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You are here > Home > Reading Lists > Risk Management & Medical Errors > Achieving Safe & Reliable Health Care: Strategies & Solutions

Achieving Safe and Reliable Healthcare: Strategies and Solutions
Michael Leonard, MD; Allan Frankel, MD; Terri Simmonds, RN; with Kathleen Vega

Softbound, 192 pp
ISBN 1567932274
Health Administration Press 
September 2004
Price: $69.00

 

Every healthcare organization must address the issue of medical error or face the negative response of the public, the media, and regulatory bodies. 

This practical resource will provide you with a comprehensive blueprint for building and supporting a culture of patient safety. This book includes contributions from experts in leading organizations including the renowned Institute for Healthcare Improvement. With the strategies and tools in this book you can:

  • Assess the safety climate of your organization with a tool used at more than 300 hospitals
  • Optimize teamwork and communication among staff members
  • Build safeguards into your clinical care systems
  • Develop policies that hold staff accountable for their own performance but not for system flaws
  • Communicate openly with patients and family when an error occurs
  • Create an adverse event and potential event reporting system that generates ideas for improvement
  • Develop an executive WalkRounds program that involves meeting with staff and engaging in a two-way conversation about safety
  • Employ tools that assist organizations in identifying potential trouble spots and in leveraging actions to prevent harm

When something goes wrong, the common tendency is to find out who did it rather than why. This approach is understandable, as it makes organizations feel as if they have responded to the problem and taken action. The flaw with this approach is that only about 5% of medical harm is caused by incompetent or poorly intended care. Consequently 95% of errors that cause harm involve conscientious, competent individuals trying hard to achieve a desired outcome. Even if an organization finds all the "bad apples" and "fixes them," it has only addressed a small piece of the problem. This book will provide healthcare leaders with practical strategies to help them improve patient safety in their organizations. 

The authors introduce the concept of high reliability and discuss the components of a culture of safety, which include effective teamwork, structured systems, complete patient involvement, and open communication surrounding errors. This book includes suggestions on how to establish a safety culture, including how to measure a culture's perceptions toward safety, set up reporting systems, and involve leadership in change. Lastly, it looks at how organizations can conduct patient safety projects that allow for the continuous improvement of quality and safety across an organization.

Recommended by ACHE, this book provides healthcare leaders with a comprehensive blueprint for building and supporting a culture of patient safety. It includes contributions from experts who have created comprehensive and successful patient safety programs in their organizations. This excellent book has been co-published by the Institute for Healthcare Improvement (IHI) and the American Organization of Nurses Executives (AONE).

Healthcare organizations have an epidemic on their hands: Medical error is causing more than 98,000 deaths a year in the nation’s hospitals. And these failures are not due to unqualified clinicians or the lack of technology, instead, evidence indicates that at least 80 percent of medical error is system derived, meaning that system flaws are setting good people up to fail.

Michael D. Leonard, M.D., is physician leader of patient safety at Kaiser Permanente in Colorado Springs, Colorado, and works with the Institute for Healthcare Improvement and the Association of periOperative Registered Nurses. Allan Frankel, M.D., is director of patient safety at Partners Healthcare in Boston. He also works with the Institute for Healthcare Improvement and the Massachusetts Coaltion for the Prevention of Medical Error. Terri Simmonds, R.N., CPHQ, is a director at the Institute for Healthcare Improvement in Boston. She also works with the Massachusetts Coalition for the Prevention of Medical Error.

The Institute for Healthcare Improvement (IHI) is a not-for-profit organization driving the improvement of health by advancing the quality and value of health care. IHI is a reliable source of energy, knowledge, and support for a never-ending campaign to improve health care worldwide. We develop and nurture will, energizing a movement for profound change in health care. We spread improvement knowledge across the globe, and provide methods, tools, and other supports, largely through partnerships, for thousands of health care organizations to turn knowledge into improved results. We initiate and support innovation efforts, so as to discover, cultivate, and demonstrate the feasibility of new, more capable, designs. We exercise academic rigor in this work. We work to change the skills, attitudes, and knowledge of the workforce, both in the ongoing development of young professionals and in life-long education, so as to reduce profession-specific silos that limit collaborative effort for the well-being of patients. We seek to improve joy in work, and to help all who work in health care to become better able to help improve care.

Softbound, 192 pp
ISBN 1567932274
Health Administration Press 
September 2004
Price: $69.00

 

Every healthcare organization must address the issue of medical error or face the negative response of the public, the media, and regulatory bodies. 

Founded in 1933, the American College of Healthcare Executives is an international professional society of 30,000 healthcare executives who lead our nation's hospitals, healthcare systems, and other healthcare organizations. ACHE's publishing division, Health Administration Press, is one of the largest publishers of books and journals on all aspects of health services management.

Health Administration Press is a division of the Foundation of the American College of Healthcare Executives (ACHE). ACHE is an international professional society of 30,000 healthcare executives who lead our nation's hospitals, healthcare systems, and other healthcare organizations. ACHE is known for its prestigious credentialing and educational programs and its annual Congress on Healthcare Management, which draws more than 4,000 participants each year. ACHE is also known for its magazine, Healthcare Executive, as well as its groundbreaking research and career development and public policy programs. Through such efforts, ACHE works toward its goal of being the premier professional society for healthcare leaders by providing exceptional value to its members. Founded in 1972 with support from the W. K. Kellogg Foundation, Health Administration Press has grown from a small office on the campus of the University of Michigan to one of the largest publishers of books and journals on all aspects of health services management, including textbooks for use in college and university courses. Now located in downtown Chicago, the Press also publishes two journals, the Journal of Healthcare Management and Frontiers of Health Services Management

(info from the publisher)

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