Cultivating a Culture of Safety in Healthcare: A Systematic Approach to Root Cause Analysis

Sherrie Smith

Verlag: QIG Publishing
ISBN 10: 0615249477 / ISBN 13: 9780615249476
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Inhaltsangabe: The complex systems which comprise health care services provide fertile ground for errors to take place. In order to cultivate a culture of safety that protects patients from harm and results in good clinical ourcomes, a comprehensive understanding of errors is essential. The information presented in this book will help you to understand the ideology or errors and how to find the root cause(s) of them when they occur. This book's simplified, step-by-step instructions will guide you through the process of conducting a thorough and effective Root Cause Analysis in the most efficient and effective possible manner. One death resulting from a medical error is one death too many. One harmed patient caused by a medical error is one too many. The axiom of the health care professional is "first do no harm." Patient harm resulting from medical errors can be difficult to recognize, especially in a culture possessed with assigning blame. The purpose of this book is to reduce medical errors by moving our health care culture toward one of continuous improvement and assured patient safety. Providing this resource guide to educate health care professionals in the use of effective Root Cause Analysis will serve as a catalyst for moving the culture closer to attaining that goal. Get the most from your efforts to improve patient safety through routine use of RCA. This book includes step-by-step-instructions, forms corresponding to each step in the process, and a comprehensive system for reporting and filing your end results. Join the ranks of those who have taken the mystery out of RCA. Cultivate a culture of patient safety that will improve care and WOW The Joint Commission. Use This Manual To: - Guide your team through comprehensive RCA with ease - Train Staff (Exercises included) - Organize all RCA for easy access and ongoing use for improvement - Educate your staff, board of directors and medical staff on patient safety, medical errors, and root cause analysis.

Über den Autor: Sherrie Smith is the President of Quality Improvement Group, LLC, a consulting company specializing in patient safety, process and quality improvement training; and she is also a process improvement advisor to the leadership of health care organizations. Mrs. Smith has extensive experience in health care leadership and quality management, having held positions in health care including vice president of medical staff affairs and quality improvement, director of quality improvement, director of medical staff services, and director of medical records. Mrs. Smith has experience overseeing hospital functions such as medical staff organization, physician recruitment, quality management, case management, home health services, community health clinics, medical records, social services, utilization review, and infection control. In addition to her hospital experience, Mrs. Smith held the position of quality improvement specialist at the state quality improvement organization (QIO), an organization awarded the contract by the Centers for Medicare & Medicaid (CMS) to oversee the Medicare and Medicaid programs in the state. Outside of her work in the health care field, Mrs. Smith served four years as an examiner for the Alabama Quality Award program, the state-level program modeled after the Malcolm Baldrige National Quality Award. Mrs. Smith holds a Master Certificate in Lean Six Sigma with the designation of Six Sigma Black Belt from Villanova University; the credentials of Certified Professional in Healthcare Quality (CPHQ); and Registered Health Information Administrator (RHIA).

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Titel: Cultivating a Culture of Safety in ...
Verlag: QIG Publishing
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