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To Do No Harm: Ensuring Patient Safety in Health Care Organizations
To Do No Harm: Ensuring Patient Safety in Health Care Organizations
To Do No Harm: Ensuring Patient Safety in Health Care Organizations
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Description


With this important resource, health care leaders from the board room to the point-of-care can learn how to apply the science of safe and best practices from industry to healthcare by changing leadership practices, models of service delivery, and methods of communication.

Table of Contents

Foreword (Lucian L. Leape)

Preface

Acknowledgments

The Authors

Introduction

  1. Declare Patient Safety Urgent and a Priority

  2. Error and Harm in Health Care

  3. Understanding the Basics of Patient Safety

  4. Assume Executive Responsibility

  5. Import New Knowledge and Skills

  6. Install a Blameless Reporting System

  7. Assign Accountability

  8. Align External Controls and Reform Education

  9. Accelerate Change For Improvement

  10. The End of the Beginning

References

Glossary

Appendixes

  1. Checklist for Assessing Institutional Resilience

  2. Creating De-Identified Case Studies for Dissemination

  3. Medical Accidents Policy: Reporting and Disclosure, Including Sentinel Events

  4. Medication Safety Team Feedback Form

  5. Patient Safety Workplan

  6. Safety Learning Report

  7. Stop-the-Line Policy: Authority to Intervene to Restore Patient Safety

  8. Complexity Lens Reflection

  9. A Brief Look at Gaps in the Continuity of Care

  10. A Brief Look at the New Look in Complex System Failure, Error, and Safety

  11. A Reminder on Every Chart

  12. List of Serious Reportable Events in Health Care

  13. Statement of Principle: Talking to Patients About Health Care Injury

  14. VHA Patient Safety Organizational Assessment

Additional Readings

Resources

Index

Author Information

Julianne M. Morath is the chief operating officer and vice president of care delivery of Children's Hospitals and Clinics in Minneapolis - St. Paul, Minnesota. She is a board member of the National Patient Safety Foundation in Chicago, Illinois.

Joanne E. Turnbull, RN, MS, is a well-known writer and speaker on the subject of patient safety. Until 2001 she was the executive director of the National Patient Safety Foundation.


Publication Date: December 2004
Number of Pages: 384
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