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- Communication Improvement 2
- Culture of Safety 3
- Education and Training 7
- Error Reporting and Analysis 3
- Human Factors Engineering 1
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- Quality Improvement Strategies 3
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Search results for "Book/Report"
- Teamwork Training
Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance—A Handbook for Acute Care Health Professionals.
Brindley P, Cardinal P, eds. Ottawa, ON, Canada: Royal College of Physicians and Surgeons of Canada; 2017. ISBN: 9781926588414.
Nontechnical skill development has gained attention as a way to enhance patient safety. This publication highlights how crisis resource management can help develop nontechnical expertise to enhance team performance. Strategies covered in the text include situational awareness, team communication, decision making, and leadership in the acute care environment.
Safer delivery of surgical services: a programme of controlled before-and-after intervention studies with pre-planned pooled data analysis.
McCulloch P, Morgan L, Flynn L, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals Library; 2016.
This publication reports five British hospitals' experiences with teamwork interventions in surgical teams. Although teamwork training alone improved how teams functioned, it did not always enhance clinical performance. The investigators found that integrated training that combines technical and social improvements, such as Lean, resulted in more effective improvements.
Chicago, IL: Health Research & Educational Trust; June 2015.
This guide draws from the experience of organizations that have used TeamSTEPPS to illustrate how the program has contributed to patient safety and quality improvement efforts. Lessons learned include the value of engaging leadership, utilizing debriefing as a learning mechanism, and the need to avoid a one-size-fits-all approach to training.
Spath PL, ed. San Francisco, CA: Jossey-Bass; 2011. ISBN: 9780470502402.
Error Reduction in Health Care remains one of the few comprehensive textbooks in patient safety. This updated edition covers key concepts in safety, beginning with the systems approach and the role of human factors engineering in patient safety. Also included are sections on measurement and interpretation of safety data, error analysis techniques, and approaches to improving patient safety (e.g., teamwork training and developing a culture of safety). The book's chapters are authored by experts in the field and strike a balance between background theory and practical approaches to reducing preventable adverse events.
Farley DO, Sorbero ME, Lovejoy SL, Salisbury M. Santa Monica, CA: Rand Corporation; 2010. ISBN: 9780833050557.
This report studied teamwork development experiences of labor and delivery units to identify processes and dynamics that affected teamwork improvement.
Women's Health Care Physicians; Committee on Patient Safety and Quality Improvement. Washington, DC: American College of Obstetricians and Gynecologists; 2010. ISBN: 9781934946930.
This manual describes various facets of health care quality and tools for quality improvement in obstetric and gynecologic practice.
Oakbrook, IL: Joint Commission Resources; 2008. ISBN: 9781599400921.
This book describes various team training initiatives, specific strategies for team development, and case studies to illustrate successful improvement techniques.
Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety.
Boston, MA: Institute for Healthcare Improvement; 2005.
Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition.
Wachter R, Shojania K. New York, NY: Rugged Land; 2005. ISBN: 1590710738.
Wachter and Shojania adapted many of the cases they previously published in the academic literature, some cases previously described in the lay literature (eg, the Duke transplant mix-up and the death of Betsy Lehman at Dana-Farber Cancer Institute), and other cases never previously reported to provide a dramatic account of medical errors and the field of patient safety. Dr. Lucian Leape wrote that Internal Bleeding "shows how cognitive psychology and human factors engineering provide the way out by shifting attention from blaming individuals to fixing faulty systems." The book, now in its fourth printing, continues to be a popular choice for anyone with an interest in patient safety.