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0 (hodnocen0 x )

EB

ONLINE

Cham : Springer International Publishing AG, 2016

1 online resource (170 pages)

ISBN 9783319255590 (electronic bk.)

ISBN 9783319255576

Print version: Vincent, Charles Safer Healthcare Cham : Springer International Publishing AG,c2016 ISBN 9783319255576

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.

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.

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 ---

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.

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.

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 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 ---

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.

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 ---

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 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 ---

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 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.

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 ---

001894795

express

(Au-PeEL)EBL6363157

(MiAaPQ)EBC6363157

(OCoLC)1291315076