publisher : World Health Organization
ISBN 13 : 9240095454
Total Pages : 388 pages
Book Rating : 4.2/5 (4 download)

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Book Synopsis Global patient safety report 2024 by : World Health Organization

Download or read book Global patient safety report 2024 written by World Health Organization and published by World Health Organization. This book was released on 2024-05-30 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first-ever WHO Report on Patient Safety, the "Global Patient Safety Report 2024", offers a comprehensive overview of patient safety implementation worldwide. Aligned with the Global Patient Safety Action Plan 2021–2030, this report explores policies, strategies, and initiatives shaping safety in health care. From analyses of country actions to in-depth summaries of burden of unsafe care, it provides crucial insights for policy-makers, health care leaders, researchers, and patient safety advocates. Explore how nations address challenges, learn from case studies and feature stories, and gain deeper understanding in priority areas for action. This report serves as a vital resource for fostering global collaboration and advancing patient safety in health care. The contents of this report encompass: - An analysis that compiles and describes actions taken by countries, including the summary of these actions across different WHO regions and income levels based on Member State survey. - An in-depth summary presenting evidence on the overall burden of unsafe health care practices, viewed broadly as well as within specific population groups, clinical domains, and according to major sources of harm. - Case studies showcasing how different countries are learning and developing patient safety solutions within their unique contexts, along with feature stories highlighting key global initiatives and interventions in patient safety. - Comparative analyses offering deeper insights into crucial areas such as patient safety policies, legal frameworks, patient involvement, educational initiatives, reporting and learning systems, and the involvement of various stakeholders.

World Patient Safety Day

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Author :
Publisher :
ISBN 13 :
Total Pages : 77 pages
Book Rating : 4.6/5 (834 download)

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Book Synopsis World Patient Safety Day by : Idkr Ismail

Download or read book World Patient Safety Day written by Idkr Ismail and published by . This book was released on 2020-09-08 with total page 77 pages. Available in PDF, EPUB and Kindle. Book excerpt: What is World Patient Safety Day about? Recognizing patient safety as a global health priority, all 194 WHO Member States at the 72nd World Health Assembly, in May 2019, endorsed the establishment of World Patient Safety Day (Resolution WHA72.6), to be marked annually on 17 September. The objectives of World Patient Safety Day are to increase public awareness and engagement, enhance global understanding, and spur global solidarity and action to promote patient safety.In order to assure patient safety, it is necessary to create positive patient safety cultures. This book presents the initial qualitative results from a national study," Patient Safety Culture in Nurse Practice Settings." Based on the responses of participants, themes were

Meeting the International Patient Safety Goals

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Author :
Publisher :
ISBN 13 : 9781599401584
Total Pages : 117 pages
Book Rating : 4.4/5 (15 download)

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Book Synopsis Meeting the International Patient Safety Goals by : Paulo Reis

Download or read book Meeting the International Patient Safety Goals written by Paulo Reis and published by . This book was released on 2007 with total page 117 pages. Available in PDF, EPUB and Kindle. Book excerpt: Successfully meeting the International Patient Safety Goals set forth by Joint Commission International is an essential element in the accreditation process. Meeting the International Patient Safety Goals will help you understand how your organization can meet the requirements of the six goals, which involve the following crucial patient safety subjects:

World Patient Safety Day

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Publisher :
ISBN 13 :
Total Pages : 53 pages
Book Rating : 4.6/5 (839 download)

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Book Synopsis World Patient Safety Day by : Idkr Ismail

Download or read book World Patient Safety Day written by Idkr Ismail and published by . This book was released on 2020-09-08 with total page 53 pages. Available in PDF, EPUB and Kindle. Book excerpt: In order to assure patient safety, it is necessary to create positive patient safety cultures. This book presents the initial qualitative results from a national study," Patient Safety Culture in Nurse Practice Settings." Based on the responses of participants, themes were- What is World Patient Safety Day about? Recognizing patient safety as a global health priority, all 194 WHO Member States at the 72nd World Health Assembly, in May 2019, endorsed the establishment of World Patient Safety Day (Resolution WHA72.6), to be marked annually on 17 September. The objectives of World Patient Safety Day are to increase public awareness and engagement, enhance global understanding, and spur global solidarity and action to promote patient safety.

The 2009 National Patient Safety Goals FAQs

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Author :
Publisher : Hcpro Incorporated
ISBN 13 : 9781601463111
Total Pages : 0 pages
Book Rating : 4.4/5 (631 download)

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Book Synopsis The 2009 National Patient Safety Goals FAQs by : HCPro

Download or read book The 2009 National Patient Safety Goals FAQs written by HCPro and published by Hcpro Incorporated. This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

HRP annual report 2021

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Author :
Publisher : World Health Organization
ISBN 13 : 9240051007
Total Pages : 56 pages
Book Rating : 4.2/5 (4 download)

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Book Synopsis HRP annual report 2021 by : World Health Organization

Download or read book HRP annual report 2021 written by World Health Organization and published by World Health Organization. This book was released on 2022-05-31 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:

WHO Guidelines for Safe Surgery 2009

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Publisher :
ISBN 13 : 9789241598552
Total Pages : 124 pages
Book Rating : 4.5/5 (985 download)

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Book Synopsis WHO Guidelines for Safe Surgery 2009 by : World Health Organization (Genève). World Alliance for Patient Safety

Download or read book WHO Guidelines for Safe Surgery 2009 written by World Health Organization (Genève). World Alliance for Patient Safety and published by . This book was released on 2009 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: Confronted with worldwide evidence of substantial public health harm due to inadequate patient safety, the World Health Assembly (WHA) in 2002 adopted a resolution (WHA55.18) urging countries to strengthen the safety of health care and monitoring systems. The resolution also requested that WHO take a lead in setting global norms and standards and supporting country efforts in preparing patient safety policies and practices. In May 2004, the WHA approved the creation of an international alliance to improve patient safety globally; WHO Patient Safety was launched the following October. For the first time, heads of agencies, policy-makers and patient groups from around the world came together to advance attainment of the goal of "First, do no harm" and to reduce the adverse consequences of unsafe health care. The purpose of WHO Patient Safety is to facilitate patient safety policy and practice. It is concentrating its actions on focused safety campaigns called Global Patient Safety Challenges, coordinating Patients for Patient Safety, developing a standard taxonomy, designing tools for research policy and assessment, identifying solutions for patient safety, and developing reporting and learning initiatives aimed at producing 'best practice' guidelines. Together these efforts could save millions of lives by improving basic health care and halting the diversion of resources from other productive uses. The Global Patient Safety Challenge, brings together the expertise of specialists to improve the safety of care. The area chosen for the first Challenge in 2005-2006, was infection associated with health care. This campaign established simple, clear standards for hand hygiene, an educational campaign and WHO's first Guidelines on Hand Hygiene in Health Care. The problem area selected for the second Global Patient Safety Challenge, in 2007-2008, was the safety of surgical care. Preparation of these Guidelines for Safe Surgery followed the steps recommended by WHO. The groundwork for the project began in autumn 2006 and included an international consultation meeting held in January 2007 attended by experts from around the world. Following this meeting, expert working groups were created to systematically review the available scientific evidence, to write the guidelines document and to facilitate discussion among the working group members in order to formulate the recommendations. A steering group consisting of the Programme Lead, project team members and the chairs of the four working groups, signed off on the content and recommendations in the guidelines document. Nearly 100 international experts contributed to the document (see end). The guidelines were pilot tested in each of the six WHO regions--an essential part of the Challenge--to obtain local information on the resources required to comply with the recommendations and information on the feasibility, validity, reliability and cost-effectiveness of the interventions.

Beyond Burnout, Second Edition: Overcoming Stress in Nursing & Healthcare for Optimal Health & Well-Being

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Author :
Publisher : Sigma Theta Tau
ISBN 13 : 1646480759
Total Pages : 296 pages
Book Rating : 4.6/5 (464 download)

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Book Synopsis Beyond Burnout, Second Edition: Overcoming Stress in Nursing & Healthcare for Optimal Health & Well-Being by : Suzanne Waddill-Goad

Download or read book Beyond Burnout, Second Edition: Overcoming Stress in Nursing & Healthcare for Optimal Health & Well-Being written by Suzanne Waddill-Goad and published by Sigma Theta Tau. This book was released on 2023-04-14 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: “This book came at the perfect time… The information is very helpful, and it’s just nice to know so many others have similar challenges.” Trenda Ray, PhD, RN, NEA-BC Chief Nursing Officer Associate Vice Chancellor for Patient Care Services Clinical Assistant Professor, UAMS College of Nursing “Another edition of renewable energy reminding us to be our best! This book takes us on a journey through stress, burnout, and post-traumatic stress and sparks innovative solutions.” Kristin Christophersen, DNP, MBA, RN, NEA-BC, CENP, CPHQ, CLSSGB, FACHE Healthcare Executive and Owner, VitalNow LLC “Beyond Burnout is timely, relevant, and critical to understanding the stressors that plague healthcare today.” Cindi M. Warburton, DNP, FNP Executive Director, Northwest Organization of Nurse Leaders Healthcare professions typically attract those who give deeply of themselves to make a positive difference in others’ lives. But that giving can come at a significant price: burnout. While the healthcare vocation offers myriad options in work settings and career paths, it can also involve tremendous amounts of stress because of long shifts, mental and physical exhaustion, patient challenges, and regulatory changes. When stress and fatigue overtake a healthcare provider’s ability to adequately cope with physically and emotionally taxing circumstances, burnout is often the result, potentially leading to compromises in quality and patient safety. Since the publication of the first edition of this book, the COVID-19 pandemic has only added dramatically to nurses’ and other healthcare providers’ stress, exacerbating existing problems with strained resources and labor shortages. In Beyond Burnout, Second Edition, author Suzanne Waddill-Goad adds new strategies and up-to-date, data-driven information for building hardiness and resilience so that nurses and other healthcare workers can successfully navigate their increasingly challenging environment while reducing stress and preventing burnout. TABLE OF CONTENTS Chapter 1: The Effects of Inherent Stress Chapter 2: A Slice of Reality Chapter 3: Nursing and Healthcare Professions: Art vs. Science Chapter 4: The Impact of Leadership in Nursing and Healthcare Chapter 5: Professional Integrity Chapter 6: The Internal Strain of Silos Chapter 7: The Social Milieu (Culture) Chapter 8: The Clout of Allies Chapter 9: Planning Intentional Quality and Safety Chapter 10: Beyond Burnout: Promoting Optimal Health and Well-Being Chapter 11: Burnout and the Nursing or Healthcare Student Chapter 12: Looking Toward the Future

Safety-I and Safety-II

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Author :
Publisher : CRC Press
ISBN 13 : 1317059794
Total Pages : 167 pages
Book Rating : 4.3/5 (17 download)

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Book Synopsis Safety-I and Safety-II by : Erik Hollnagel

Download or read book Safety-I and Safety-II written by Erik Hollnagel and published by CRC Press. This book was released on 2018-04-17 with total page 167 pages. Available in PDF, EPUB and Kindle. Book excerpt: Safety has traditionally been defined as a condition where the number of adverse outcomes was as low as possible (Safety-I). From a Safety-I perspective, the purpose of safety management is to make sure that the number of accidents and incidents is kept as low as possible, or as low as is reasonably practicable. This means that safety management must start from the manifestations of the absence of safety and that - paradoxically - safety is measured by counting the number of cases where it fails rather than by the number of cases where it succeeds. This unavoidably leads to a reactive approach based on responding to what goes wrong or what is identified as a risk - as something that could go wrong. Focusing on what goes right, rather than on what goes wrong, changes the definition of safety from ’avoiding that something goes wrong’ to ’ensuring that everything goes right’. More precisely, Safety-II is the ability to succeed under varying conditions, so that the number of intended and acceptable outcomes is as high as possible. From a Safety-II perspective, the purpose of safety management is to ensure that as much as possible goes right, in the sense that everyday work achieves its objectives. This means that safety is managed by what it achieves (successes, things that go right), and that likewise it is measured by counting the number of cases where things go right. In order to do this, safety management cannot only be reactive, it must also be proactive. But it must be proactive with regard to how actions succeed, to everyday acceptable performance, rather than with regard to how they can fail, as traditional risk analysis does. This book analyses and explains the principles behind both approaches and uses this to consider the past and future of safety management practices. The analysis makes use of common examples and cases from domains such as aviation, nuclear power production, process management and health care. The final chapters explain the theoret

Textbook Of Occupational Medicine Practice (Fifth Edition)

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Author :
Publisher : World Scientific
ISBN 13 : 9811245665
Total Pages : 1143 pages
Book Rating : 4.8/5 (112 download)

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Book Synopsis Textbook Of Occupational Medicine Practice (Fifth Edition) by : David Soo Quee Koh

Download or read book Textbook Of Occupational Medicine Practice (Fifth Edition) written by David Soo Quee Koh and published by World Scientific. This book was released on 2022-04-07 with total page 1143 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following the success of the fourth edition, which was highly commended in the primary health care category for the 2018 British Medical Association (BMA) Medical Book Awards, this fifth edition has been substantially revised and updated to reflect significant changes in health care practice and to incorporate the explosion of information since the advent of the fourth industrial revolution and the COVID-19 pandemic. As before, the book covers target organ systems that can be affected by hazardous exposures in traditional industries and modern workplaces, both of which coexist in different parts of the world and present unique occupational health challenges for the medical practitioner. To this end, this reference textbook focuses on the clinical presentations, investigations, and medical and work-centric management of affected individuals. We have retained consideration of some special issues relevant to occupational medicine practice in this new edition and included a new section relating to the multidisciplinary nature of occupational health practice.The main emphasis continues to be prevention of disease and early detection of health effects caused by work exposures. This edition of the book has been updated to include new information and references. We have kept some of the previous case studies and illustrations, and introduced several new ones, some of which reflect the changes of practice due to the COVID-19 pandemic — for example, in risk communication, recognition and management of the risks of health care and frontline work. We have again asked international experts in occupational medicine and cross-disciplinary medical specialties to jointly author many of the chapters. Some of the authors are from Asia, and others from Europe, the United States, United Kingdom and Australia. All the authors have either clinical and/or academic experience in, or related to occupational medicine practice.The book is targeted at all those who are interested in the interaction between work and health, and how occupational diseases and work-related disorders may present and be managed. It will be of interest to medical practitioners, especially those in primary care and doctors intending to pursue a career in occupational medicine. It would also be relevant for allied health and safety professionals wanting to know more about health effects resulting from occupational exposures. Other groups who may find this edition useful as a ready reference are medical students, occupational health nurses, or clinical specialists in diverse fields such as dermatology, respiratory medicine, infectious diseases or toxicology.

Clinical Laboratory Science - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323832210
Total Pages : 797 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis Clinical Laboratory Science - E-Book by : Mary Louise Turgeon

Download or read book Clinical Laboratory Science - E-Book written by Mary Louise Turgeon and published by Elsevier Health Sciences. This book was released on 2022-09-14 with total page 797 pages. Available in PDF, EPUB and Kindle. Book excerpt: Using a discipline-by-discipline approach, Turgeon’s Clinical Laboratory Science: Concepts, Procedures, and Clinical Applications, 9th Edition, provides a fundamental overview of the concepts, procedures, and clinical applications essential for working in a clinical laboratory and performing routine clinical lab tests. Coverage includes basic laboratory techniques and key topics such as safety, phlebotomy, quality assessment, automation, and point-of-care testing, as well as discussion of clinical laboratory specialties. Clear, straightforward instructions simplify laboratory procedures and are guided by the latest practices and CLSI (Clinical and Laboratory Standards Institute) standards. Written by well-known CLS educator Mary Louise Turgeon, this edition offers essential guidance and recommendations for today’s laboratory testing methods and clinical applications. Broad scope of coverage makes this text an ideal companion for clinical laboratory science programs at various levels, including CLS/MT, CLT/MLT, medical laboratory assistant, and medical assisting, and reflects the taxonomy levels of the CLS/MT and CLT/MLT exams. Detailed procedure guides and procedure worksheets on Evolve and in the ebook familiarize you with the exact steps performed in the lab. Vivid, full-color illustrations depict concepts and applicable images that can be seen under the microscope. An extensive number of certification-style, multiple-choice review questions are organized and coordinated under major topical headings at the end of each chapter to help you assess your understanding and identify areas requiring additional study. Case studies include critical thinking group discussion questions, providing the opportunity to apply content to real-life scenarios. The newest Entry Level Curriculum Updates for workforce entry, published by the American Society for Clinical Laboratory Science (ASCLS) and the American Society for Clinical Pathology (ASCP) Board of Certification Exam Content Outlines, serve as content reference sources. Convenient glossary makes it easy to look up definitions without having to search through each chapter. An Evolve companion website provides convenient access to animations, flash card sets, and additional review questions. Experienced author, speaker, and educator Mary L. Turgeon is well known for providing insight into the rapidly changing field of clinical laboratory science.

Advances in Patient Safety

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Publisher :
ISBN 13 :
Total Pages : 526 pages
Book Rating : 4.7/5 (54 download)

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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.

Nurses Making Policy

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Publisher : Springer Publishing Company
ISBN 13 : 0826166466
Total Pages : 527 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Nurses Making Policy by : Rebecca M. Patton, DNP, RN, CNOR, FAAN

Download or read book Nurses Making Policy written by Rebecca M. Patton, DNP, RN, CNOR, FAAN and published by Springer Publishing Company. This book was released on 2022-02-01 with total page 527 pages. Available in PDF, EPUB and Kindle. Book excerpt: This completely updated third edition challenges nurses to fulfill their critical role and responsibility to society in advancing health policy by providing them with the tools to achieve their goals. This edition addresses the impact of critical issues including COVID-19, diversity, social determinants of health, and social justice. Challenges faced by nurses in care delivery including the safety, health, and well-being of nurses (e.g., suicide) are explored. Recently issued seminal documents, including the Future of Nursing 2020-2030 report, the American Association of Colleges of Nurses’ “Essentials,” and the World Health Organization’s report on the Health Workforce are highlighted. Emphasis is placed opportunities for nurses to leading and taking action in health policy. Robust discussion of strategies with the use of evidence and real-world examples and stories provide nurses with the foundation to be policy influencers. This pragmatic text helps nurses acquire an in-depth understanding of the intricacies of policy development and the opportunities to shape policy across the larger healthcare landscape and within their communities. It illuminates the steps, strategies, and competencies needed for health policy advocacy in various settings and also incorporates a Health in All Policies approach. Real world examples of policymaking by frontline nurses are provided. Leadership, ethical, and social justice principles are integrated across chapters, which exemplify policy development from the global scale to the local level. A completely revised chapter describing the trajectories of nurse influencers at different career stages illustrates how nurses can be engaged in policy to address new and perennial challenges faced by nurses. A new chapter, “Transforming Policy Through Innovation,” encompasses the most current technologies and opportunities for creative development within healthcare. To promote learning about policy, abundant examples, learning activities, and exercises are provided. New Policy Challenges/Solutions, Policies on the Scene, and case examples reflect recent changes to the healthcare environment. A comprehensive Instructor’s Manual also includes strategies for purposeful discourse that facilitate a deeper dive into provocative topics. PowerPoint slides include a faculty version with notes pages to facilitate discussion and a student version. New to the Third Edition: Major revisions and updates to each chapter New chapter: Transforming Policy through Innovation New lead authors that expand the high standard of content for advanced competencies New Policy Challenge/Solution and Policy on the Scene features in step with today's healthcare system The impact of COVID-19 on health policy Policy implications of key reports impacting health outcomes and nursing New illustrations, figures, and exhibits to emphasize key events and concepts Key Features: Features real-world exemplars from distinguished national and international nursing policy leaders Illustrates how nurses are leaders across settings in a variety of policy arenas Discusses policies to address social and economic inequities impacting health Includes Learning Activities and E-resources designed for meaningful engagement Patton-Zalon-Ludwick Policy Framework provides a visual guide for the self-assessment of policy competencies A comprehensive Instructor's Manual and PowerPoint slides are included!

World health statistics 2020

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Author :
Publisher : World Health Organization
ISBN 13 : 9240005102
Total Pages : 92 pages
Book Rating : 4.2/5 (4 download)

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Book Synopsis World health statistics 2020 by : World Health Organization

Download or read book World health statistics 2020 written by World Health Organization and published by World Health Organization. This book was released on 2020-05-13 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: The World health statistics 2020 report is the annual compilation of health statistics for 194 Member States. It summarizes trends in life expectancy and causes of death and reports on progress towards the health and health-related Sustainable Development Goals (SDGs) and associated targets.

To Err Is Human

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Publisher : National Academies Press
ISBN 13 : 0309068371
Total Pages : 312 pages
Book Rating : 4.3/5 (9 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 2000-03-01 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