Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, 2nd ed.

Citation

(2011), "Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, 2nd ed.", International Journal of Health Care Quality Assurance, Vol. 24 No. 8. https://doi.org/10.1108/ijhcqa.2011.06224haa.017

Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, 2nd ed.

Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, 2nd ed.

Article Type: Recent publications From: International Journal of Health Care Quality Assurance, Volume 24, Issue 8

Edited by Patrice L. Spath,Jossey Bass,ISBN: 978-0-470-50240-2,April 2011

Keywords: Patient safety, Healthcare service errors, Risk management improvement, Performance measures, Medication safety

Completely revised and updated, this second edition of Error Reduction in Health Care offers a step-by-step guide for implementing the recommendations of the Institute of Medicine to reduce the frequency of errors in health care services and to mitigate the impact of errors when they do occur.

With contributions from noted leaders in health safety, Error Reduction in Health Care provides information on analyzing accidents and shows how systematic methods can be used to understand hazards before accidents occur. In the chapters, authors explore how to prioritize risks to accurately focus efforts in a systems redesign, including performance measures and human factors.

This expanded edition covers contemporary material on innovative patient safety topics such as applying Lean principles to reduce mistakes, opportunity analysis, deductive adverse event investigation, improving safety through collaboration with patients and families, using technology for patient safety improvements, medication safety, and high reliability organizations.

Contents include:

1. 1.

   The basics of patient safety.

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     A formula for errors  good people + bad systems.

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     The human side of medical mistakes.

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     High reliability and patient safety.

2. 2.

   Measure and evaluate patient safety.

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     Measuring performance of high-risk processes.

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     Analyzing patient safety performance.

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     Using performance data to prioritize safety improvement projects.

3. 3.

   Reactive and proactive safety investigations.

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     Accident investigation and anticipatory failure analysis.

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     MTO and DEB analysis can find system breakdowns.

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     Using deductive analysis to examine adverse events.

4. 4.

   How to make health care processes safer.

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     Proactively error-proofing health care processes.

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     Reducing errors through work systems improvements.

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     Improve patient safety with lean techniques.

5. 5.

   Focused patient safety initiatives.

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     How information technology can improve patient safety.

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     A structured teamwork system to reduce clinical errors.

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     Medication safety improvement.