Rethinking patient safety:
Saved in:
| Main Author: | |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Boca Raton ; London ; New York
CRC Press, Taylor & Francis Group
[2017]
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| Subjects: | |
| Online Access: | Inhaltsverzeichnis Klappentext |
| Item Description: | "A Productivity Press book". - Includes bibliographical references and index |
| Physical Description: | xxi, 185 Seiten Illustrationen 25 cm |
| ISBN: | 9781498778541 |
Staff View
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Record in the Search Index
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| adam_text | Contents
Preface.................................................xi
Acknowledgements......................................xiii
Introduction .......................................... xv
Author.................................................xxi
1 Patient Safety.......................................1
What Is Patient Safety?............................. 1
Pioneers.............................................3
Over One Hundred Years Later.........................7
Suggested Reading...................................10
2 The Scale of the Problem............................11
Suggested Reading...................................19
3 A Culture of Learning...............................21
Are We Learning from Harm? .........................21
Learning the Johns Hopkins Way......................22
Impact on Patients and Their Families: Sam’s Story .25
Failing to Learn: My Own Story......................29
Suggested Reading...................................33
4 Systems Approach to Safety..........................35
Understanding the Basics of a Safer System..........35
Learning from Other High-Risk Industries ...........37
Resilience..........................................38
Safety I and Safety II..............................39
VII
viii ■ Contents
Standardisation......................................40
Human Factors........................................41
Shifting from ‘One Size Fits All’ to an Intelligent
Approach to Risk.....................................43
Suggested Reading....................................44
5 The Right Culture for Safety........................45
The Just Culture.....................................45
Human Error..........................................49
Risky Behaviour......................................50
Reckless Behaviour...................................52
Suggested Reading....................................54
6 Learning or Counting from Incidents.................55
Incident Reporting...................................55
Learning from Incident Reporting.....................59
Performance Management...............................62
Quality of Reports...................................64
The Truth............................................64
What Can Be Done Differently for Incident Reporting?...65
7 Relegated to the Back Office........................69
Risk Management and Incident Investigation...........69
Incident Investigation...............................71
Suggested Reading....................................74
8 The Impact on Front-Line Workers....................75
Reflective Observation...............................75
Bob’s Story..........................................77
K i mberley’ s Story.................................79
Richie’s Story.......................................82
Suggested Reading....................................87
9 The Implementation Challenge........................89
Just Do It...........................................89
Seven Steps..........................................92
Vincristine Error....................................93
To Checklist or Not to Checklist.....................97
Suggested Reading...................................100
Contents ■ ¡x
10 Implementation: The Way Forward...................101
What Can We Do Differently for Implementation?.....101
Factors That Hinder and I lelp.....................103
Suggested Reading..................................107
11 The Next Fifteen Years and Beyond................109
Not Alone..........................................109
How Did We Get Here?.............................. 116
12 Sign Up to Safety..................................119
Creating a New Movement............................ 1 19
What Have We Learnt So Far?........................126
13 Enlightenment....................................131
Profound Simplicity..............................131
Our Through line.................................133
Our Solution for Change Is Conversations.......133
14 An Evolving Concept..................................139
Good Conversations...................................139
A Variety of Methodologies: The World Cale Story.... l il
Methods Used to Date for Patient Safety Conversations.... 1 i5
Factors That Hinder a Good Conversation............ 1 i7
Suggested Reading................................... 132
15 Facilitated Conversations.........................153
Facilitated Conversations to Narrow the
Implementation Gap............................... 153
Trio Methodology.................................15 t
Quad Methodology................................. 159
Fishbowl Methodology............................. 159
Small Group Conversations........................ 161
Large Group Conversations........................ K 1
What We Have Learnt...............................163
Conclusion.......................................167
References and Further Reading...................171
Index.......................................... 181
Healthcare
The vast majority of healthcare is provided safely and effectively. However,
just like any high-risk industry, things can and do go wrong. There is a world
of advice about how to keep people safe but this delivers little in terms of
changed practice.
Written by a leading expert in the field with over two decades of experience,
Rethinking Patient Safety provides readers with a critical reflection upon
what it might take to narrow the implementation gap between the evidence
base about patient safety and actual practice. This book provides important
examples for the many professionals who work in patient safety but are
struggling to narrow the gap and make a difference in their current situation.
• r
It provides insights on practical actions that can be immediately implement-
ed to improve the safety of patient care in healthcare and provides readers
with a different way of thinking in terms of changing behavior and practices
as well as processes and systems.
Suzette Woodward shares lessons from the science of implementation,
campaigning and social movement methods and offers the reader the story
of a discovery. Her team has explored an approach which could profoundly
affect the safety culture In healthcare; a methodology to help people talk
to each other and their patients and to listen through facilitated safety
conversations. This is their story.
|
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| spelling | Woodward, Suzette Verfasser aut Rethinking patient safety by Suzette Woodward Boca Raton ; London ; New York CRC Press, Taylor & Francis Group [2017] xxi, 185 Seiten Illustrationen 25 cm txt rdacontent n rdamedia nc rdacarrier "A Productivity Press book". - Includes bibliographical references and index Medical errors Prevention Medical care Quality control Patients Safety measures Medizinschaden (DE-588)4201836-5 gnd rswk-swf Patient (DE-588)4044903-8 gnd rswk-swf Risikomanagement (DE-588)4121590-4 gnd rswk-swf Krankenhaus (DE-588)4032786-3 gnd rswk-swf Sicherheit (DE-588)4054790-5 gnd rswk-swf Fehlerverhütung (DE-588)4276213-3 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 s Patient (DE-588)4044903-8 s Sicherheit (DE-588)4054790-5 s Krankenhaus (DE-588)4032786-3 s DE-604 Medizinschaden (DE-588)4201836-5 s Fehlerverhütung (DE-588)4276213-3 s Risikomanagement (DE-588)4121590-4 s Erscheint auch als Online-Ausgabe 978-1-4987-7855-8 Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=030332793&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=030332793&sequence=000002&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | Woodward, Suzette Rethinking patient safety Medical errors Prevention Medical care Quality control Patients Safety measures Medizinschaden (DE-588)4201836-5 gnd Patient (DE-588)4044903-8 gnd Risikomanagement (DE-588)4121590-4 gnd Krankenhaus (DE-588)4032786-3 gnd Sicherheit (DE-588)4054790-5 gnd Fehlerverhütung (DE-588)4276213-3 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
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| title | Rethinking patient safety |
| title_auth | Rethinking patient safety |
| title_exact_search | Rethinking patient safety |
| title_full | Rethinking patient safety by Suzette Woodward |
| title_fullStr | Rethinking patient safety by Suzette Woodward |
| title_full_unstemmed | Rethinking patient safety by Suzette Woodward |
| title_short | Rethinking patient safety |
| title_sort | rethinking patient safety |
| topic | Medical errors Prevention Medical care Quality control Patients Safety measures Medizinschaden (DE-588)4201836-5 gnd Patient (DE-588)4044903-8 gnd Risikomanagement (DE-588)4121590-4 gnd Krankenhaus (DE-588)4032786-3 gnd Sicherheit (DE-588)4054790-5 gnd Fehlerverhütung (DE-588)4276213-3 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| topic_facet | Medical errors Prevention Medical care Quality control Patients Safety measures Medizinschaden Patient Risikomanagement Krankenhaus Sicherheit Fehlerverhütung Gesundheitswesen |
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