Download or read book A Root Cause Analysis of the Barriers to Transparency Among Physicians written by Bianca Perez and published by . This book was released on 2011 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt: Transparency in healthcare relates to formally reporting medical errors and disclosing bad outcomes to patients and families. Unfortunately, most physicians are not in the habit of communicating transparently, as many studies have shown the existence of a large medical error information gap. Research also shows that creating a culture of transparency would mutually support patient safety and risk management goals by concomitantly reducing medical errors and alleviating the malpractice crisis. Three predictor variables are used to represent the various dimensions of the context just described. Perfectionism represents the intrapersonal domain, socio-organizational climate represents the interpersonal and institutional domains, and medico-legal environment represents the societal domain. Chin and Benne's normative re-educative strategy provides theoretical support for the notion that successful organizational change hinges upon addressing the structural and cultural barriers displayed by individuals and groups. The Physician Transparency Questionnaire was completed by 270 physicians who were drawn from a multi-site healthcare organization in Central Florida. Structural equation modeling was used to determine whether perfectionism, socio-organizational climate, and medico-legal environment significantly predict two transparency outcomes, namely, error reporting transparency and provider-patient transparency. Perfectionism and socio-organizational climate were found to be statistically significant predictors. Collectively, these variables accounted for nearly half of the variance in each transparency outcome. Within socio-organizational climate, policies had the greatest influence on transparency, followed by immunity and professional norms. Multiple group analysis showed that the covariance model developed in this study generalizes across gender, medical specialty, and occupation. In addition, group means comparisons tests revealed a number of interesting trends in error reporting and disclosure practices that provide insights about the behavioral and cognitive psychology behind transparent communication: 1) Physicians are more inclined to engage in provider-patient transparency compared to error reporting transparency, 2) physicians are more inclined to report serious errors compared to less serious errors, and 3) physicians are more inclined to express sympathy for bad outcomes than they are to apologize for a preventable error or be honest about the details surrounding bad outcomes. These results suggest that change efforts would need to be directed at medical education curricula and health provider organizations to ensure that current and future generations of physicians replace the pursuit for perfectionism with the pursuit for excellence. Also, a number of institutional changes are recommended, such as clearly communicating transparency policies and guidelines, promoting professional norms that encourage learning from mistakes rather than an aversion to error, and reassuring physicians that reporting and disclosure activities will not compromise their reputation. From the perspective of patient safety advocates and risk managers, the results are heartening because they emphasize a key principle in quality improvement - i.e., small changes can yield big results. From an ethical standpoint, this research suggests that healthcare organizations can inhibit (or facilitate) the emergence of professional virtues. Thus, although organizations cannot make a physician become virtuous, it is within their power to create conditions that encourage the physician to practice certain virtues. With respect to leadership styles, this research finds that bottom-up, grassroots change efforts can elicit professional virtues, and that culture change in healthcare lies beyond the scope of the medico-legal system.
Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Download or read book Improving Diagnosis in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-12-29 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
Download or read book Risk Communication for the Future written by Mathilde Bourrier and published by Springer. This book was released on 2018-06-27 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: The conventional approach to risk communication, based on a centralized and controlled model, has led to blatant failures in the management of recent safety related events. In parallel, several cases have proved that actors not thought of as risk governance or safety management contributors may play a positive role regarding safety. Building on these two observations and bridging the gap between risk communication and safety practices leads to a new, more societal perspective on risk communication, that allows for smart risk governance and safety management. This book is Open Access under a CC-BY licence.
Download or read book Making Healthcare Safe written by Lucian L. Leape and published by Springer Nature. This book was released on 2021-05-28 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement’s founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today’s modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an “insider’s” tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care.
Download or read book Engineering a Learning Healthcare System written by National Academy of Engineering and published by National Academies Press. This book was released on 2011-07-14 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.
Download or read book Keeping Patients Safe written by Institute of Medicine and published by National Academies Press. This book was released on 2004-03-27 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.
Download or read book Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care Health Systems and Health Policy written by Mark W. Friedberg and published by Rand Corporation. This book was released on 2013-10-09 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report presents the results of a series of surveys and semistructured interviews intended to identify and characterize determinants of physician professional satisfaction.
Download or read book Crossing the Global Quality Chasm written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-01-27 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.
Download or read book Ethical and Legal Issues in Neurology written by James L. Bernat and published by Newnes. This book was released on 2014-01-09 with total page 467 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advances in our understanding of the brain and rapid advances in the medical practice of neurology are creating questions and concerns from an ethical and legal perspective. Ethical and Legal Issues in Neurology provides a detailed review of various general aspects of neuroethics, and contains chapters dealing with a vast array of specific issues such as the role of religion, the ethics of invasive neuroscience research, and the impact of potential misconduct in neurologic practice. The book focuses particular attention on problems related to palliative care, euthanasia, dementia, and neurogenetic disorders, and concludes with examinations of consciousness, personal identity, and the definition of death. This volume focuses on practices not only in North America but also in Europe and the developing world. It is a useful resource for all neuroscience and neurology professionals, researchers, students, scholars, practicing clinical neurologists, mental health professionals, and psychiatrists. - A comprehensive introduction and reference on neuroethics - Includes coverage of how best to understand the ethics and legal aspects of dementia, palliative care, euthanasia and neurogenetic disorders - Brings clarity to issues regarding ethics and legal responsibilities in the age of rapidly evolving brain science and related clinical practice
Download or read book The Healthcare Imperative written by Institute of Medicine and published by National Academies Press. This book was released on 2011-01-17 with total page 852 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.
Download or read book Emergency Department Compliance Manual written by Rusty Mcnew and published by Wolters Kluwer. This book was released on 2013-01-23 with total page 1072 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emergency Department Compliance Manual, 2013 Edition provideseverything you need to stay in compliance with complex emergency departmentregulations.The list of questions helps you quickly locate specific guidance on difficultlegal areas such as:Complying with COBRADealing with psychiatric patientsNegotiating consent requirementsObtaining reimbursement for ED servicesAvoiding employment law problemsEmergency Department Compliance Manual also features first-handadvice from staff members at hospitals that have recently navigated a JointCommission survey and includes frank and detailed information. Organized bytopic, it allows you to readily compare the experiences of different hospitals.Because of the Joint Commission's hospital-wide, function-based approach toevaluating compliance, it's been difficult to know specifically what'sexpected of you in the ED...Emergency Department Compliance Manualincludes a concise grid outlining the most recent Joint Commission standardswhich will help you learn what responsibilities you have for demonstratingcompliance.Plus, Emergency Department Compliance Manual includes sampledocumentation that hospitals across the country have used to show compliancewith legal requirements and Joint Commission standards:Age-related competenciesPatient assessment policies and proceduresConsent formsAdvance directivesPolicies and protocolsRoles and responsibilities of ED staffQuality improvement toolsConscious sedation policies and proceduresTriage, referral, and discharge policies and proceduresAnd much more!Emergency Department Compliance Manual has been updatedto include new and updated legal and regulatory information affecting your ED,including:Updated questions and answers, covering such topics as:Physician Payment Sunshine Act requirementsWhat a HIPAA audit involvesJoint Commission requirements for patient-centered communicationJoint Commission requirements for the use of scribesHospitals' response to uncompensated emergency department careFactors, including drug shortages, that affect patient safetyJoint Commission requirements to manage patient flowThe Supreme Court decision's impact on health care reformFraud and abuse updatesOIG reassignment alertStage 2 meaningful use requirementsAffordable Care Act summary of health plan benefits and coverage (SBC)requirementsHospital value-based purchasing updateMedicare Shared Savings Program requirementsNew Joint Commission survey questions and answersUpdated sections on hospital accreditation standardsNew and updated forms, policies, and other reference materials to facilitatecompliance, including:Memorandum of Understanding Regarding Reciprocal Lateral TransferSample Lateral Transfer into HospitalTransfer ProcessCommonly Abused Prescription DrugsMedication Use AgreementED Director's Weekly Wrap-Up Reportto StaffCommunication Template: Staff MeetingSafety TriggersED Registered Nurse Clinical Ladder ProgramED Registered Nurse Clinical Ladder Program: Expectations/Criteria for EachDimensionED Nursing Education File ChecklistED New Hire PlanExtra Shift Bonus PolicyGuidelines for Extra Shift Bonus PayED Overtime JustificationED Communication ChecklistED Downtime Track
Download or read book Pediatric Board Study Guide written by Osama Naga and published by Springer. This book was released on 2015-03-27 with total page 611 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covers the most frequently asked and tested points on the pediatric board exam. Each chapter offers a quick review of specific diseases and conditions clinicians need to know during the patient encounter. Easy-to-use and comprehensive, clinicians will find this guide to be the ideal final resource needed before taking the pediatric board exam.
Download or read book Beyond the HIPAA Privacy Rule written by Institute of Medicine and published by National Academies Press. This book was released on 2009-03-24 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the realm of health care, privacy protections are needed to preserve patients' dignity and prevent possible harms. Ten years ago, to address these concerns as well as set guidelines for ethical health research, Congress called for a set of federal standards now known as the HIPAA Privacy Rule. In its 2009 report, Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research, the Institute of Medicine's Committee on Health Research and the Privacy of Health Information concludes that the HIPAA Privacy Rule does not protect privacy as well as it should, and that it impedes important health research.
Download or read book Error Reduction and Prevention in Surgical Pathology written by Raouf E. Nakhleh and published by Springer. This book was released on 2019-07-09 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 1st edition of Error Reduction and Prevention in Surgical Pathology was an opportunity to pull together into one place all the ideas related to errors in surgical pathology and to organize a discipline in error reduction. This 2nd edition is an opportunity to refine this information, to reorganize the book to improve its usability and practicality, and to include topics that were not previously addressed. This book serves as a guide to pathologists to successfully avoid errors and deliver the best diagnosis possible with all relevant information needed to manage patients. The introductory section includes general principles and ideas that are necessary to understand the context of error reduction. In addition to general principles of error reduction and legal and regulatory responsibilities, a chapter on regulatory affairs and payment systems which increasingly may be impacted by error reduction and improvement activities was added. This later chapter is particularly important in view of the implementation of various value-based payment programs, such as the Medicare Merit-Based Incentive Payment System that became law in 2015. The remainder of the book is organized in a similar manor to the 1st edition with chapters devoted to all aspects of the test cycle, including pre-analytic, analytic and post-analytic. The 2nd Edition of Error Reduction and Prevention in Surgical Pathology serves as an essential guide to a successfully managed laboratory and contains all relevant information needed to manage specimens and deliver the best diagnosis.
Download or read book Digital Transformation in Healthcare 5 0 written by Rishabha Malviya and published by Walter de Gruyter GmbH & Co KG. This book was released on 2024-05-20 with total page 480 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book "Digital Transformation in Healthcare 5.0: Metaverse, Nanorobots, and Machine Learning" is a comprehensive discussion of disruptive technologies and their applications in healthcare. The book starts with an overview of blockchain technology's impact on the healthcare sector, emphasizing its potential to improve data security and interoperability. The book also discusses the Metaverse's role in healthcare transformation, utilizing a blockchain method to improve patient care and medical practices. The book also focuses on the interrelationships of Blockchain-Enabled Metaverse Healthcare Systems and Applications, highlighting innovative strategies. It also introduces an Intraocular Pressure Monitoring System for Glaucoma Patients, demonstrating the integration of IoT and Machine Learning for improved care. The book winds up with a Machine Learning Approach to Voice Analysis in Parkinson's disease Diagnosis, demonstrating the potential of voice analysis as a non-invasive diagnostic tool.
Download or read book Clarity in Healthcare Quality written by Dr Mazen M Salama and published by Mazenz.com. This book was released on 2023-01-09 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt: Section One: Healthcare Quality The healthcare industry is constantly evolving, and with it comes the need for quality professionals to ensure that patients receive the best possible care. This section will introduce the concept of healthcare quality and the various aspects that contribute to it. We will discuss the importance of value in healthcare and the shift towards a value-based system. We will also introduce the principles of total quality management and how they can be applied in the healthcare setting to improve the quality of care. Section Two: Organizational Leadership Effective leadership is essential in the healthcare industry, as it plays a crucial role in the overall quality of care provided to patients. This section will delve into the importance of leadership in the healthcare system and how it affects the quality of care. We will discuss different leadership styles and the role of strategic planning and change management in healthcare organizations. We will also cover the concept of a learning organization and the importance of effective communication in the quality improvement process. Section Three: Performance and Process Improvement Continuous improvement is key to ensuring that patients receive the highest quality of care. This section will introduce the essential components of the performance and process improvement process, including the role of quality councils, initiatives, and performance improvement approaches. We will discuss the use of quality/performance improvement plans, risk management, and occurrence reporting systems to identify and address potential issues. We will also cover the importance of infection prevention and control, utilization management, and patient safety in the quality improvement process. Section Four: Data Analysis Data plays a crucial role in the healthcare industry, as it allows quality professionals to identify trends and patterns and to measure the effectiveness of interventions. This section will introduce the basics of data analysis in healthcare, including different types of data, basic statistics, and the use of statistical tests to measure the significance of findings. We will also discuss the importance of data definition and sources, as well as the various methods used to collect data in the healthcare setting. Section Five: Patient Safety Ensuring patient safety is a top priority in the healthcare industry, and this section will delve into the various strategies and approaches used to improve patient safety. We will discuss the role of risk management and occurrence reporting systems in identifying and addressing potential issues, as well as the importance of infection prevention and control and medication management in ensuring patient safety. We will also cover the use of adverse patient occurrence reporting and the global trigger tool to identify and address potential safety concerns. Section Six: Accreditation and Legislation Compliance with regulatory standards is essential in the healthcare industry, and this section will introduce the various accreditation and legislation bodies that oversee the quality of healthcare services. We will discuss the role of organizations such as the Joint Commission and the Centers for Medicare and Medicaid Services in ensuring compliance with standards, as well as the importance of adhering to laws and regulations such as HIPAA and the Affordable Care Act. We will also cover the appeal process for addressing patient concerns and the importance of maintaining confidentiality, privacy, and security in the healthcare setting.
