Cover Image

Safer Healthcare : Strategies for the Real World.

Bibliographic Details
Main Author: Vincent, Charles.
Other Authors: Amalberti, René.
Format: eBook
Language:English
Published: Cham : Springer International Publishing AG, 2016.
Edition:1st ed.
Subjects:
Electronic books.
Online Access:Click to View
Table of Contents:
  • Intro
  • Preface
  • How the Book Came to Be Written
  • The Structure of the Book
  • Acknowledgements and Thanks
  • Contents
  • List of Figures
  • 1: Progress and Challenges for Patient Safety
  • Progress on Patient Safety
  • Harm Has Been Defined Too Narrowly
  • Safety Is a Moving Target
  • Only Part of the Healthcare System Has Been Addressed
  • We Are Approaching Safety in the Same Way in All Settings
  • Our Model of Intervention Is Limited
  • Healthcare Is Changing
  • References
  • 2: The Ideal and the Real
  • The Day-to-Day Realities of Healthcare
  • Comparing Actual Care with the Care Intended by Guidelines
  • Reliability of Clinical Systems in the British NHS
  • Following the Rules: Reliability of Human Behaviour
  • The Ideal and the Real: Five Levels of Care
  • The Cumulative Impact of Poor Quality Care
  • Explicit Discussion of the Real Standard of Care Is Critical
  • What Is the Impact of Improving Quality Standards?
  • Levels of Care and Strategies for Safety Improvement
  • References
  • 3: Approaches to Safety: One Size Does Not Fit All
  • Approaches to Risk and Hazard: Embrace, Manage or Avoid
  • Three Approaches to the Management of Risk
  • Embracing Risk: The Ultra-adaptive Model
  • Managing Risk: The High Reliability Approach
  • Avoiding Risk: The Ultra-safe Approach
  • Rules and Adaptation
  • How Many Models for Healthcare?
  • Moving Between Models
  • Reflections on the Safety Ideal
  • References
  • 4: Seeing Safety Through the Patient's Eyes
  • What Do We Mean by Harm?
  • Safety and Quality of Care from the Patient's Perspective
  • Safety Through the Patient's Eyes
  • The Patient Potentially Has the Most Complete Picture
  • The Healthcare professional's View Is Necessarily Incomplete
  • The Resources of the Patient and Family Are Critical to Safe Care
  • Coordination of Care Is a Major Safety Issue
  • Rethinking Patient Safety.
  • References
  • 5: The Consequences for Incident Analysis
  • What Are We Trying to Learn When We Analyse Incidents?
  • Essential Concepts of ALARME
  • Select Problems for Analysis Which Are Important to Patients
  • Widen the Time Frame of Analysis: Review the Patient Journey
  • Success and Failure in Detection and Recovery
  • Adapting the Analysis to Context
  • References
  • 6: Strategies for Safety
  • What Options Do We Have for Improving Safety?
  • Five Safety Strategies
  • Strategy I: Safety as Best Practice
  • Strategy II: Improvement of Work Processes and Systems
  • Strategy III: Risk Control
  • Strategy IV: Monitoring, Adaptation and Response
  • Strategy V: Mitigation
  • Innovation
  • Selection and Customisation of Strategies to Clinical Context
  • References
  • 7: Safety Strategies in Hospitals
  • A Little History
  • The Enthusiasm of the Early Years, 1995-2002
  • The Advent of Professionalism 2002-2005
  • Safety Culture, Multifaceted Interventions, and Teamwork 2005-2011
  • Reflections on Safety in Hospitals
  • Safety in Hospital: Distinguishing Current and Future Strategies
  • Safety as Best Practice
  • Improving the System
  • Reducing the Burden on Staff: Simplification and Decluttering
  • Risk Control
  • Control of Medication
  • Potential for 'Go and No-Go' Controls in Surgery
  • Placing Limits on Care
  • Monitoring, Adaptation and Response
  • Patients and Families as Problem Detectors
  • Team Training in Monitoring, Adapting and Response
  • Briefings and Debriefings, Handovers and Ward Rounds
  • Mitigation
  • Support Systems for Staff and Patients
  • Regulatory and Political Determinants of Approaches to Safety
  • Safety in Context: The Many Hospital Environments
  • References
  • 8: Safety Strategies for Care in the Home
  • An Ageing Population and the Expansion of Home Care
  • The Challenges of Delivering Healthcare in the Home.
  • The Hazards of Home Care: New Risks, New Challenges
  • Accidental Injury in the Home
  • Adverse Events in Home Care
  • Adverse Drug Events
  • Risk to Family and Other Care Givers
  • Problems of Transition and Coordination
  • Influences on Safety of Healthcare Delivered in the Home
  • Socio-economic Conditions Take on a Much Greater Importance
  • The Home Environment as Risk Factor
  • Increasing Responsibilities of Carers
  • The Training and Experience of Home Care Aides
  • Fragmented Approach of Healthcare Professionals
  • Safety Strategies and Interventions in the Home
  • Optimization Strategies in Home Care: Best Practice and System Improvement
  • Discharge Planning and the Journey from Hospital to Home
  • Training of Patients and Carers
  • Risk Control Strategies in Home Care
  • Monitoring, Adaptation and Response Strategies in Home Care
  • Detecting Deterioration
  • Mitigation
  • The Responsibilities of Carers
  • Mitigation Strategies in Home Haemodialysis
  • Reflections on Home Care Safety
  • References
  • 9: Safety Strategies in Primary Care
  • Challenges for Primary Care
  • The Nature of Risk in Primary Care
  • Error and Harm in Primary Care
  • Diagnostic Errors
  • Safety as Best Practice
  • Improving the System
  • Risk Control Strategies
  • Control by Assessment of Competency
  • Control of Hazards
  • Monitoring, Adaptation and Response
  • Developing a More Systematic Approach to Watching and Waiting
  • Improving Transitions Between Hospital and Primary Care
  • Mitigation
  • Reflections on Safety in Primary Care
  • References
  • 10: New Challenges for Patient Safety
  • The Changing Nature of Healthcare
  • Improved Safety in Some Contexts
  • New Challenges for Patient Safety
  • Increasing Complexity
  • The Challenges and Risks of Care Coordination
  • The Benefits and Risks of Screening
  • The Benefits and Risks of Information Technology.
  • The Burden of Healthcare: Impact on Patients and Carers
  • A Global Revolution Rather Than a Local Evolution
  • References
  • 11: A Compendium of Safety Strategies and Interventions
  • Seeing Safety Through the Patient's Eyes
  • Considering Benefit and Harm Along the Patient Journey
  • Patient Safety as the Management of Risk Over Time
  • Adopting a Range of Safety Models
  • Developing a Wider Range of Safety Strategies
  • A Compendium of Safety Strategies
  • References
  • 12: Managing Risk in the Real World
  • Implications for Patients, Carers and Families
  • Implications for Frontline Clinicians and Managers
  • Implications for Executives and Boards
  • Implications for Regulatory Agencies and Government
  • Future Directions for Research and Practice.

Similar Items