By Michael Steven Leonard
Healthcare firms have a pandemic on their arms: clinical mistakes is inflicting greater than 98,000 deaths a yr within the nation’s hospitals. And those mess ups aren't because of unqualified clinicians or the inability of technology,instead, proof exhibits that no less than eighty percentage of clinical blunders is procedure derived, that means that procedure flaws are environment reliable humans as much as fail.
This publication offers healthcare leaders with a finished blueprint for construction and aiding a tradition of sufferer protection. It comprises contributions from specialists who've created finished and winning sufferer security courses of their firms.
The thoughts and instruments during this e-book can assist you: check the security weather of your company with a device used at greater than 500 healthcare firms Optimize teamwork and communique between employees contributors construct useful and powerful safeguards into your scientific care platforms strengthen regulations that carry employees answerable for their very own functionality yet now not for method mess ups motivate sufferer involvement of their personal care and converse overtly with sufferers and households whilst an blunders happens Create an adverse-event reporting process that generates rules for development advance an govt WalkRounds application that encourages employees to interact in open conversations with senior leaders approximately security hire instruments that might help you in settling 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 means of Lucian Leape, M.D., and Don Berwick, M.D.
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Additional resources for Achieving Safe And Reliable Healthcare: Strategies And Solutions
I. C. McManus, Y. Gul, R. C. Russell, and A. Darzi. 1998. ” Lancet 352 (9135): 1191. Vaughn, D. 1996. The Challenger Launch Decision: Risky Technology, Culture and Deviance at NASA. Chicago: University of Chicago Press. Weick, K. , and K. M. Sutcliffe. 2001. Managing the Unexpected: Assuring High Performance in an Era of Complexity. San Francisco: Jossey-Bass. 34 Achieving Safe and Reliable Healthcare PART II Components of a Safety Environment This page intentionally left blank CHAPTER THREE The Human Factor: Effective Teamwork and Communication in Patient Strategy Michael Leonard, Suzanne Graham, and Bill Taggart I N M E D I C I N E , S K I L L E D practitioners work as teams in very complex environments.
For example, traditionally, surgical training programs have been structured as a pyramid, meaning that progressively fewer positions are available as trainees advance. In the midst of immersion in a physically and intellectually demanding environment, the knowledge that someone is always at risk of being cut from the team does not drive truly collaborative behavior. Individuals in medicine have been trained in such a manner that they associate their competence, reputation, and standing among their peers with error-free performance.
Trying something new under pressure. Trying a new process or procedure in a pressure situation is a poor choice. It reflects the sense that the practitioner does not have a workable approach to the problem at hand. Staying with the tried-andtrue approach, used many times before, is far more successful than launching into a novel approach under duress. • Deviating from established norms. Norms have been established because they generally reflect safe approaches to care. Feeling the need to deviate from the norms can be an indicator of a problem.
Achieving Safe And Reliable Healthcare: Strategies And Solutions by Michael Steven Leonard