Error Reduction in Health Care: A Systems Approach to Improving Safety - Tapa dura

"A timely gathering of distinguished authors to guide health care professionals through the mazes of error investigation and reduction strategies. A must read for those of us responsible for adverse event review processes." --Susan Anderson, Risk Management Consultant, University of Michigan Health System "The content exceeds the reader's expectations and the text is a worthy reference in a climate of growing national attention. Its scope constitutes mandatory reading for executive and middle managers, as well as quality assurance and risk management professionals and physician leaders. The distinguished contributors bring unsurpassed expertise from a variety of sources, both inside and outside of health care. The information presented can be easily and practically applied to almost any health care setting and provides a step-by-step guide to operationalize a variety of patient safety initiatives. The concepts of latent errors, situational factors, and defective system barriers are clearly addressed. The chapter on automating root cause analysis will catch the attention of any quality assessment professional and provides practical options for error analysis. The review of proven error reduction techniques in the areas of medication administration, patient assessment, and use of restraints provide immediately useful approaches. As the health care industry struggles with a less than favorable public perception, the editor of this publication provides not only a theoretical framework to gain an understanding of the nature of error, but also outlines useful, practical, proven strategies for beginning a patient safety initiative in any health care organization. This is one of the first comprehensive references available since the subject has gained national attention." -- Catherine Buck, RN, MSN (Froedtert Hospital) in Doody's Publishing (five-star review)

An AHA Press/Jossey-Bass PublicationForeword by Lucian LeapeError Reduction in Health Care explores the complex causes of medical mistakes and offers sound advice for leaders who want to reduce the frequency of errors in health care services and mitigate the impact of those errors that do occur. The book is packed pull of examples of thorough incident investigations and process improvement recommAndations from leaders in the field of health care quality and risk management.