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Title The Washington manual of patient safety and quality improvement / editors, Emily Fondahn, Michael Lane, Andrea Vannucci
Published Philadelphia : Wolters Kluwer, [2016]
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Description 1 online resource (xxiii, 392 pages) : illustrations
Series Lippincott manual
Lippincott manual.
Contents Machine generated contents note: 1. Introduction to Patient Safety and Quality Improvement -- Patient Safety / Victoria J. Fraser / Thomas Ciesielski -- Quality Improvement / Victoria J. Fraser / Thomas Ciesielski -- History of Patient Safety and Quality Improvement / Victoria J. Fraser / Thomas Ciesielski -- Learning from Industry / Victoria J. Fraser / Thomas Ciesielski -- Transforming Medicine into a High Reliability Organizations / Victoria J. Fraser / Thomas Ciesielski -- Error Identification and Classification / Victoria J. Fraser / Thomas Ciesielski -- The Future of Safety and Quality / Victoria J. Fraser / Thomas Ciesielski -- Conclusion / Victoria J. Fraser / Thomas Ciesielski -- 2. Introduction to Quality Improvement / Victoria J. Fraser / Thomas Ciesielski -- System of Profound Knowledge / Melvin Blanchard / Adam Carlisle -- Improving Quality in Health Care / Melvin Blanchard / Adam Carlisle
Note continued: Communication with Parents and Families / Ahmed S. Said / Kara Kniska / Matthew I. Goldsmith / Nikoleta S. Kolovos -- Medication Safety / Ahmed S. Said / Kara Kniska / Matthew I. Goldsmith / Nikoleta S. Kolovos -- 25. Medical Imaging / Ahmed S. Said / Kara Kniska / Matthew I. Goldsmith / Nikoleta S. Kolovos -- Systematic Approach to Medical Imaging / James R. Duncan / Andrew Bierhals -- Radiology Consultation / James R. Duncan / Andrew Bierhals -- 26. Patient Safety and Quality in Ambulatory Care / James R. Duncan / Andrew Bierhals -- Patient Safety in Ambulatory Care / Emily Fondahn / Michael Lane -- Medication Errors / Emily Fondahn / Michael Lane -- Diagnostic Errors / Emily Fondahn / Michael Lane -- Communication Errors / Emily Fondahn / Michael Lane -- Laboratory Errors / Emily Fondahn / Michael Lane -- Administrative Errors / Emily Fondahn / Michael Lane -- Safety and Quality in Primary Care / Emily Fondahn / Michael Lane
Note continued: Conclusion / Noah Schoenberg / Michael Lane / Emily Fondahn -- 12. Culture of Safety / Noah Schoenberg / Michael Lane / Emily Fondahn -- Establishing a "just Culture" / Myra Rubio / Richard A. Santos -- Tools for Assessing Patient Safety Culture / Myra Rubio / Richard A. Santos -- AHRQ Surveys on Patient Safety Culture / Myra Rubio / Richard A. Santos -- Patient Safety Climates and Safety Attitudes Questionnaires / Myra Rubio / Richard A. Santos -- Creating a Culture of Safety Through Error Reporting / Myra Rubio / Richard A. Santos -- Learning from Errors / Myra Rubio / Richard A. Santos -- Spreading and Sustaining Change / Myra Rubio / Richard A. Santos -- 13. Event Analysis / Myra Rubio / Richard A. Santos -- What to Do If an Error Occurs / Katherine E. Henderson / Rosalyn Corcoran -- Classification of Events / Katherine E. Henderson / Rosalyn Corcoran -- Root Cause Analysis / Katherine E. Henderson / Rosalyn Corcoran
Note continued: Creating an Outpatient Safety and Quality Program / Emily Fondahn / Michael Lane -- 27. Patient Safety Issues Specific to Psychiatry / Emily Fondahn / Michael Lane -- Delirium / Anne L. Glowinski -- Aggression / Anne L. Glowinski -- Suicide / Anne L. Glowinski -- Medication-Related Psychiatric Emergencies / Anne L. Glowinski -- Conclusion / Anne L. Glowinski -- 28. Laboratory, Transfusion Medicine, and Pathology Services / Anne L. Glowinski -- A Quality System Approach to Clinical Laboratory Services / Charles S. Eby -- Prelaboratory Processes / Charles S. Eby -- Blood Transfusion Safety and Quality Management / Charles S. Eby -- Sources of Preanalytical Errors / Charles S. Eby -- Sources of Analytical Errors / Charles S. Eby -- 29. Medication Safety / Charles S. Eby -- General Principles / Thomas M. De Fer -- Categorizing Medication Errors / Thomas M. De Fer -- Causes of Medication Errors / Thomas M. De Fer
Note continued: Crisis Management / Katherine E. Henderson / Rosalyn Corcoran -- Role of Risk Management / Katherine E. Henderson / Rosalyn Corcoran -- 14. Disclosure of Adverse Events and Medical Errors: Supporting the Patient, the Family, and the Provider / Katherine E. Henderson / Rosalyn Corcoran -- The Rationale for Disclosure / Stephen Y. Liang / Amy D. Waterman / Mary Taylor -- The Process of Disclosure / Stephen Y. Liang / Amy D. Waterman / Mary Taylor -- Caring for the Second Victim / Stephen Y. Liang / Amy D. Waterman / Mary Taylor -- Clinical Vignette Revisited / Stephen Y. Liang / Amy D. Waterman / Mary Taylor -- 15. Teamwork and Communication / Stephen Y. Liang / Amy D. Waterman / Mary Taylor -- Members of the Patient Care Team / James R. Duncan / Denise M. Murphy -- Benefits of Teamwork / Denise M. Murphy / James R. Duncan -- Characteristics of Effective Teams / James R. Duncan / Denise M. Murphy -- Communication / James R. Duncan / Denise M. Murphy
Note continued: Detecting and Tracking Medication Errors / Thomas M. De Fer -- Mitigation Strategies / Thomas M. De Fer -- 30. Transitions in Care and Readmissions / Thomas M. De Fer -- High-Risk Patients / Emily Fondahn / Elna Nagasako -- Communication during Transitions of Care / Emily Fondahn / Elna Nagasako -- Communicating with Patients / Emily Fondahn / Elna Nagasako -- Improving Transitions of Care / Emily Fondahn / Elna Nagasako -- Discharge Planning / Emily Fondahn / Elna Nagasako -- Transitional Care Teams / Emily Fondahn / Elna Nagasako -- Specific Models / Emily Fondahn / Elna Nagasako -- 31. Patient Safety in Radiation Oncology / Emily Fondahn / Elna Nagasako
Note continued: Diagnostic Error / Richard T. Griffey / Ryan Schneider / Robert F. Poirier -- Procedural Safety / Richard T. Griffey / Ryan Schneider / Robert F. Poirier -- Staff Safety / Richard T. Griffey / Ryan Schneider / Robert F. Poirier -- Teams and Teamwork / Richard T. Griffey / Ryan Schneider / Robert F. Poirier -- Communication / Richard T. Griffey / Ryan Schneider / Robert F. Poirier -- Coordination of Care / Richard T. Griffey / Ryan Schneider / Robert F. Poirier -- Discharging Patients Safely from the ED / Richard T. Griffey / Ryan Schneider / Robert F. Poirier -- 24. Patient Safety in Pediatrics / Richard T. Griffey / Ryan Schneider / Robert F. Poirier -- Unique Safety Issues in Pediatrics / Ahmed S. Said / Kara Kniska / Matthew I. Goldsmith / Nikoleta S. Kolovos -- Technology in Pediatrics / Ahmed S. Said / Kara Kniska / Matthew I. Goldsmith / Nikoleta S. Kolovos
Note continued: Encoding, Transmitting, Decoding / James R. Duncan / Denise M. Murphy -- Bandwidth / James R. Duncan / Denise M. Murphy -- Barriers to Effective Teamwork and Communication / James R. Duncan / Denise M. Murphy -- Creating More Effective Teams / James R. Duncan / Denise M. Murphy -- Wilds, Whiteboards, and Other Enabling Technologies for Self-organizing Teams / James R. Duncan / Denise M. Murphy -- 16. Human Factors / James R. Duncan / Denise M. Murphy -- Frameworks and Models / Sergio E. Trevino / Laurie Wolf -- Human Factors Assessment Form / Laurie Wolf / Sergio E. Trevino -- Conclusion / Laurie Wolf / Sergio E. Trevino -- 17. Cognition and Decision Making / Laurie Wolf / Sergio E. Trevino -- Clinical Decision-Making Models / Bryan Kane / Christopher Carpenter -- Impact of Flawed Clinical Decision Making on Patient Safety / Bryan Kane / Christopher Carpenter -- Cognitive Dispositions to Respond / Bryan Kane / Christopher Carpenter
Note continued: Laws and Policies / Jonas Marschall / Emily Fondahn -- 7. Healthcare Information Technology / Emily Fondahn / Jonas Marschall -- HIT and Clinical Decision Support Systems / Feliciano B. Yu Jr -- HIT and Adverse HIT Events (E-Iatrogenesis) / Feliciano B. Yu Jr -- HIT and Quality Measurement / Feliciano B. Yu Jr -- HIT Work Force Transformation / Feliciano B. Yu Jr -- Conclusion / Feliciano B. Yu Jr -- 8. Preventable Harm / Feliciano B. Yu Jr -- Preventable Harm / Thomas Ciesielski / Keith F. Woeltje / Emily Fondahn -- Venous Thromboembolism / Thomas Ciesielski / Keith F. Woeltje / Emily Fondahn -- Falls / Thomas Ciesielski / Keith F. Woeltje / Emily Fondahn -- Pressure Ulcers / Thomas Ciesielski / Keith F. Woeltje / Emily Fondahn -- Conclusion / Thomas Ciesielski / Keith F. Woeltje / Emily Fondahn -- 9. Health Care-Associated Infections / Thomas Ciesielski / Keith F. Woeltje / Emily Fondahn
Note continued: Methods of Quality Improvement Used in Health Care / Melvin Blanchard / Adam Carlisle -- Components of a Quality Improvement Project / Melvin Blanchard / Adam Carlisle -- Conducting a Quality Improvement Project / Melvin Blanchard / Adam Carlisle -- Measuring Quality / Melvin Blanchard / Adam Carlisle -- Quality Improvement versus Clinical Research / Melvin Blanchard / Adam Carlisle -- The Business Case for Quality Improvement / Melvin Blanchard / Adam Carlisle -- 3. Building High Reliability in the Health Care System / Melvin Blanchard / Adam Carlisle -- High Reliability Organizations / Ellen M. Lockhart / Alex S. Evers / Laureen L. Hill -- Creating an Infrastructure for Quality / Ellen M. Lockhart / Alex S. Evers / Laureen L. Hill -- Managing a Complex System / Ellen M. Lockhart / Alex S. Evers / Laureen L. Hill -- 4. Quality Improvement and Patient Safety Tools / Ellen M. Lockhart / Alex S. Evers / Laureen L. Hill
Note continued: Prevention of Health Care-Associated Infections / Bernard C. Camins / Rachael A. Lee -- Catheter-Associated Urinary Tract Infections / Bernard C. Camins / Rachael A. Lee -- Central Line-Associated Bloodstream Infections / Bernard C. Camins / Rachael A. Lee -- Ventilator-Associated Events / Bernard C. Camins / Rachael A. Lee -- Surgical Site Infections / Bernard C. Camins / Rachael A. Lee -- Clostridium difficile / Bernard C. Camins / Rachael A. Lee -- 10. Coding and Documentation / Bernard C. Camins / Rachael A. Lee -- Principles of Quality Documentation / Robert J. Mahoney / Melissa Sum -- Documentation as a Quality Component / Robert J. Mahoney / Melissa Sum -- Documentation as a Troubleshooting Tool / Robert J. Mahoney / Melissa Sum -- 11. Introduction to Patient Safety / Robert J. Mahoney / Melissa Sum -- Patient Safety Models / Noah Schoenberg / Michael Lane / Emily Fondahn -- Error Definitions / Noah Schoenberg / Michael Lane / Emily Fondahn
Note continued: Promoting Patient Safety in the Practice of Anesthesia / Andrea Vannucci / Laura F. Cavallone / Ivan Kangrga -- 22. Intensive Care / Andrea Vannucci / Laura F. Cavallone / Ivan Kangrga -- Telemonitoring/Tele-ICU / Charl de Wet / Douglas J.E. Schuerer / Michael H. Wall -- Trigger Tools / Charl de Wet / Douglas J.E. Schuerer / Michael H. Wall -- Rapid Response Teams for Decompensating Patients / Charl de Wet / Douglas J.E. Schuerer / Michael H. Wall -- Use of Bundles and Protocols to Improve Care / Charl de Wet / Douglas J.E. Schuerer / Michael H. Wall -- 23. Patient Safety in the Emergency Department / Charl de Wet / Douglas J.E. Schuerer / Michael H. Wall -- Introduction: The ED Minefield / Richard T. Griffey / Ryan Schneider / Robert F. Poirier -- Crowding, Boarding, and Its Effects / Richard T. Griffey / Ryan Schneider / Robert F. Poirier -- Time-Critical Diagnoses / Richard T. Griffey / Ryan Schneider / Robert F. Poirier
Note continued: Science of Quality Improvement / Anshuman Sharma / Binjon Sriratana -- Tools for Developing a Change; The Model for Improvement / Anshuman Sharma / Binjon Sriratana -- Testing the Change: Plan, Do, Study, Act Cycle or PDSA Cycle / Anshuman Sharma / Binjon Sriratana -- Tools for Monitoring Data / Anshuman Sharma / Binjon Sriratana -- Alternative Approaches to QI Projects / Anshuman Sharma / Binjon Sriratana -- 5. Models for Quality / Anshuman Sharma / Binjon Sriratana -- Six Sigma / David Vollman / Michael Stock / Gokul Kumar -- LEAN / David Vollman / Michael Stock / Gokul Kumar -- Difficulties and Limitations of Six Sigma and Lean in Health Care / David Vollman / Michael Stock / Gokul Kumar -- 6. Accountability and Reporting / David Vollman / Michael Stock / Gokul Kumar -- Accountability / Emily Fondahn / Jonas Marschall -- Regulatory Agencies, National Organizations, and their Requirements / Emily Fondahn / Jonas Marschall
Note continued: Special Situations / Bryan Kane / Christopher Carpenter -- 18. Tools to Improve Patient Safety / Bryan Kane / Christopher Carpenter -- Checklists / James J. Fehr / Jason C. Wagner -- Simulation / James J. Fehr / Jason C. Wagner -- Crisis Resource Management / James J. Fehr / Jason C. Wagner -- Conclusion / James J. Fehr / Jason C. Wagner -- 19. Surgery and Procedural Areas / James J. Fehr / Jason C. Wagner -- Complications from Invasive Procedures / Paul Santiago / Kathleen S. Bandt / Peter Vila / Brian Nussenbaum -- 20. Establishing a Patient Safety/Quality Improvement Program in Obstetrics / Paul Santiago / Kathleen S. Bandt / Peter Vila / Brian Nussenbaum -- 21. Patient Safety and Quality Improvement in Anesthesia / Kate Mitchell / George A. Macones -- Patient Safety in Anesthesia / Andrea Vannucci / Laura F. Cavallone / Ivan Kangrga -- Quality Improvement in Anesthesia / Andrea Vannucci / Laura F. Cavallone / Ivan Kangrga
Summary With a focus on improving systems and processes, preventing errors, and promoting transparency, this practical reference provides an overview of PS/QI fundamentals, as well as insight into how these principles apply to a variety of clinical settings. Introduces models, measurement, and tools to assess patient safety and quality improvements. Each chapter begins with a clinical vignette and discussion questions, and offers additional resources for further reading. This unique volume provides the knowledge and skills necessary for an effective, proactive approach to patient safety and quality improvement. -- Provided by publisher
Bibliography Includes bibliographical references and index
Notes Print version record
Subject Patient Safety.
Quality Improvement.
Medical care -- Quality control.
Medical errors -- Prevention.
Form Electronic book
Author Fondahn, Emily, editor
Lane, Michael (Michael Andrew), editor
Vannucci, Andrea, 1964- editor
LC no. 2015049525
ISBN 1469885379 (electronic bk.)
9781469885377 (electronic bk.)
Other Titles Manual of patient safety and quality improvement