Michael Steven Leonard's Achieving Safe And Reliable Healthcare: Strategies And PDF

By Michael Steven Leonard

ISBN-10: 1417555262

ISBN-13: 9781417555260

ISBN-10: 1567932274

ISBN-13: 9781567932270

Healthcare enterprises have an endemic on their fingers: clinical errors is inflicting greater than 98,000 deaths a 12 months within the nation’s hospitals. And those disasters are usually not as a result of unqualified clinicians or the inability of technology,instead, proof exhibits that at the very least eighty percentage of clinical errors is approach derived, that means that approach flaws are environment stable humans as much as fail.

This booklet presents healthcare leaders with a accomplished blueprint for construction and helping a tradition of sufferer defense. It comprises contributions from specialists who've created entire and winning sufferer safeguard courses of their corporations.

The innovations and instruments during this publication might help you: check the protection weather of your company with a device used at greater than 500 healthcare enterprises Optimize teamwork and conversation between employees participants construct functional and powerful safeguards into your scientific care platforms improve regulations that carry employees answerable for their very own functionality yet no longer for process disasters inspire sufferer involvement of their personal care and converse brazenly with sufferers and households while an blunders happens Create an adverse-event reporting approach that generates rules for development improve an govt WalkRounds software that encourages employees to interact in open conversations with senior leaders approximately safeguard hire instruments that might help you in making a choice on strength difficulty spots

This e-book is copublished with the Institute for Healthcare development and the yankee association of Nurse Executives.

The Foreword is written by way of Lucian Leape, M.D., and Don Berwick, M.D.

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Stressful situation, such as in the middle of a cardiac arrest, the error rate can be as high as 25 percent, which is a 250-fold increase. Fatigue and other physiological factors. Fatigue can have a detrimental effect on cognitive ability, specifically the ability to process Focusing on High Reliability 21 complex information. The working assumption that motivation and skill can overcome inherent physiologic limitations is a dangerous one. 10. Research also shows that sleep debt is cumulative, and the physiologic effects will persist until enough sleep has been obtained to pay it back (Coren 1996).

People who do not sign on wholeheartedly to the appropriate behavioral patterns are quickly informed that they are lacking in their efforts, and failure to correct these transgressions is considered a far more serious threat to the trainee’s continuing success than is making actual mistakes in delivering care (Bosk 1979). 28 Achieving Safe and Reliable Healthcare Medical schools select students on the basis of individual accomplishment and performance. The evaluations students receive are important for obtaining places in competitive internships, residencies, fellowships, and jobs postgraduation.

The procedure is complicated and is to be performed in an unfamiliar setting requiring the coordinated efforts of several individuals, many of whom do not know each other. The surgeon walks into the room and announces, “I have no pride invested in this procedure; I just want us to get it right. ” He then introduces himself to everyone in the room by his first name. This simple action creates a collaborative, open environment in which people can participate and speak up easily. 2. At the end of a very complicated seven-hour operation in which the circulating nurse has performed many tasks flawlessly, a surgeon observes a small piece of lint in the patient’s belly button as they are closing the incision.

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Achieving Safe And Reliable Healthcare: Strategies And Solutions by Michael Steven Leonard


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