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Making Healthcare Safe : The Story of the Patient Safety Movement / Lucian L.Leape
| Making Healthcare Safe : The Story of the Patient Safety Movement / Lucian L.Leape |
| Autore | Leape Lucian L |
| Edizione | [1st ed.] |
| Pubbl/distr/stampa | Cham : , : Springer International Publishing AG, , 2021 |
| Descrizione fisica | 1 online resource (450 pages) |
| Disciplina | 362.10289 |
| Soggetto topico | Seguretat dels pacients |
| Soggetto genere / forma | Llibres electrònics |
| Soggetto non controllato |
Internal Medicine
Surgery patient safety high-risk industries system design silent epidemic workplace safety open access Clinical & internal medicine |
| ISBN |
3-030-71123-4
9783030711221 |
| Classificazione | MED045000MED085000 |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Intro -- Foreword -- Preface -- Acknowledgments -- Contents -- About the Author -- Part I: In the Beginning -- Chapter 1: The Hidden Epidemic: The Harvard Medical Practice Study -- References -- Chapter 2: It's Not Bad People: Error in Medicine -- The Causes of Errors -- Application of Systems Thinking to Healthcare -- Error in Medicine -- Response to Error in Medicine -- References -- Chapter 3: Changing the System: The Adverse Drug Events Study -- BWH Center for Patient Safety Research and Practice -- References -- Chapter 4: Coming Together: The Annenberg Conference -- References -- Chapter 5: A Home of Our Own: The National Patient Safety Foundation -- References -- Part II: Institutional Responses -- Chapter 6: We Can Do This: The Institute for Healthcare Improvement Adverse Drug Events Collaborative -- What Is a Collaborative? -- How It Works -- The Reducing Adverse Drug Events Collaborative -- Results -- Lessons Learned -- Use of Collaboratives -- Subsequent IHI Initiatives -- Conclusion -- References -- Chapter 7: Who Will Lead? The Executive Session -- First Meeting, January 22-24, 1998 -- Second Meeting: June 25-27, 1998 -- Third Meeting: January 21-23, 1999 -- Fourth Meeting: June 17-19, 1999 -- Fifth Meeting: January 27-29, 2000 -- Lessons Learned -- Conclusion -- Appendix 7.1: Executive Session Members -- CEOs of Healthcare Delivery Organizations -- Leaders of Health-Related Organizations -- Others -- References -- Chapter 8: A Community of Concern: The Massachusetts Coalition for the Prevention of Medical Errors -- Medication Consensus Group -- Leadership Forum -- Regulatory Consensus Group -- Restraint Consensus Group -- DPH Project -- Surveys -- Implementing Best Practices -- The Reconciling Medications Project -- Communicating Critical Test Results -- Impact of the Coalition -- Appendix 8.1: Initial Coalition Member Organizations.
Appendix 8.2: Communicating Critical Test Results -- References -- Chapter 9: When the IOM Speaks: IOM Quality of Care Committee and Report -- To Err Is Human -- Postscript -- Appendix 9.1: Committee on Quality Of Health Care In America -- References -- Chapter 10: The Government Responds: The Agency for Healthcare Research and Quality -- Response to the IOM Report -- AHRQ Programs -- Impact of AHRQ Programs -- References -- Chapter 11: Setting Standards: The National Quality Forum -- Serious Reportable Events -- Safe Practices for Better Healthcare -- Performance Measures -- New Leadership -- Conflict of Interest Scandal -- Conclusion -- Appendix 11.1: Serious Reportable Events Steering Committee [11] -- Appendix 11.2: NQF Serious Reportable Events [11] -- Appendix 11.3: NQF Safe Practices [15] -- References -- Chapter 12: Enforcing Standards: The Joint Commission -- History of the Joint Commission [1] -- The Agenda for Change -- Changing Accreditation -- Focus on Patient Safety: Sentinel Events -- Sentinel Event Alerts -- Patient Safety Goals -- Core Measures -- Public Policy Initiative -- Accreditation Process Improvement -- Conclusion -- References -- Chapter 13: Partners in Progress: Patient Safety in the UK -- A National Commitment -- The Patient Safety Movement -- The National Patient Safety Agency (NPSA) -- Additional Safety Efforts -- Patient Safety in Scotland -- Reorganization -- Conclusion -- References -- Chapter 14: Going Global: The World Health Organization -- The World Alliance for Patient Safety -- Guidelines for Adverse Event Reporting and Learning Systems -- Patient and Consumer Involvement-Patients for Patient Safety (P4PS) -- Support of Patient Safety Research -- The Global Patient Safety Challenge -- Later Years -- Conclusion -- Appendix 14.1: The London Declaration -- References. Chapter 15: Just Do It: The Surgical Checklist -- Conclusion -- References -- Chapter 16: Spreading the Word: The Salzburg Seminar -- Appendix 16.1: History of the Salzburg Global Seminars -- Appendix 16.2: Participants in Salzburg Seminar 386 Patient Safety and Medical Error -- Reference -- Chapter 17: Publish or Perish: British Medical Journal Theme Issue, New England Journal of Medicine Series -- NEJM Series on Patient Safety -- Reporting of Adverse Events -- Patient Safety and Quality Journals -- Joint Commission Journal on Quality Improvement and Safety -- BMJ's Quality and Safety in Health Care -- The Journal of Patient Safety -- Conclusion -- References -- Part III: Getting to Work: Key Issues and How They were Dealt with -- Chapter 18: Sleepy Doctors: Work Hours and the Accreditation Council for Graduate Medical Education -- Residency Training -- Early History-What Happened After Zion -- 2003 ACGME Regulations -- The Duty Hours Debate -- What Happened: 2003-2008 -- The IOM Panel -- ACGME Duty Hour Task Force -- Harvard Conference on Duty Hours -- The ACGME Response -- CLER -- Milestones -- Duty Hours -- Conclusion -- References -- Chapter 19: A Conspiracy of Silence: Disclosure, Apology, and Restitution -- Malpractice -- The Contrarians -- Doing It Right -- When Things Go Wrong-The Disclosure Project -- When Things Go Wrong -- The Patient and Family Experience -- The Caregiver Experience -- Management of the Event -- Getting Support -- National Progress in Communication and Resolution -- Conclusion -- References -- Chapter 20: Who Can I Trust? Ensuring Physician Competence -- The System We Have -- What's the Problem? -- Why Doctors Fail -- Who Is Responsible for Ensuring Physician Competence and Safety? -- American Board of Medical Specialties -- Accreditation Council for Graduate Medical Education -- The Joint Commission. State Licensing Boards -- Federation of State Medical Boards -- New York Cardiac Advisory Committee -- The Civil Justice System-Malpractice Litigation -- Hospital Responsibility for Physician Performance -- Multisource Feedback -- Support of Physicians with Problems -- How Should it Work? The Ideal System -- Nonregulatory Approaches to Improving Competence -- National Surgical Quality Improvement Program -- Analysis of Patient Complaints -- National Alliance for Physician Competence -- The Coalition for Physician Accountability -- Conclusion -- References -- Chapter 21: Everyone Counts: Building a Culture of Respect -- A Group of Leaders -- "Champions" -- The Problem -- A Culture of Respect -- A Culture of Respect, Part 1: The Nature and Causes of Disrespectful Behavior by Physicians [4] -- A Culture of Respect, Part 2: Creating a Culture of Respect [12] -- A Strange Twist -- Response -- References -- Part IV: Creating a Culture of Safety -- Chapter 22: Make No Little Plans: The Lucian Leape Institute -- Unmet Needs [4] -- Teaching Physicians to Provide Safe Patient Care -- Workshop Leaders: Dennis O'Leary and Lucian Leape -- Summary of Recommendations (Table 22.1) -- Progress -- Remaining Challenges -- Order from Chaos [5] -- Accelerating Care Integration -- Workshop Leaders: David Lawrence and Richard Bohmer -- Summary of Recommendations (Table 22.2) -- Progress -- Remaining Challenges -- Through the Eyes of the Workforce [6] -- Creating Joy, Meaning, and Safer Health Care -- Workshop Leaders: Julie Morath and Paul O'Neill -- Vulnerable Workplaces -- What Can Be Done? -- Developing Effective Organizations -- Summary of Recommendations (Table 22.3) -- Progress -- Remaining Challenges -- Safety Is Personal [7] -- Partnering with Patients and Families for the Safest Care -- Workshop Leaders: Susan Edgman-Levitan and James Conway. Summary of Recommendations (Table 22.4) -- Progress -- Remaining Challenges -- Shining a Light [8] -- Safer Health Care Through Transparency -- Workshop Leaders: Gary Kaplan and Robert Wachter -- Summary of Recommendations (Table 22.5) -- Progress -- Remaining Challenges -- Transforming Health Care: A Compendium -- Members -- Later Work -- The "Must Do" List -- Financial Costs of Patient Safety -- Collaboration with American College of Healthcare Executives -- Conclusion -- References -- Chapter 23: Now the Hard Part: Creating a Culture of Safety -- What Is Culture? -- A Culture of Safety -- Characteristics of a Safe Culture -- A Just Culture -- High-Reliability Organizations -- The Problem -- Why Changing Culture Is so Hard to Do -- How to Do It -- Examples of Success -- Virginia Mason Medical Center -- Secrets of Success -- Cincinnati Children's Hospital -- Denver Health -- Safe and Reliable Health Care -- Making It Happen -- A Role for Government? -- A "Burning Platform"? -- References -- Correction to: Everyone Counts: Building a Culture of Respect -- Index. |
| Record Nr. | UNINA-9910482868803321 |
Leape Lucian L
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| Cham : , : Springer International Publishing AG, , 2021 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Social Exclusion in Later Life : Interdisciplinary and Policy Perspectives
| Social Exclusion in Later Life : Interdisciplinary and Policy Perspectives |
| Autore | Walsh Kieran (Researcher in gerontology) |
| Edizione | [1st ed.] |
| Pubbl/distr/stampa | Springer Nature, 2021 |
| Descrizione fisica | 1 online resource (452 pages) |
| Disciplina | 302.545 |
| Altri autori (Persone) |
ScharfThomas
Van RegenmortelSofie WankaAnna |
| Collana | International Perspectives on Aging |
| Soggetto topico |
Population & demography
Clinical & internal medicine Birth control, contraception, family planning Social issues & processes |
| Soggetto non controllato |
Demography
Internal Medicine Health Psychology Quality of Life Research Aging Population Ageing Social exclusion Social and public policy Life course Older people Social relations Loneliness Rights and identity Service infastructure Sustainable development EU policy and social rights Welfare and pensions systems Unemployment at 50 + Older age divorced and widowed women Abuse and discrimination in older adults Ageing and caring in rural environments Long-term care institutions Pensions policies Nursing home residents Open access Population & demography Clinical & internal medicine Social & ethical issues |
| ISBN | 3-030-51406-4 |
| Classificazione | MED045000PSY003000SOC006000SOC026000 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Intro -- Acknowledgements -- Contents -- Editors and Contributors -- List of Figures -- List of Tables -- Section I: Introduction -- Chapter 1: The Intersection of Ageing and Social Exclusion -- 1.1 Introduction -- 1.2 Rationale - Stagnated Policy and Research -- 1.3 Aim and Objectives -- 1.4 Conceptualising and Defining Social Exclusion of Older People -- 1.5 Social Exclusion, Policy and COVID-19 -- 1.6 Approach and Structure of This Book -- 1.7 Concluding Remarks -- References -- Section II: Economic Exclusion -- Chapter 2: Introduction: Framing Economic Exclusion -- 2.1 Introduction -- 2.2 Economic Exclusion and the Life Course -- 2.3 Outline of This Section -- References -- Chapter 3: Socio-demographic Risk Factors Related to Material Deprivation Among Older Persons in Europe: A Comparative Analysis Based on SHARE Data -- 3.1 Introduction -- 3.2 Material Deprivation: Operationalisation and Risk Factors -- 3.2.1 Concept and Operationalisation -- 3.2.2 Risk Factors Related to Material Deprivation -- 3.2.3 Research Questions -- 3.3 Data and Analytical Approach -- 3.4 Results -- 3.5 Conclusion -- References -- Chapter 4: Unemployment at 50+: Economic and Psychosocial Consequences -- 4.1 Introduction -- 4.2 Ageing and Work -- 4.2.1 The Meaning of Work -- 4.2.2 Economic Consequences of Unemployment at 50+ -- 4.2.3 Psychosocial Consequences of Unemployment at 50+ -- 4.3 Coping Strategies and Well-being Among Older Unemployed in Luxembourg -- 4.3.1 Methodology -- 4.3.1.1 Participants -- 4.3.2 Measures -- 4.3.3 Results -- 4.4 Discussion -- 4.5 Conclusion -- References -- Chapter 5: Coping Mechanisms of Divorced and Widowed Older Women to Mitigate Economic Exclusion: A Qualitative Study in Turkey and Serbia -- 5.1 Introduction -- 5.2 Methodology -- 5.2.1 Recruitment and Participants -- 5.2.2 Data Analysis -- 5.2.3 Ethical Considerations -- 5.3 Findings.
5.3.1 Early Life Experiences -- 5.3.2 Life during Marriage -- 5.3.2.1 Financial Situations -- 5.3.2.2 Coping with Economic Exclusion During Marriage -- 5.3.3 Life After Disruption of Marriage -- 5.3.3.1 Finances -- 5.3.3.2 Coping with Economic Exclusion After Marriage Disruption -- 5.4 Discussion and Conclusions -- References -- Section III: Exclusion from Social Relations -- Chapter 6: Introduction: Framing Exclusion from Social Relations -- 6.1 Introduction -- 6.2 Exclusion from Social Relations -- 6.3 Outline of This Section -- References -- Chapter 7: Exclusion from Social Relations Among Older People in Rural Britain and Belgium: A Cross-National Exploration Taking a Life-Course and Multilevel Perspective -- 7.1 Introduction -- 7.2 Literature Overview -- 7.3 Data and Methods -- 7.3.1 General Research Approach -- 7.3.2 Quantitative Phase -- 7.3.3 Qualitative Phase -- 7.4 Results -- 7.4.1 Quantitative Results: Manifestations of Exclusion from Social Relations Among Older People Across Rural Britain and Belgium -- 7.4.2 Qualitative Results: Manifestations and Drivers of Exclusion from Social Relations throughout the Life Course -- 7.4.3 Rural Britain Study -- 7.4.4 Belgian Study -- 7.5 Conclusion -- References -- Chapter 8: Revisiting Loneliness: Individual and Country-Level Changes -- 8.1 Introduction -- 8.1.1 Background and Aim of the Chapter -- 8.1.2 Micro-Level Drivers of Loneliness -- 8.1.3 Macro-Level Correlates of Loneliness -- 8.2 Methods -- 8.2.1 Study Design and Participants -- 8.2.2 Dependent Variable -- 8.2.3 Independent Variables at the Micro Level -- 8.2.4 Independent Variables at the Macro Level -- 8.2.5 Analytical Approach -- 8.3 Results -- 8.4 Discussion -- 8.5 Conclusion -- References -- Chapter 9: Conflicting Relations, Abuse and Discrimination Experienced by Older Adults -- 9.1 Introduction -- 9.2 Conflicting Relations. 9.2.1 Quantifying the Impacts of Conflicting Relations Between Partners: A Norwegian Study -- 9.3 Elder Abuse -- 9.3.1 Quantifying the Impacts of Elder Abuse: An Israeli Study -- 9.3.2 Quantifying the Impacts of Elder Abuse: An Italian Study -- 9.3.3 Elder Abuse Qualitatively Analysed: A Finnish Study -- 9.4 Discrimination -- 9.4.1 Quantifying the Impacts of Discrimination: A New Zealand Study -- 9.5 Conclusion -- References -- Section IV: Exclusion from Services -- Chapter 10: Introduction: Framing Exclusion from Services -- 10.1 Introduction -- 10.2 Old-Age Service Exclusion -- 10.3 Considerations in Researching Service Exclusion in Later Life -- 10.4 The Macro Level and Government Responsibility -- 10.5 The Micro Level: We Are All Different -- 10.6 Outline of This Section -- References -- Chapter 11: Reversed Mobilities as a Means to Combat Older People's Exclusion from Services: Insights from Two Alpine Territories in France and Italy -- 11.1 Introduction -- 11.2 (Im)Mobility and Service (in)Accessibility Related to Older Adults' Social Exclusion -- 11.3 Reversed Mobilities in Mountains: Types and Evidence -- 11.4 Mountain Territories and Indirect Accessibility by Reversed Mobility -- 11.4.1 Illustrating the Need for Reversed Mobility in Ageing Mountain Dwelling Populations -- 11.4.2 Costs and Inequalities Related to Reversed Mobilities -- 11.5 Conclusion -- References -- Chapter 12: Exclusion from Home Care Services in Central and Eastern European Countries: A Focus on Hungary and the Russian Federation -- 12.1 Introduction -- 12.2 Exclusion from Home Care Services in Central and Eastern Europe -- 12.3 Exclusion from Home Care Services in Hungary -- 12.4 Exclusion from Home Care Services in the Russian Federation -- 12.5 Conclusion -- References. Chapter 13: Receiving Care Through Digital Health Technologies: Drivers and Implications of Old-Age Digital Health Exclusion -- 13.1 Introduction -- 13.2 Drivers of Old-Age Digital Health Exclusion -- 13.2.1 Structural Drivers -- 13.2.2 Environmental Drivers -- 13.2.3 Individual Drivers -- 13.2.4 Socio-Technical Factors -- 13.3 Implications - Why Old-Age Digital Health Exclusion Matters -- 13.4 Conclusion: Towards a Conceptual Framework on Old-Age Digital Exclusion -- References -- Section V: Community and Spatial Exclusion -- Chapter 14: Introduction: Framing Community and Spatial Exclusion -- 14.1 Introduction -- 14.2 To Age in a "Good Place" -- 14.3 Spatial Aspects of Social Engagement During Ageing -- 14.4 Outline of this Section -- 14.5 Improving Social Inclusion of Older Adults Through Spatial and Community Aspects -- References -- Chapter 15: Towards a Structural Embeddedness of Space in the Framework of the Social Exclusion of Older People -- 15.1 Introduction -- 15.2 Triadic Thinking - Trans-Disciplinary Theorizing of Spatial Exclusion -- 15.3 Ageing in Greater Dublin/Ireland: Experiences of Local Exclusion in Daily Life -- 15.4 Ageing in the Pallouriotissa Suburbs, Nicosia/Cyprus: Suburbs as Both a Problem and Solution to Spatial Exclusion -- 15.5 Conclusion -- References -- Chapter 16: The Relationship Between Place and Life-Course Transitions in Old-Age Social Exclusion: A Cross-Country Analysis -- 16.1 Introduction -- 16.2 Transitions, Exclusion and Place -- 16.3 Older Adults' Place Relationships: The Role of Agency and Belonging -- 16.4 Illustrative Cases -- 16.5 Discussion -- 16.6 Conclusion -- References -- Chapter 17: Ageing and Caring in Rural Environments: Cross-National Insights from Central Europe -- 17.1 Introduction -- 17.2 Czechia, Germany and Poland - The Country Cases. 17.3 Comparing Czechia, Poland and Germany: An Urban/Rural Analytical Approach -- 17.3.1 The Use of Professional Home care Services -- 17.3.2 Informal Care and Assistance -- 17.4 Discussion -- 17.5 Conclusion -- References -- Section VI: Civic Exclusion -- Chapter 18: Introduction: Framing Civic Exclusion -- 18.1 Introduction -- 18.2 Civic Exclusion and the Life Course -- 18.3 Outline of This Section -- References -- Chapter 19: Reconceptualising Exclusion from Civic Engagement in Later Life: Towards a New Research Agenda -- 19.1 Introduction -- 19.2 Conceptualising Civic Engagement -- 19.3 Assessing the Scope and Nature of Research on Older People's Civic Engagement -- 19.4 Developing a New Research Agenda on Older People's Civic Engagement -- 19.4.1 Multidimensionality of Exclusion from Civic Engagement -- 19.4.2 Diversity of the Older Population -- 19.4.3 Exclusion from Civic Engagement as a Culturally-Embedded Process -- 19.4.4 Dynamics and Experiences of Older People's Exclusion from Civic Engagement -- 19.5 Conclusion -- References -- Chapter 20: Cultural Exclusion in Old-Age: A Social Exclusion Perspective on Cultural Practice in Later Life -- 20.1 Introduction -- 20.2 An Exclusion Perspective on Cultural Practice in Old-Age -- 20.3 Materials and Methods -- 20.3.1 Data Collection and Sample -- 20.3.2 Measurement -- 20.3.3 Data Analysis -- 20.4 Results -- 20.4.1 The Structure of Cultural Participation in Later Life -- 20.4.2 Clusters of Cultural Participation -- 20.4.3 Socio-economic Differentiation in Cultural Practice -- 20.5 Discussion -- 20.6 Conclusion -- References -- Chapter 21: Sidestepping Rights: An Analysis of the Intersection of Human Rights Obligations and Their Practical Implications for Older Migrants -- 21.1 Introduction -- 21.2 Principle of Equality and Non-Discrimination - Pillars for the Protection of Human Rights. 21.3 Work and Social Security as Benchmarks of Inclusion. |
| Record Nr. | UNINA-9910473452503321 |
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Walsh Kieran (Researcher in gerontology)
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| Springer Nature, 2021 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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