The book follows a proven training outline, including real-life examples and exercises, to teach healthcare professionals and students how to lead effective and successful Root Cause Analysis (RCA) to eliminate patient harm. This book discusses the need for RCA in the healthcare sector, providing practical advice for its facilitation. It addresses when to use RCA, how to create effective RCA action plans, and how to prevent common RCA failures. An RCA training curriculum is also included. This book is intended for those leading RCAs of patient harm events, leaders, students, and patient safety advocates who are interested in gaining more knowledge about RCA in healthcare.

The book follows a proven training outline, including real-life examples and exercises, to teach healthcare professionals and students how to lead effective and successful Root Cause Analysis (RCA) to eliminate patient harm. This book discusses the need for RCA in the healthcare sector, providing practical advice for its facilitation. It addresses when to use RCA, how to create effective RCA action plans, and how to prevent common RCA failures. An RCA training curriculum is also included. This book is intended for those leading RCAs of patient harm events, leaders, students, and patient safety advocates who are interested in gaining more knowledge about RCA in healthcare.

This book presents simulation as an essential, powerful tool to develop the best possible healthcare system for patients. It provides vital insights into the necessary steps for supporting and enhancing medical care through the simulation methodology. Organized into four sections, the book begins with a discussion on the overarching principles of simulation and systems. Section two then delves into the practical applications of simulation, including developing new workflows, utilizing new technology, building teamwork, and promoting resilience. Following this, section three examines the transition of ideas and initiatives into everyday practices. Chapters in this section analyze complex interpersonal topics such as how healthcare clinical stakeholders, simulationists, and experts who are non-clinicians can collaborate. The closing section explores the potential future directions of healthcare simulation, as well as leadership engagement. A new addition to the Comprehensive Healthcare Simulation Series, Improving Healthcare Systems stimulates the critical discussion of new and innovative concepts and reinforces well-established and germane principles.

Researching Patient Safety and Quality in Health Care: A Nordic Perspective is an anthology based on contributions from leading researchers on quality and safety in healthcare in the Nordic countries together with four internationally renowned patient safety authors. Research on patient safety and quality has been dominated by countries such as the USA, England, Canada, and Australia. This book addresses the current debates in research on patient safety and quality in healthcare from a Nordic perspective. What are the flavours of Nordic research within these topics? What does it add to the international research literature? This book illustrates the unique nature of researching patient safety and quality with the Nordic perspective as well as showcasing representative work. The book presents an overview of the status and evidence of international and Nordic research on quality and safety in healthcare. Four different perspectives are used to present the trends within the research field: a patient perspective, a methodological perspective, a theoretical perspective, and a clinical perspective. The book then presents the status of Nordic research in the field and displays a set of illustrative work and current research topics within the Nordic context, concluding with a discussion of the characteristic features of Nordic research on patient safety and quality in healthcare. The anthology presents an inter-professional perspective and researchers from disciplines such as medical and nursing sciences, humanities, social sciences and engineering. It is written to contribute to the patient safety cause with translational knowledge that will be useful to researchers, policy makers and healthcare managers within Nordic countries and internationally.

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.

In this thoroughly revised second edition of the frequently downloaded manual, The SAGES Manual of Quality, Outcomes, and Patient Safety. A panel of experts update and expand their survey of the many factors that influence quality in the world of surgery, surgical outcomes, and threats to patient safety. Among the highlights include a section devoted to threats to quality and outcomes and safety, such as surgeon wellness and burnout, disruptive behavior, second victims, the surgeon with declining skills, and maintaining quality in the setting of a crisis. Another all-new section focuses on surgical controversies, such as whether or not to use robotic surgical technology and whether or not it influences surgical outcomes; whether or not routine cholangiography reduces the common bile duct injury rate; whether or not having a consistent operating room team influences surgical outcomes, and whether a conflict of interest truly influences surgical quality. Further, this manual updates chapters on surgical simulation, teamwork and team training, teleproctoring, mentoring, and error analysis. State-of-the-art and readily accessible, The SAGES Manual of Quality, Outcomes, and Patient Safety, Second Edition will offer physicians strategies to maintain surgical quality in a rapidly changing practice environment the tools they require to succeed.

Built around the six core competencies for physicians practicing rehabilitation medicine as required by the ACGME, Physical Medicine and Rehabilitation Patient-Centered Care: Mastering the Competencies is a unique, self-directed text for residents. Covering all aspects of patient-centered care in the practice of physical medicine and rehabilitation, the book provides a competency-based approach to topics and conditions commonly encountered in this specialty. Thoughtfully organized chapters offer easy-to-access clinical content for all major practice areas, and the bookís competency-based goals and objectives also serve as a clear platform for educating physiatrists in training during their clinical rotations. The first part of the book presents the foundations of the core competencies (medical knowledge, professionalism, patient care, practice-based learning and improvement, system-based practice, and interpersonal and communication skills) with basic principles for application, and also includes chapters on implementing educational milestones, core professional education principles, and building leadership skills. In the second part, experts in the field apply these core competencies to the management of common conditions including stroke, spinal cord and brain injury, amputation and prosthetics, musculoskeletal disorders, multiple sclerosis, and much more. Each of these chapters identifies goals and objectives for each competency and concludes with a representative case study and self-assessment questions with answers and explanations. The book also provides references to key articles and links to internet-based educational materials. Practical tips, how-to and where-to guides, key points, tables, and charts also help to maintain current knowledge and competency in the many areas that comprise the field of PM&R. The book will be a valuable asset to physiatrists in training, program directors, and teaching faculty in rehabilitation medicine training programs, and for continuing professional development. Key Features: Addresses core competencies for rehabilitation medicine physicians as required by the ACGME Covers all major physiatric practice areas with facts, concepts, goals, and objectives following the competency model Grounded in a holistic, patient-centered approach Presents sample case studies with discussion points and self-assessment questions with answer key and explanations for each area to track progress and build clinical acumen

Responding to the public concern caused by recent hospital scandals and accounts of unintended harm to patients, this author draws on her experience of analysing the health care systems of over a dozen countries and examines whether greater regulation has increased patient safety and health care quality. The book adopts a new approach to mapping developments in health care systems in Europe, North America and Australia and pieces together evidence of which regulatory strategies and mechanisms work well to ensure safer patient care. It identifies the regulatory bodies, the regulatory principles and the implementation strategies adopted to improve governance in health care systems and suggests a conceptual framework for responsive regulation. The book will be of interest to government actors, health care professionals and medico-legal scholars.

Built around the six core competencies for physicians practicing rehabilitation medicine as required by the ACGME, Physical Medicine and Rehabilitation Patient-Centered Care: Mastering the Competencies is a unique, self-directed text for residents. Covering all aspects of patient-centered care in the practice of physical medicine and rehabilitation, the book provides a competency-based approach to topics and conditions commonly encountered in this specialty. Thoughtfully organized chapters offer easy-to-access clinical content for all major practice areas, and the bookÌs competency-based goals and objectives also serve as a clear platform for educating physiatrists in training during their clinical rotations. The first part of the book presents the foundations of the core competencies (medical knowledge, professionalism, patient care, practice-based learning and improvement, system-based practice, and interpersonal and communication skills) with basic principles for application, and also includes chapters on implementing educational milestones, core professional education principles, and building leadership skills. In the second part, experts in the field apply these core competencies to the management of common conditions including stroke, spinal cord and brain injury, amputation and prosthetics, musculoskeletal disorders, multiple sclerosis, and much more. Each of these chapters identifies goals and objectives for each competency and concludes with a representative case study and self-assessment questions with answers and explanations. The book also provides references to key articles and links to internet-based educational materials. Practical tips, how-to and where-to guides, key points, tables, and charts also help to maintain current knowledge and competency in the many areas that comprise the field of PM&R. The book will be a valuable asset to physiatrists in training, program directors, and teaching faculty in rehabilitation medicine training programs, and for continuing professional development. Key Features: Addresses core competencies for rehabilitation medicine physicians as required by the ACGME Covers all major physiatric practice areas with facts, concepts, goals, and objectives following the competency model Grounded in a holistic, patient-centered approach Presents sample case studies with discussion points and self-assessment questions with answer key and explanations for each area to track progress and build clinical acumen