LEADER 05578nam 2200709Ia 450 001 9910779273303321 005 20230802005147.0 010 $a0-8014-6454-4 010 $a0-8014-6407-2 024 7 $a10.7591/9780801464072 035 $a(CKB)2550000000101836 035 $a(OCoLC)797834383 035 $a(CaPaEBR)ebrary10563879 035 $a(SSID)ssj0000870365 035 $a(PQKBManifestationID)11463438 035 $a(PQKBTitleCode)TC0000870365 035 $a(PQKBWorkID)10818667 035 $a(PQKB)11692727 035 $a(MiAaPQ)EBC3138343 035 $a(DE-B1597)481703 035 $a(OCoLC)992527633 035 $a(DE-B1597)9780801464072 035 $a(Au-PeEL)EBL3138343 035 $a(CaPaEBR)ebr10563879 035 $a(CaONFJC)MIL681703 035 $a(OCoLC)932350399 035 $a(EXLCZ)992550000000101836 100 $a20111025d2012 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 00$aFirst, do less harm$b[electronic resource] $econfronting the inconvenient problems of patient safety /$fedited by Ross Koppel and Suzanne Gordon 210 $aIthaca $cILR Press$d2012 215 $a1 online resource (300 p.) 225 1 $aThe culture and politics of health care work 300 $aBibliographic Level Mode of Issuance: Monograph 311 $a1-322-50421-0 311 $a0-8014-5077-2 320 $aIncludes bibliographical references and index. 327 $tFrontmatter -- $tContents -- $tIntroduction / $rGordon, Suzanne / Koppel, Ross -- $t1. The Data Model That Nearly Killed Me / $rBugajski, Joseph M. -- $t2. Too Mean to Clean / $rStanwell-Smith, Rosalind -- $t3. What Goes without Saying in Patient Safety / $rGordon, Suzanne / O'Connor, Bonnie -- $t4. Health Care Information Technology to the Rescue / $rKoppel, Ross / Davidson, Stephen M. / Wears, Robert L. / Sinsky, Christine A. -- $t5. A Day in the Life of a Nurse / $rBurke, Kathleen -- $t6. Excluded Actors in Patient Safety / $rLazes, Peter / Gordon, Suzanne / Samy, Sameh -- $t7. Nursing as Patient Safety Net / $rClarke, Sean -- $t8. Physicians, Sleep Deprivation, and Safety / $rLandrigan, Christopher P. -- $t9. Sleep-deprived Nurses / $rTrinkoff, Alison M. / Geiger-Brown, Jeanne -- $t10. Wounds That Don't Heal / $rTreiber, Linda A. / Jones, H. Jackie -- $t11. On Teams, Teamwork, and Team Intelligence / $rGordon, Suzanne -- $tConclusion / $rKoppel, Ross / Gordon, Suzanne / Telles, Joel Leon -- $tNotes -- $tContributors -- $tIndex 330 $aEach year, hospital-acquired infections, prescribing and treatment errors, lost documents and test reports, communication failures, and other problems have caused thousands of deaths in the United States, added millions of days to patients' hospital stays, and cost Americans tens of billions of dollars. Despite (and sometimes because of) new medical information technology and numerous well-intentioned initiatives to address these problems, threats to patient safety remain, and in some areas are on the rise.In First, Do Less Harm, twelve health care professionals and researchers plus two former patients look at patient safety from a variety of perspectives, finding many of the proposed solutions to be inadequate or impractical. Several contributors to this book attribute the failure to confront patient safety concerns to the influence of the "market model" on medicine and emphasize the need for hospital-wide teamwork and greater involvement from frontline workers (from janitors and aides to nurses and physicians) in planning, implementing, and evaluating effective safety initiatives.Several chapters in First, Do Less Harm focus on the critical role of interprofessional and occupational practice in patient safety. Rather than focusing on the usual suspects-physicians, safety champions, or high level management-these chapters expand the list of "stakeholders" and patient safety advocates to include nurses, patient care assistants, and other staff, as well as the health care unions that may represent them. First, Do Less Harm also highlights workplace issues that negatively affect safety: including sleeplessness, excessive workloads, outsourcing of hospital cleaning, and lack of teamwork between physicians and other health care staff. In two chapters, experts explain why the promise of health care information technology to fix safety problems remains unrealized, with examples that are at once humorous and frightening. A book that will be required reading for physicians, nurses, hospital administrators, public health officers, quality and risk managers, healthcare educators, economists, and policymakers, First, Do Less Harm concludes with a list of twenty-seven paradoxes and challenges facing everyone interested in making care safe for both patients and those who care for them. 410 0$aCulture and politics of health care work. 606 $aMedical errors$xPrevention 606 $aPatients$xSafety measures 606 $aMedical care$xSafety measures 606 $aHospital care$xSafety measures 615 0$aMedical errors$xPrevention. 615 0$aPatients$xSafety measures. 615 0$aMedical care$xSafety measures. 615 0$aHospital care$xSafety measures. 676 $a610.289 701 $aKoppel$b Ross$01543212 701 $aGordon$b Suzanne$f1945-$01030710 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910779273303321 996 $aFirst, do less harm$93796549 997 $aUNINA