|Krause, Thomas R. / Hidley, John|
Taking the Lead in Patient Safety
How Healthcare Leaders Influence Behavior and Create Culture
1. Auflage November 2008
2008. 304 Seiten, Hardcover
ISBN 978-0-470-22539-4 - John Wiley & Sons
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Medical accidents account for over 50,000 patient deaths every year in U.S. hospitals alone. Through a wealth of case studies, A Patient Safety Primer for Healthcare Leaders provides examples of how to address the most pressing safety concerns a hospital safety officer may face. Written primarily for hospital safety professionals and managers establishing a variety of ways to maximize hospital safety, the book provides a model to establish a culture of safety in the medical workplace, outlining leadership and organizational plans to minimize danger to both patients and hospital workers alike.
Aus dem Inhalt
Foreword by Diane C. Pinakiewicz, M.B.A.
About this book.
1. What Determines Patient Safety?
Why make safety happen?
What stands in the way of improved healthcare safety?
Whose job is it to take the lead?
2. Blueprint for Healthcare Safety Excellence.
The working interface: Where exposure to hazard can occur.
Healthcare safety-enabling elements.
Organizational sustaining systems.
The charge of the safety leader.
3. Nine Dimensions of Organizational Culture.
Measuring culture with the Organizational Culture Diagnostic Instrument.
Organizational dimensions: The four pillars of culture.
Why do some organizations change more readily than others?
4. Qualities of a Great Safety Leader.
The Safety Leadership Model.
Measuring leadership with the Leadership Diagnostic Instrument (LDI).
Personal safety ethic.
5. Leadership Best Practices.
Recognition and feedback.
Measuring leadership best practices with the LDI.
6. Changing Behavior with Applied Behavior Analysis.
What is behavior change?
Antecedents, behaviors, and consequences.
Putting the tools to work in your organization.
7. Protecting Your Decision Making from Cognitive Bias.
Tragedy on Mount Everest.
Cognitive bias and healthcare safety.
Biases of data selection.
Biases of data use.
Case study: Cognitive bias in manufacturing.
Putting your cognitive bias knowledge to work.
8. Designing Your Safety Improvement Intervention.
The Leading with Safety process.
Phase I: The Patient Safety Academy.
Step 1: Gain leadership alignment on patient safety as a strategic priority.
Step 2: Develop a patient safety vision.
Step 3: Perform a current state analysis.
Step 4: Develop a high-level intervention plan for phase II.
9. Launching Culture Change for Patient and Employee Safety.
Phase II: Achieving safety throughout the organization.
Step 5: Engage the organization in the Leading with Safety process.
Step 6: Realign systems, both enabling and sustaining.
Step 7: Establish a system for behavior observation, feedback, and problem solving.
Step 8: Sustain the Leading with Safety process or continual improvement.
Case history: Exemplar HealthNet.
10. NASA After Columbia: Lessons for Healthcare.
NASA's approach to culture and climate transformation.
Assessing NASA's existing culture and climate.
BST's NASA intervention.
Results at NASA.
Lessons for healthcare.