Download or read book Safety Differently written by Sidney Dekker and published by CRC Press. This book was released on 2014-06-23 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of a bestseller, Safety Differently: Human Factors for a New Era is a complete update of Ten Questions About Human Error: A New View of Human Factors and System Safety. Today, the unrelenting pace of technology change and growth of complexity calls for a different kind of safety thinking. Automation and new technologies have resu

Download or read book Learning Not Blaming written by Great Britain: Department of Health and published by . This book was released on 2015-07-16 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dated July 2015. Print and web pdfs are available at https://www.gov.uk/government/publications. Government response to: The Freedom to speak up consultation, the Administration Select Committee's 6th report , HCP 886 session 14/15 (ISBN 9780215085757) & The report of the Morecambe Bay investigation (ISBN 9780108561306) Web ISBN=9781474123723

Download or read book Beyond Blame written by Dave Zwieback and published by "O'Reilly Media, Inc.". This book was released on 2015-10-07 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: "IT veteran Dave Zweiback describes an incident that threatens the very existence of a large financial institution, and the counterintuitive steps its leadership took to stop the downward spiral. Their novel approach is grounded in proven concepts from complexity science, resilience engineering, human factors, cognitive science, and organizational psychology. It allows us to identify the underlying conditions for failure, and make our systems (and organizations) safer and more resilient."--Page 4 of cover

Download or read book Lead Without Blame written by Diana Larsen and published by Berrett-Koehler Publishers. This book was released on 2022-09-27 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: A detailed framework for leaders to move past outdated workplace blame and shame strategies to cultivate resilient teams capable of facing adversity and setbacks confidently. Workplace finger-pointing stifles creativity, reduces productivity, and limits psychological safety. Although no one sets out to be judgmental, learning new habits is hard. Two experienced leadership and agilists coaches share a road-tested leadership model that continuously embraces humility and failure as part of the growth process to deliver results. By facilitating blame-free retrospective meetings, leaders chart a productive path forward. They amplify three essential motivators of purpose, autonomy, and co-intelligence within their team. Layered on with four resilience factors: inclusive collaboration, transparent power dynamics, collaborative learning, and embracing conflict. After applying these strategies, learning leaders will help their teams and themselves become more resilient and better equipped to handle any unexpected and challenging tasks that comes their way.

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 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 But It s Not My Fault written by Julia Cook and published by Boys Town Press. This book was released on 2018-01-23 with total page 35 pages. Available in PDF, EPUB and Kindle. Book excerpt: It just isn't Noodle's fault that his mom forgot to remind him to turn in his library book. Or that he didn't finish his homework. Luckily he learns not to blame others, but instead to take responsibility for his actions.

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 Black Box Thinking written by Matthew Syed and published by Penguin. This book was released on 2015-11-03 with total page 377 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nobody wants to fail. But in highly complex organizations, success can happen only when we confront our mistakes, learn from our own version of a black box, and create a climate where it’s safe to fail. We all have to endure failure from time to time, whether it’s underperforming at a job interview, flunking an exam, or losing a pickup basketball game. But for people working in safety-critical industries, getting it wrong can have deadly consequences. Consider the shocking fact that preventable medical error is the third-biggest killer in the United States, causing more than 400,000 deaths every year. More people die from mistakes made by doctors and hospitals than from traffic accidents. And most of those mistakes are never made public, because of malpractice settlements with nondisclosure clauses. For a dramatically different approach to failure, look at aviation. Every passenger aircraft in the world is equipped with an almost indestructible black box. Whenever there’s any sort of mishap, major or minor, the box is opened, the data is analyzed, and experts figure out exactly what went wrong. Then the facts are published and procedures are changed, so that the same mistakes won’t happen again. By applying this method in recent decades, the industry has created an astonishingly good safety record. Few of us put lives at risk in our daily work as surgeons and pilots do, but we all have a strong interest in avoiding predictable and preventable errors. So why don’t we all embrace the aviation approach to failure rather than the health-care approach? As Matthew Syed shows in this eye-opening book, the answer is rooted in human psychology and organizational culture. Syed argues that the most important determinant of success in any field is an acknowledgment of failure and a willingness to engage with it. Yet most of us are stuck in a relationship with failure that impedes progress, halts innovation, and damages our careers and personal lives. We rarely acknowledge or learn from failure—even though we often claim the opposite. We think we have 20/20 hindsight, but our vision is usually fuzzy. Syed draws on a wide range of sources—from anthropology and psychology to history and complexity theory—to explore the subtle but predictable patterns of human error and our defensive responses to error. He also shares fascinating stories of individuals and organizations that have successfully embraced a black box approach to improvement, such as David Beckham, the Mercedes F1 team, and Dropbox.

Download or read book Success for Every Student written by Michele Pollnow and published by Rowman & Littlefield. This book was released on 2017-08-03 with total page 173 pages. Available in PDF, EPUB and Kindle. Book excerpt: Success for Every Student: A Guide to Teaching and Learning contains research and evidence based classroom practices that maximize learning for all students. Throughout the book the authors deliver a common sense approach to proven teaching strategies that help learners reach their potential. Ultimately, it is the teacher behaviors that have the greatest impact on student behaviors. Success for Every Student is packed full of tools and tips in everything from classroom management to formative assessment that give busy teachers what they need to become more efficient and effective professionals in their classrooms and schools. At the end of each chapter are real life scenarios for readers to reflect and think about what they would do given the situation. As a bonus, the book has a companion website that provides more tools and covers current topics in the education news. This practical book provides sound suggestions and guidance to help create a culture of learning in classrooms and schools where high expectations are the norm and there is an opportunity of success for every student.

Download or read book Running on Empty written by Jonice Webb and published by Morgan James Publishing. This book was released on 2012-10-01 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: A large segment of the population struggles with feelings of being detached from themselves and their loved ones. They feel flawed, and blame themselves. Running on Empty will help them realize that they're suffering not because of something that happened to them in childhood, but because of something that didn't happen. It's the white space in their family picture, the background rather than the foreground. This will be the first self-help book to bring this invisible force to light, educate people about it, and teach them how to overcome it.

Download or read book A Holistic Approach to Lessons Learned written by Moria Levy and published by CRC Press. This book was released on 2017-12-15 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book presents a holistic approach to organization performance improvements by lessons learned management. Such an approach is required because specific methods, such as debriefing, task management or procedures updates, do not achieve actual improvements. The presented model spans the entire life cycle of lessons learned: Starting from creating new lessons, moving on to knowledge refining and ending with smart integration into the organizational environment so future re-use of knowledge is enabled. The model also addresses other sources of organizational learning including quality processes and employee experience utilization.

Download or read book Don t Blame the Messenger written by Lee Kronert and published by WestBow Press. This book was released on 2012-10-15 with total page 183 pages. Available in PDF, EPUB and Kindle. Book excerpt: The public education system in New York is in turmoil. Is this because of leadership in Albany, the No Child Left Behind Act, parents who fail in their effort to raise children properly, or is it just the fault of kids who show little to no respect for authority, peers, or themselves? Or should we accept the most popular place of blame? The teacher is the problem. The former world, where teachers were revered, looked up to by children and parents, and respected because of the crucial role they played, is all but a forgotten memory. Today, parents and school administrators often demonize teachers and are openly critical of the tenure system, which protects their positions seemingly forever. Riverton School District has lots of issues. There is rampant bullying and peer intimidation. Some kids are even afraid to come to school. The disrespect and outrageous behavior runs not only unchecked, but leadership in Albany wants to see even less discipline and consequences for the young perpetrators. Brendan Moss teaches eighth-grade math at Riverton. As a widower and devoted father of three, he does his best to assist young people, but the school superintendent wants to use the veteran math teacher as a test case to overturn the right to lifetime tenure. Dont Blame the Messenger addresses school policies, State Department of Education leadership, bullying, and why a teachers tenure should be maintained and viewed as something good for kids and the process of learning. The author works in the trenches, where truth and reality collide. Opinions on what is wrong with public education vary. Dont Blame the Messenger is written by a teacher who knows how it really is.

Download or read book Higher Ambition written by Michael Beer and published by Harvard Business Press. This book was released on 2011-08-23 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Meeting the new standard for leadership. Higher Ambition is required reading for every leader who refuses to compromise between people and performance. Choosing one or the other may have worked in the past, but it won’t work now. As global competition stiffens and businesses face increased public scrutiny and renewed government regulation, leaders must win on all fronts—with their people, their customers, their communities, and their shareholders. In short, they must deliver superior economic and social value. Brimming with powerful stories and thoughtful advice from CEOs themselves, Higher Ambition equips leaders with the practical insights they need to meet this new and higher standard. The authors, an international team of experts from leading business schools and consultancies, offer a unique view into the minds of some of the most successful and insightful leaders of our time: CEOs from vanguard companies around the world that have demonstrated the distinctive ability to do good while also doing well. These organizations are as diverse as Standard Chartered Bank, Infosys, Volvo, Cummins, IKEA, the Tata Group, and Campbell’s Soup. Readers will learn the principles and practices these pioneering leaders are using to: • Build enduring enterprises that simultaneously solve for people and profits • Forge winning strategies that leverage their companies’ unique cultural and human capabilities • Dramatically raise the aspirations and ambitions of their people • Energize and align their diverse global firms • Relentlessly upgrade leadership capabilities throughout their organizations Drawing on the author team’s extensive research and in-depth interviews with successful leaders from around the globe, this provocative new book is poised to become a management classic in the tradition of In Search of Excellence and Built to Last.

Download or read book Wrightslaw written by Peter W. D. Wright and published by . This book was released on 2002 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: Aimed at parents of and advocates for special needs children, explains how to develop a relationship with a school, monitor a child's progress, understand relevant legislation, and document correspondence and conversations.

Download or read book No Excuses written by Stephan Thernstrom and published by Simon and Schuster. This book was released on 2009-07-14 with total page 361 pages. Available in PDF, EPUB and Kindle. Book excerpt: Black and Hispanic students are not learning enough in our public schools, and their typically poor performance is the most important source of ongoing racial inequality in America today—thus, say Abigail and Stephan Thernstrom, the racial gap in school achievement is the nation's most critical civil rights issue and an educational crisis; it's no wonder that "No Child Left Behind," the 2001 revision of the Elementary and Secondary Education Act, made closing the racial gap in education its central goal. An employer hiring the typical Black high school graduate or the college that admits the average Black student is choosing a youngster who has only an eighth-grade education. In most subjects, the majority of twelfth-grade Black students do not have even a "partial mastery" of the skills and knowledge that the authoritative National Assessment of Educational Progress calls "fundamental for proficient work" at their grade. No Excuses marshals facts to examine the depth of the problem, the inadequacy of conventional explanations, and the limited impact of Title I, Head Start, and other familiar reforms. Its message, however, is one of hope: Scattered across the country are excellent schools getting terrific results with high-needs kids. These rare schools share a distinctive vision of what great schooling looks like and are free of many of the constraints that compromise education in traditional public schools. In a society that espouses equal opportunity we still have a racially identifiable group of educational have-nots—young African Americans and Latinos whose opportunities in life will almost inevitably be limited by their inadequate education. When students leave high school without high school skills, their futures—and that of the nation—are in jeopardy. With successful schools already showing the way, no decent society can continue to turn a blind eye to such racial and ethnic inequality.

Download or read book Blaming Teachers written by Diana D'Amico Pawlewicz and published by Rutgers University Press. This book was released on 2020-08-14 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Blaming Teachers, Diana D'Amico Pawlewicz reveals that historical professionalization reforms subverted public school teachers' professional legitimacy. Policymakers and school leaders understood teacher professionalization initiatives as efficient ways to bolster the bureaucratic order of the schools rather than as means to amplify teachers' authority and credibility.