Error Reduction in Health Care: A Systems Approach to Improving Patient Safety [Paperback]

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.

The Editor

Figures, Tables, and Exhibits v

Foreword ix
Lucian L. Leape

Preface xi

The Editor xvii

The Authors xix

PART ONE: The Basics of Patient Safety

Chapter 1 A Formula for Errors: Good People + Bad Systems 3
Susan McClanahan, Susan T. Goodwin, and Jonathan B. Perlin

Chapter 2 The Human Side of Medical Mistakes 21
Sven Ternov

Chapter 3 High Reliability and Patient Safety 35
Yosef D. Dlugacz and Patrice L. Spath

PART TWO: Measure and Evaluate Patient Safety

ChaptlS.