Research Catalog

Details

Additional authors

1. Turnbull, Joanne E., 1949-

Description

1. xxviii, 354 pages : illustrations; 25 cm

Subject

1. Health facilities
2. Medical Errors > prevention & control
3. Organizational Innovation
4. Truth Disclosure
5. Health Facility Administration
6. Medical errors > Prevention
7. Safety Management > organization & administration

Contents

1. Foreword / Lucian L. Leape -- 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 -- App. 1. Checklist for assessing institutional resilience -- App. 2. Creating de-identified case studies for dissemination -- App. 3. Medical accidents policy : reporting and disclosure, including sentinel events -- App. 4. Medication safety and team feedback form -- App. 5. Patient safety workplan -- App. 6. Safety learning report -- App. 7. Stop-the-line- policy : authority to intervene to restore patient safety -- App. 8. Complexity lens reflection -- App. 9. A brief look at gaps in the continuity of care -- App. 10. A brief look at the new look in complex system failure, error, and safety -- App. 11. A reminder on every chart -- App. 12. List of serious reportable events in health care -- App. 13. Statement of principle : talking to patients about health care injury -- App. 14. VHA patient safety organizational assessment.

Owning institution

1. Columbia University Libraries

Bibliography (note)

1. Includes bibliographical references (p. 331-344) and index.