Error Reduction in Health Care

Completely revised and updated, this second edition of Error Reduction in Health Care offers a step-by-step guide for implementing the recommendations of the Institute of Medicine to reduce the frequency of errors in health care services and to mitigate the impact of errors when they do occur. With contributions from noted leaders in health safety, Error Reduction in Health Care provides information on analyzing accidents and shows how systematic methods can be used to understand hazards before accidents occur. In the chapters, authors explore how to prioritize risks to accurately focus efforts in a systems redesign, including performance measures and human factors. This expanded edition covers contemporary material on innovative patient safety topics such as applying Lean principles to reduce mistakes, opportunity analysis, deductive adverse event investigation, improving safety through collaboration with patients and families, using technology for patient safety improvements, medication safety, and high reliability organizations. Praise for the prior edition: "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. 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."--Doody's Publishing, five-star review