Error Reduction in Health Care: A Systems Approach to Improving Patient Safety
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More About This Title Error Reduction in Health Care: A Systems Approach to Improving Patient Safety

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An AHA Press/Jossey-Bass PublicationForeword by Lucian LeapeError Reduction in Health Care explores the complex causes of medical mistakes and offers sound advice for leaders who want to reduce the frequency of errors in health care services and mitigate the impact of those errors that do occur. The book is packed pull of examples of thorough incident investigations and process improvement recommAndations from leaders in the field of health care quality and risk management.

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Patrice L. Spath is a partner in Brown-Spath & Associates, a health care publishing and training company based in Forest Grove, Oregon. During the past twenty years, she has presented more than 350 educational programs on quality improvement, case management, medical error reduction, and outcomes management topics. A prolific writer, she has authored or edited more than 150 journal articles. Her book, Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, won wide acclaim and was a Doody's 250 Best Books of the Year Selection.

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List of Figures and Tables.

About the Editor.

About the Contributors.

Foreward.

Preface.

Acknowledgements.

A Formula for Errors: Good People + Bad Systems (S. McClanahan, et al.).

Measuring Performance of High-Risk Processes (K. Ferraco & P. Spath).

The Human Side of Medical Mistakes (S. Ternov).

Accident Investigation and Anticipatory Failure Analysis in Hospitals (S. Feldman & D. Roblin).

Automating Root Cause Analysis (R. Latino).

One Hospital's View of Software Facilitation of Root Cause Analysis (K. Hirsch & D. Wallace).

Proactively Error-Proofing Health Care Processes (R. Croteau & P. Schyve).

Reducing Errors through Work Systems Improvements (P. Spath).

A Structured Teamwork System to Reduce Clinical Errors (D. Risser, et al.).

Index.

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"Error Reduction in Health Care explores the complex causes of medical mistakes and offers sound advice for leaders who want to reduce the frequency of errors in health care services and mitigate the impact of those errors that do occur. The book is packed pull of examples of thorough incident investigations and process improvement recommAndations from leaders in the field of health care quality and risk management. Reducing errors is rightly becoming a higher and higher priority in the health care world, and this book will help committed clinicians and administrators make progress toward the goal." (Donald M. Berwick, president and CEO, Institute for Healthcare Improvement)

"This book, with its step-by-step guide to operationalizing error reduction, is a must-read for hospital administrators, senior medical staff, and conscientious board members." (Michael L. Millenson, principal, William M. Mercer, Inc.. and author of Demanding Medical Excellence: Doctors and Accountability in the Information Age)

"Error Reduction in Health Care provides a clear focus on issues that make a difference to patients and health care providers. Every improvement program needs to consider this book as essential in continuous improvement training." (Paula S. Swain, Swain and Associates, Healthcare Accreditation and Compliance Specialists)

"A timely gathering of distinguished authors to guide health care professionals through the mazes of error investigation and reduction strategies. A must read for those of us responsible for adverse event review processes." (Susan Anderson, Risk Management Consultant, University of Michigan Health System)

"This text contains easily applied strategies for error reduction across the continuum of healthcare.The information presented can be easily and practically applied to almost any healthcare setting and provides a step-by-step guide to operationalize a variety of patient safety initiatives. 5 Stars!" (Doody Publishing, Inc.)

"On November 39, 1999, The Insitute of Medicine reported that as many as 98,000 patients die each year because of medical errors, igniting growing concern about patient safety in hospitals. This book is a timely and well thought-out response." (JAMA: Journal of the American Medical Association)
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