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Error Reduction in Health Care: A Systems Approach to Improving Patient Safety - Second Edition

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2011, Jossey Bass, softcover, 416 pages

ISBN 978-0-470-50240-2

Medical accidents, near-miss situations and recommendations for preventing such events are nothing new; there have been innumerable documented cases of accidents with outcomes ranging to mild discomfort to near-death or even death. Patient safety improvement is what Error Reduction in Health Care is all about. In this book you will discover why errors occur at the front lines of patient care and what is necessary to prevent these errors. Some of the fixes are fairly simple, such as the use of checklists to remind caregivers of required actions, which others are much more costly, such as implementation of a computerized order entry system. Some even challenge traditional assumptions, such as breaking down professional silos. But all require systems thinking in order for problems to be broken down into parts in order to address the underlying problems.

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 system redesign, including performance measures and human factors.
The book consists of five parts:

  • The Basics of Patient Safety
  • Measure and Evaluate Patient Safety
  • Reactive and Proactive Safety Investigations
  • How to Make Health Care Processes Safer
  • Focused Patient Safety Initiatives

Completely revised and updated, with numerous figures, tables and exhibits to aid understanding, this second edition of Error Reduction in Health Care offers a step-by-step guide for implementing the recommendations of the Institute of Medicine (IOM) to reduce the frequency of errors in health care services and to mitigate the impact of errors when they do occur.

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.

Patrice L. Spath, MA, RHIT, is President of Brown-Spath & Associates and Assistant Professor in the Department of Health Services Administration at the University of Alabama in Birmingham. She serves on the advisory board for WebM&M, an online case-based journal and forum on patient safety and health care quality sponsored by the Agency for Healthcare Research and Quality. Spath has authored numerous books and journal articles on health care performance improvement and patient safety.


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