Patient Safety - Web Resources
- IHI Patient Safety CoursesInstitute for Healthcare Improvement.
- Joint Commission - Patient SafetyIncludes best practices documentation as well as other reference materials
- Hospital Safety Grades - Leapfrog GroupLook up patient safety grades for area hospitals
- Patient Safety - OECDA collection of patient safety reports and resources from 'The Organization for Economic Cooperation and Development"
- 20 Years of Patient Safety - AAMC2019 article with many helpful links on the topic
Patient Safety - Himmelfarb Resources
Making Healthcare Safe by
This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement's founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today's modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an "insider's" tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care.
Call Number: OnlineISBN: 3030711226Publication Date: 2021-05-29
Textbook of Patient Safety and Clinical Risk Management by
Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.
Call Number: OnlineISBN: 3030594025Publication Date: 2020-12-15
Patient Safety Ethics by
Developing best practices and ethical systems to protect and enhance patient safety. Human errors occur all too frequently in medical practice settings. One sobering recent report claimed that medical errors are the third leading cause of death in the United States. Hoping to reverse this disturbing trend but wondering why it is that things usually go well despite errors, John D. Banja's Patient Safety Ethicslays out a model that advocates vigilance, mindfulness, compliance, and humility as core ethical principles of patient safety. Arguing that the safe provision of healthcare is one of the most fundamental moral obligations of clinicians, Banja surveys the research literature on harm-causing medical errors to explore the ethical foundations of patient safety and to reduce the severity and frequency of medical error. Drawing on contemporary scholarship on quality improvement, risk management, and medical decision making, Banja also relies on a novel source of information to illustrate patient safety ethics: medical malpractice suits. Providing professional perspective with insights from prominent patient safety experts, Patient Safety Ethicsidentifies hazard pitfalls and suggests concrete ways for clinicians and regulators to improve patient safety through an ethically cultivated program of "hazard awareness."
Call Number: OnlineISBN: 9781421429083Publication Date: 2019-06-25
High Reliability Organizations by
Awarded second place in the 2021 AJN Book of the Year Awards in Professional Issues! Nurses represent the majority of healthcare workers and are on the front lines of delivery and provision of safe and effective care. As a result, nurses are ideally situated to drive the mission to achieve high reliability in healthcare. We expect the primary audience of this text to be frontline nursing staff, nurses in administration, quality and patient safety professionals, advanced practice nurses, and nurse educators. The healthcare professional who purchases this book will do so with the desire to learn more about the application of HRO principles to patient safety and quality problems. This book is unique in that it uses HRO principles as an organizing framework for practical application. The intent of the editors is to provide a quality and patient safety book that is useful to professionals doing the work of healthcare. Healthcare professionals are constantly seeking practical tools and descriptions of practices that will improve and enhance patient safety and quality outcomes. High reliability is a current goal for hospitals, and the principles are sound. However, there is little in the literature that discusses how to apply the principles at the front lines of care to improve outcomes. This text addresses this gap by placing the need for high reliability concepts into our current climate in healthcare through illustrative discussion (theory and research) of each of the five concepts of HRO, along with a description of a current best practice and/or tool that applies to the model. The goal of this book is to stimulate organizations to embrace high reliability concepts while striving to improve the quality and safety of care delivered to patients and families. We all benefit from a safer healthcare environment. The book is divided into eight parts: Part 1: This part provides background for the current safety and quality climate. Parts 2-6: These parts offer HRO concepts as a framework for the new model with examples. The first of these HRO concepts is that HROs have a preoccupation with failure. The second of these HRO concepts is that HROs restrain the impulse to view events through a single lens and are reluctant to simplify. The third HRO concept is that HROs demonstrate sensitivity to operations by making strong responses to weak signs. The fourth HRO concept is that HROs shift decision making away from formal authority and apply deference to expertise. The final HRO concept is that HROs have a commitment to resilience. Part 7: This part puts it all together and provides the reader with examples of how HRO concepts are assimilated into practice across the care continuum.Part 8: This part provides the reader with real-world examples of HRO principles employed in a variety of patient care areas. Comprehensive Instructor's Guide and Student Workbook are available for this book.
Call Number: OnlineISBN: 1948057778Publication Date: 2020-12-01
Structural Approaches to Address Issues in Patient Safety by
This volume explores the ways in which structural changes in health care environments impact patient safety. It delves into the potential that design thinking can have when applied to organizational systems and structures, as well as the physical environment, to mitigate risks, reduce medical errors and ultimately improve the quality of care, provider well-being, and the overall patient experience. Much of health management empirical research has focused on the process and outcomes and then attempted to reverse engineer the structure that may reasonably explain that. This volume presents studies from the United States and Europe to demonstrate the benefits of a structure led approach. The chapters employ a variety of methods including needs assessment, consensus building, systems modelling, survey research, secondary analysis of EMR data, and qualitative methodologies. Together they provide meaningful conclusions to the question of how structural approaches in learning health care environments can be improved to create a positive impact on patient safety.
Call Number: OnlineISBN: 1838670858Publication Date: 2019-10-24
Patient Safety - Journal Articles
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Mossburg, S. E., & Dennison Himmelfarb, C. (2021). The Association Between Professional Burnout and Engagement With Patient Safety Culture and Outcomes: A Systematic Review. Journal of patient safety, 17(8), e1307–e1319. https://doi.org/10.1097/PTS.0000000000000519
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O'connor, P., O'malley, R., Oglesby, A. M., Lambe, K., & Lydon, S. (2021). Measurement and monitoring patient safety in prehospital care: a systematic review. International journal for quality in health care : journal of the International Society for Quality in Health Care, 33(1), mzab013. https://doi.org/10.1093/intqhc/mzab013
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Park, M., & Giap, T. T. (2020). Patient and family engagement as a potential approach for improving patient safety: A systematic review. Journal of advanced nursing, 76(1), 62–80. https://doi.org/10.1111/jan.14227
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Lawati, M. H. A., Dennis, S., Short, S. D., & Abdulhadi, N. N. (2018). Patient safety and safety culture in primary health care: a systematic review. BMC family practice, 19(1), 104. https://doi.org/10.1186/s12875-018-0793-7
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Piccardi, C., Detollenaere, J., Vanden Bussche, P., & Willems, S. (2018). Social disparities in patient safety in primary care: a systematic review. International journal for equity in health, 17(1), 114. https://doi.org/10.1186/s12939-018-0828-7
Quality Improvement - Web Resources
- CMS.gov Hospital Quality InitiativeCenter for Medicare and Medicaid Services
- AHRQ: Quality ImprovementAgency for Healthcare Research and Quality
- Johns Hopkins University: Quality ImprovementJHU Center for Nursing Inquiry
- AAFP: Basics of Quality ImprovementAmerican Academy of Family Physicians
Quality Improvement - Himmelfarb Resources
Mclaughlin and Kaluzny's Continuous Quality Improvement in Health Care by
Through a unique interdisciplinary perspective on health care quality and safety, McLaughlin & Kaluzny's Continuous Quality Improvement in Health Care, Fifth Edition covers the subjects of operations management, organizational behavior, and healthcare service delivery. With a broad focus on both the philosophy and processes of Continuous Quality Improvement (CQI), the challenges of implementation and institutionalization are addressed using examples from a variety of health care organizations, including primary care clinics, public health departments, and academic health centers.Significantly revised and updated throughout, the Fifth Edition offers a greater focus on practical application and incorporates contributions from leading health care quality. Additionally, the text has been reorganized and streamlined into 14 chapters, in lieu of the prior edition's 20 chapters, to make it an even more effective teaching and learning tool. While being more applied and practical, it does so without sacrificing depth. Extensive citations and detailed examples help students to understand the rationale and the most recent research and practice evidence that underpins the new techniques described. The 5th Edition features:- Streamlined coverage for enhanced teachability.- New chapters on Implementation Science, Lean Six Sigma, and Understanding Variation, Tools and Data Sources for CQI in Health Care- Greater focus on application. For example, the new implementation science chapter includes an appendix describing how to apply implementation science.- Discussion of the Quadruple Aim of health care and impact on CQI; how Public Health has institutionalized CQI to ensure community health quality; how CQI has been more broadly adopted in Low to Middle Income Countries; and much more.
Call Number: OnlineISBN: 9781284126594Publication Date: 2018-10-19
Quality and Performance Improvement in Healthcare by Call Number: OnlineISBN: 9781584266631Publication Date: 2019-01-01
Beyond the Toolkit by
There is increasing recognition within the NHS that quality improvement methodologies such as Lean, Six Sigma, Theory of Constraints, and Experienced Based Co-design can significantly improve patient flow, patient pathways, clinical and administrative processes, and financial savings. Given the pressures on the NHS in terms of shrinking funding, ageing demographics, technology, and increasing patient demand, helping those on the front line understand how to use QI methodologies well is vital. This book argues that success comes only through paying attention to and integrating QI toolkits and methods with the contextual, relational, and personal leadership domains. Beyond the Toolkit shares real-life stories told by NHS leaders who have been Fellows on GenerationQ. In sharing their stories, the book answers some of the many questions Leaders often have when wanting to introduce and benefit from QI methods.
Call Number: OnlineISBN: 9781911450542Publication Date: 2018-10-09
Evidence-Based Practice for Nursing and Healthcare Quality Improvement by Call Number: OnlineISBN: 0323480004Publication Date: 2018
The Washington manual of patient safety and quality improvement by Call Number: OnlineISBN: 1469885379Publication Date: 2016
Quality Imporvement - Journal Articles
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Loper, A. C., Jensen, T. M., Farley, A. B., Morgan, J. D., & Metz, A. J. (2022). A Systematic Review of Approaches for Continuous Quality Improvement Capacity-Building. Journal of public health management and practice : JPHMP, 28(2), E354–E361. https://doi.org/10.1097/PHH.0000000000001412
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Khurshid, Z., De Brún, A., Martin, J., & McAuliffe, E. (2021). A Systematic Review and Narrative Synthesis: Determinants of the Effectiveness and Sustainability of Measurement-Focused Quality Improvement Trainings. The Journal of continuing education in the health professions, 41(3), 210–220. https://doi.org/10.1097/CEH.0000000000000331
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Pallari, E., Khadjesari, Z., Aceituno, D., Odhiambo, C. A., Warner, R., Bastianpillai, C., Green, J. S. A., & Sevdalis, N. (2021). Implementation and Evaluation of Quality Improvement Training in Surgery: A Systematic Review. Annals of surgery, 274(6), e489–e506. https://doi.org/10.1097/SLA.0000000000004751
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de la Perrelle, L., Radisic, G., Cations, M., Kaambwa, B., Barbery, G., & Laver, K. (2020). Costs and economic evaluations of Quality Improvement Collaboratives in healthcare: a systematic review. BMC health services research, 20(1), 155. https://doi.org/10.1186/s12913-020-4981-5
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Niñerola, A., Sánchez-Rebull, M. V., & Hernández-Lara, A. B. (2020). Quality improvement in healthcare: Six Sigma systematic review. Health policy (Amsterdam, Netherlands), 124(4), 438–445. https://doi.org/10.1016/j.healthpol.2020.01.002
