Download Achieving Safe And Reliable Healthcare: Strategies And by Michael Steven Leonard PDF

By Michael Steven Leonard

Healthcare enterprises have a pandemic on their palms: clinical mistakes is inflicting greater than 98,000 deaths a 12 months within the nation’s hospitals. And those disasters are usually not because of unqualified clinicians or the inability of technology,instead, proof exhibits that a minimum of eighty percentage of scientific mistakes is process derived, which means that procedure flaws are atmosphere solid humans as much as fail.

This booklet offers healthcare leaders with a accomplished blueprint for development and helping a tradition of sufferer protection. It contains contributions from specialists who've created finished and profitable sufferer protection courses of their companies.

The options and instruments during this ebook might help you: examine the protection weather of your company with a device used at greater than 500 healthcare firms Optimize teamwork and communique between employees individuals construct sensible and powerful safeguards into your scientific care platforms boost guidelines that carry employees chargeable for their very own functionality yet no longer for procedure disasters motivate sufferer involvement of their personal care and converse brazenly with sufferers and households whilst an errors happens Create an adverse-event reporting method that generates rules for development strengthen an government WalkRounds software that encourages employees to interact in open conversations with senior leaders approximately security hire instruments that would help you in picking 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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Sample text

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. ” The nurse is devastated. After the surgeon leaves the room, the nurse remarks, “I can’t believe I ran myself ragged only to be treated this way,” and he acknowledges that he will probably never feel the same working with this surgeon in the future. 42 Achieving Safe and Reliable Healthcare Not only will their relationship be different, but also, predictably, this nurse will be far less likely to go out of his way to help the surgeon and much less likely to speak up if he sees her getting into trouble.

The captain, still fixated on the landing gear—which had been confirmed as down and locked by a visual indicator on the wing—was unaware of the fuel problem until the engines began flaming out. The plane crashed in a lightly wooded area some six miles short of the airport, and ten people lost their lives. This was one in a series of accidents in which Focusing on High Reliability 23 the crew had been faced with a technical problem or problems that would not have precluded a safe landing, yet they were unable to work effectively to solve the issue.

This type of communication is also timely and clear and offers solutions to problems. Numerous high-profile accidents in medicine and elsewhere have demonstrated that, in many cases, team members knew that something did not seem right, but their ability to speak up and clearly communicate was inhibited. Often, the information was relayed in an oblique and indirect manner. The “hint and hope” approach— I said something, they must have heard it, and everything will be 52 Achieving Safe and Reliable Healthcare OK—is all too common.

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