This practical resource explains the process of creating and sustaining a just culture in which staff members are encouraged to report adverse events to improve quality care. You'll get sure-fire strategies to gain buy-in from leadership, improve employee satisfaction, and turn mistakes and near-misses into useful data to improve processes and reporting. Help your nurses understand it's not the ?who? but the ?what? that went wrong. This book will help you: Overcome potential roadblocks to culture change with successful strategies from accomplished patient safety, risk, and nursing experts. Motivate staff to report adverse events. Discover how a just culture increases patient safety, nurse satisfaction, and retention. Evolve your current culture into a just culture using the easy-to-understand, step-by-step instructions.
In First, Do Less Harm, twelve health care professionals and researchers plus two former patients look at patient safety from a variety of perspectives, finding many of the proposed solutions to be inadequate or impractical. Several contributors to this book attribute the failure to confront patient safety concerns to the influence of the 'market model' on medicine and emphasize the need for hospital-wide teamwork and greater involvement from frontline workers (from janitors and aides to nurses and physicians) in planning, implementing, and evaluating effective safety initiatives. Several chapters in First, Do Less Harm focus on the critical role of interprofessional and occupational practice in patient safety. Rather than focusing on the usual suspects-physicians, safety champions, or high level management-these chapters expand the list of 'stakeholders' and patient safety advocates to include nurses, patient care assistants, and other staff, as well as the health care unions that may represent them. First, Do Less Harm also highlights workplace issues that negatively affect safety: including sleeplessness, excessive workloads, outsourcing of hospital cleaning, and lack of teamwork between physicians and other health care staff. In two chapters, experts explain why the promise of health care information technology to fix safety problems remains unrealized, with examples that are at once humorous and frightening. A book that will be required reading for physicians, nurses, hospital administrators, public health officers, quality and risk managers, healthcare educators, economists, and policymakers, First, Do Less Harm concludes with a list of twenty-seven paradoxes and challenges facing everyone interested in making care safe for both patients and those who care for them..
Describes (using case studies) various types of medical errors, the stressed health care system and what doctors, nurses, hospital CEOs, and policy makers must do to make it right. Appendices include dangerous abgreviations used in prescribing, easily confused sound-alike and look-alike drugs, questions [patients] may want to ask the hospital, medical group, or doctor to reduce the chances of medical mistakes.
The goal of this book is to equip health care leaders in all disciplines, in any setting, with the knowledge, insights, strategies and tools that will enable them to create and lead a safety facilities.
Includes bibliographical references (p. 245-254, 331-334) and index.