Safer hospital care: strategies for continuous innovation
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Boca Raton, Fla. [u.a.]
CRC Press
2011
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | "An examination of the effectiveness of present hospital care methods, this book illustrates how to find simple, comprehensive solutions that produce high return on investment. It emphasizes innovative techniques, proven safety methods, models for risk managers, heuristics for leading change, reliability methods that deliver right care over time, dangers in medical devices for critical care, and techniques for giving care with speed and efficiency without compromising safety. Experts from the aviation industry, world-class organizations such as Toyota and General Electric, and innovative hospitals such as Johns Hopkins offer their insight"--Provided by publisher. Includes bibliographical references and index |
| Beschreibung: | XVIII, 253 S. Ill., graph. Darst. |
| ISBN: | 9781439821022 143982102X |
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| 500 | |a Includes bibliographical references and index | ||
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| 650 | 4 | |a Hospitals |x standards |z United States | |
| 650 | 4 | |a Quality Assurance, Health Care |x methods |z United States | |
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| 650 | 4 | |a Organizational Innovation |z United States | |
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Datensatz im Suchindex
| _version_ | 1804145692149547008 |
|---|---|
| adam_text | Titel: Safer hospital care
Autor: Raheja, Dev G.
Jahr: 2011
Contents
Acknowledgment............................................................................xiii
About the Author..............................................................................xv
Introduction..................................................................................xvii
1 The Etiologies of Unsafe Healthcare............................................1
Introduction.................................................................................................1
Failure Is Not an Option.............................................................................3
An Unconventional Way to Manage Risks.................................................3
Defining Unsafe Work................................................................................4
How Unsafe Work Propagates Unknowingly.....................................5
How Does Unsafe Work Originate?..................................................10
So, Why Do We Unknowingly Sustain Unsafe Work?.....................11
Using Best Practices Is Insufficient...................................................13
There Is Hope...................................................................................14
The Lessons Learned.........................................................................15
Summary...................................................................................................16
References.................................................................................................16
2 Sufficient Understanding Is a Prerequisite to Safe Care...........19
Introduction...............................................................................................19
Insufficient Understanding of System Vulnerability.........................20
Insufficient Understanding of What Is Preventable.........................22
Insufficient Understanding from Myopia..........................................23
Insufficient Understanding of Oversights and Omissions...............25
Insufficient Understanding of Variation............................................27
Some Remedies.................................................................................28
Summary...................................................................................................33
References.................................................................................................33
viii ¦ Contents
3 Preventing Indifferencity to Enhance Patient Safety.............35
Introduction...............................................................................................35
Performance without Passion...................................................................36
Not Learning from Mistakes..............................................................36
Inattention to the Voice of the Patient..............................................37
Making Premature Judgments without Critical Thinking................38
Lack of Teamwork.............................................................................39
Lack of Feedback and Follow-Up.....................................................40
Performance without Due Concern..........................................................41
Lack of Accountability.......................................................................41
Encouraging Substandard Work.......................................................42
Reacting to Unsafe Incidences Instead of Proactively Seeking
Them..................................................................................................42
Inattention to Clinical Systems..........................................................44
Difference in Mindset between Management and Employees........45
Poor Risk Management.....................................................................46
Performance Diligently Done in a Substandard Manner.........................46
Continuing to Do Substandard Work, Knowing It Is
Substandard.......................................................................................46
Ignoring Bad Behavior......................................................................47
Inattention to Quality........................................................................51
Summary...................................................................................................52
References.................................................................................................52
4 Continuous Innovation Is Better Than Continuous
Improvement..............................................................................55
Introduction...............................................................................................55
Why Continuous Innovation?...................................................................56
Types of Innovations................................................................................58
Marginal Innovation..........................................................................58
Incremental Innovation.....................................................................59
Radical Innovation.............................................................................60
Disruptive Innovation........................................................................6l
Accidental Innovation........................................................................61
Strategic Innovation...........................................................................62
Diffusion Innovation.........................................................................62
Translocation Innovation...................................................................63
The Foundation for the Innovation Culture.............................................64
Choice of Innovation.........................................................................64
Contents ¦ ix
Encouraging Creativity......................................................................64
Structure for Sustaining Innovation..........................................................68
Summary...................................................................................................69
References.................................................................................................69
5 Innovations Should Start with Incidence Reports.....................71
Introduction...............................................................................................71
The Purpose and Scope of Incidence Reports........................................72
What to Do with Incidence Reports?.......................................................74
A Sample Incidence Reporting Procedure...............................................75
A Sample Incidence Report Form............................................................75
Ideas for Innovative Solutions..................................................................75
Summary...................................................................................................84
References.................................................................................................85
6 Doing More with Less Is Innovation.........................................87
Introduction...............................................................................................87
Be Lean, Don t Be Mean...........................................................................88
Eliminate Waste, Don t Eliminate Value...................................................89
Do It Right the First Time-Excellence Does Matter..............................91
Add More Right Work to Save Time and Money.....................................93
Attack Complacency.................................................................................95
Create a Sense of Urgency........................................................................97
Establish Evidence between Lean Strategies and Patient Satisfaction.....98
Ideas for Lean Innovation.......................................................................100
Summary.................................................................................................100
References...............................................................................................101
7 Reinvent Quality Management.................................................103
Introduction.............................................................................................103
A Recipe for Success...............................................................................104
Redefine Quality.....................................................................................105
Conduct Negative Requirements Analysis..............................................107
Develop Strategic Plan Based on SWOT Analysis.................................108
Consciously Manage Quality at All the Levels of an Organization.......Ill
Quality at Conformance Level........................................................Ill
Quality at Process Level..................................................................112
Quality of Kind at Organization Level...........................................112
Architect a Patient-Centric Quality System.............................................114
Validate Interactions and Dependencies Frequently.............................115
x ¦ Contents
Incorporate Feedback Loops..................................................................116
Summary.................................................................................................118
References...............................................................................................118
8 Reinvent Risk Management.....................................................121
Introduction.............................................................................................121
Identify Risks...........................................................................................123
Failure Mode and Effects Analysis (FMEA)....................................123
Fault Tree Analysis (FTA)................................................................124
Operations and Support Hazard Analysis......................................129
More Safety Analysis Techniques...........................................................130
Mitigate Risks..........................................................................................134
Orchestrate Risks....................................................................................136
Create a Sound Structure................................................................137
Integrate the Support Staff..............................................................138
Conduct Risk Management Rehearsals...........................................138
Aim at High Return on Investment without Compromising
Safety...............................................................................................140
Summary.................................................................................................140
References...............................................................................................140
9 Human Errors May Be Unpreventable; Preventing Harm Is
an Innovation...........................................................................143
Introduction.............................................................................................143
Principles of Human Factors Engineering..............................................144
Principles of Human Factors Engineering (HFE)...................................144
Harm Prevention Methodologies............................................................146
Crew Resource Management (CRM)...............................................146
Management Oversight and Risk Tree (MORT).............................148
Change Analysis..............................................................................152
Swiss Cheese Model for Error Trapping.........................................152
Mistake Proofing.............................................................................154
Summary.................................................................................................156
References...............................................................................................156
10 Managing Safety: Lessons from Aerospace..............................159
Introduction.............................................................................................159
Where Does U.S. Healthcare Stand on System Safety?..........................160
System Safety Theory of Accidents........................................................160
System Safety in Emergency Medicine...................................................163
Contents ¦ xi
Aerospace Hazard Analysis Techniques.................................................164
Summary.................................................................................................165
References...............................................................................................165
11 The Paradigm Pioneers...........................................................167
Introduction.............................................................................................167
Johns Hopkins Hospital..........................................................................168
Allegheny General Hospital....................................................................170
Geisinger Health System.........................................................................171
VA Hospitals............................................................................................172
Seattle Children s Hospital......................................................................173
Ideas for Future Paradigm Pioneers.......................................................175
Summary.................................................................................................176
References...............................................................................................176
12 Protect Patients from Dangers in Medical Devices.................179
Introduction.............................................................................................179
The Nature of Dangers...........................................................................180
Hazard Mitigation for Existing Devices..................................................182
Potential Dangers in New Devices and Technologies...........................183
Hazard Mitigation for New Devices and Technologies.........................186
Can We Use This Knowledge in Bedside Intelligence?.........................187
Summary.................................................................................................188
References...............................................................................................188
13 Heuristics for Continuous Innovation.....................................191
Introduction.............................................................................................191
Heuristics for Medicine...........................................................................192
Other Heuristics for Medicine................................................................193
Heuristics for Frontline Processes..........................................................194
Stop Working on Wrong Things, and You Will Automatically
Work on Right Things.....................................................................194
Learn to Say No to Yes Men........................................................195
No Action Is an Action.................................................................196
No Control Is the Best Control.......................................................198
Heuristics for Management.....................................................................198
If You Don t Know Where You Are Going, Any Road Will Get
You There........................................................................................198
Convert Bad News into Good News..............................................199
As Quality Goes up, the Costs Go down.......................................200
xii ¦ Contents
That Which Gets Measured, Is What Gets Done...........................200
20% of Causes Are Responsible for 80% of Effects.......................200
Summary.................................................................................................200
References...............................................................................................201
14 Aequanimitas-The Best-Known Strategy for Safe Care.........203
Introduction.............................................................................................203
Aequanimitas Explained.........................................................................204
Why Aequanimitas Is the Best-Known Strategy for Safe Care?.............205
The Practice of Aequanimitas.................................................................207
Modern Variations of Aequanimitas.......................................................208
Emotional Intelligence (EI)..............................................................208
The Beginner s Mind.......................................................................213
Ray Brown s 31 Senses....................................................................214
Summary.................................................................................................216
References...............................................................................................216
Appendix A: Swiss Cheese Model for Error Trapping....................219
Index..............................................................................................243
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| spelling | Raheja, Dev G. Verfasser aut Safer hospital care strategies for continuous innovation Dev Raheja Boca Raton, Fla. [u.a.] CRC Press 2011 XVIII, 253 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier "An examination of the effectiveness of present hospital care methods, this book illustrates how to find simple, comprehensive solutions that produce high return on investment. It emphasizes innovative techniques, proven safety methods, models for risk managers, heuristics for leading change, reliability methods that deliver right care over time, dangers in medical devices for critical care, and techniques for giving care with speed and efficiency without compromising safety. Experts from the aviation industry, world-class organizations such as Toyota and General Electric, and innovative hospitals such as Johns Hopkins offer their insight"--Provided by publisher. Includes bibliographical references and index Hospitals Safety measures Hospitals standards United States Quality Assurance, Health Care methods United States Medical Errors prevention & control United States Organizational Innovation United States Safety Management methods United States Arbeitssicherheit (DE-588)4068817-3 gnd rswk-swf Krankenhaus (DE-588)4032786-3 gnd rswk-swf USA Krankenhaus (DE-588)4032786-3 s Arbeitssicherheit (DE-588)4068817-3 s DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=022552357&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Raheja, Dev G. Safer hospital care strategies for continuous innovation Hospitals Safety measures Hospitals standards United States Quality Assurance, Health Care methods United States Medical Errors prevention & control United States Organizational Innovation United States Safety Management methods United States Arbeitssicherheit (DE-588)4068817-3 gnd Krankenhaus (DE-588)4032786-3 gnd |
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| title | Safer hospital care strategies for continuous innovation |
| title_auth | Safer hospital care strategies for continuous innovation |
| title_exact_search | Safer hospital care strategies for continuous innovation |
| title_full | Safer hospital care strategies for continuous innovation Dev Raheja |
| title_fullStr | Safer hospital care strategies for continuous innovation Dev Raheja |
| title_full_unstemmed | Safer hospital care strategies for continuous innovation Dev Raheja |
| title_short | Safer hospital care |
| title_sort | safer hospital care strategies for continuous innovation |
| title_sub | strategies for continuous innovation |
| topic | Hospitals Safety measures Hospitals standards United States Quality Assurance, Health Care methods United States Medical Errors prevention & control United States Organizational Innovation United States Safety Management methods United States Arbeitssicherheit (DE-588)4068817-3 gnd Krankenhaus (DE-588)4032786-3 gnd |
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