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Organizations around the world are using Lean to redesign care and improve processes in a way that achieves and sustains meaningful results for patients, staff, physicians, and health systems. Lean Hospitals, Third Edition explains how to use the Lean methodology and mindsets to improve safety, quality, access, and morale while reducing costs, increasing capacity, and strengthening the long-term bottom line. This updated edition of a Shingo Research Award recipient begins with an overview of Lean methods. It explains how Lean practices can help reduce various frustrations for caregivers, prevent delays and harm for patients, and improve the long-term health of your organization. The second edition of this book presented new material on identifying waste, A3 problem solving, engaging employees in continuous improvement, and strategy deployment. This third edition adds new sections on structured Lean problem solving methods (including Toyota Kata), Lean Design, and other topics. Additional examples, case studies, and explanations are also included throughout the book. Mark Graban is also the co-author, with Joe Swartz, of the book Healthcare Kaizen: Engaging Frontline Staff in Sustainable Continuous Improvements, which is also a Shingo Research Award recipient. Mark and Joe also wrote The Executive’s Guide to Healthcare Kaizen -- Provided by the publisher
Efficiency, Organizational. --- Hospital Administration --- Patient Safety. --- Quality Improvement. --- Total Quality Management --- Economics. --- Methods. --- Hospitals --- Hospital care --- Patients --- Just-in-time systems --- Total quality management --- Efficiency, Organizational --- Patient Safety --- Quality Improvement --- Administration --- Quality control --- Cost effectiveness --- Safety measures --- methods --- economics --- Hospitals - United States - Administration --- Hospital care - United States - Quality control --- Hospital care - United States - Cost effectiveness --- Patients - United States - Safety measures --- Hospital Administration - methods --- Hospital Administration - economics --- Total Quality Management - methods
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Is the reporting of medical errors changing? This book shows with real cases from health care and beyond that most errors come from flaws in the system. It also shows why they don't get reported and how medical error disclosure around the world is shifting away from blaming people, to a "no-fault" model that seeks to improve the whole system of care. The book intends to provide an introduction to medical errors that result in preventable adverse events. It will examine issues that stymie efforts made to reduce preventable adverse events and medical errors, and will moreover highlight their impact on clinical laboratories and other areas, including educational, bioethical, and regulatory issues. Varying error rates of 0.1-9.3% in clinical diagnostic laboratories have been reported in the literature. While it is suggested that fewer errors occur in the laboratory than in other hospital settings, the quantum of laboratory tests used in healthcare entails that even a small error rate may reflect a large number of errors. The interdependence of surgical specialties, emergency rooms, and intensive care units - all of which are prone to higher rates of medical errors - with clinical diagnostic laboratories entails that reducing error rates in laboratories is essential to ensuring patient safety in other critical areas of healthcare. The author maintains that many such errors are preventable provided that appropriate attention is paid to systemic factors involved in laboratory errors. This book identifies possible intelligent system approaches that can be adopted to help control and eliminate these errors. It is a valuable tool for physicians, clinical biochemists, research scientists, laboratory technologists and anyone interested in reducing adverse events at all levels of healthcare processes.
Medical Errors. --- Medical errors - United States. --- Patient safety. --- Patients - Safety measures - United States. --- Safety Management. --- Medical errors --- Patient safety --- Patients --- Safety --- Organization and Administration --- Risk Management --- Health Services --- Health Services Administration --- Accident Prevention --- Health Care Facilities, Manpower, and Services --- Health Care --- Accidents --- Public Health --- Environment and Public Health --- Safety Management --- Medical Errors --- Medicine --- Health & Biological Sciences --- Medical Professional Practice --- Safety measures --- Errors, Medical --- Medical mishaps --- Mishaps, Medical --- Errors, Scientific --- Persons --- Sick --- Practice --- Patients - United States - Safety measures --- Medical errors - United States --- Emergency Medicine. --- Intensive Care. --- Laboratory Medicine. --- Medical Malpractice.
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Presents the results of a two-year study that analyzes how patient safety practices are being adopted by U.S. health care providers, examines hospital experiences with a patient safety culture survey, and assesses patient safety outcomes trends. In case studies of four U.S. communities, researchers collected information on the dynamics of local patient safety activities and on adoption of safe practices by hospitals.
Hospital patients -- United States -- Safety measures -- Evaluation. --- Medical Errors -- prevention & control -- United States -- Evaluation Studies. --- Outcome assessment (Medical care) -- United States. --- Quality Assurance, Health Care -- United States -- Evaluation Studies. --- Safety Management -- United States -- Evaluation Studies. --- Outcome assessment (Medical care) --- Hospital patients --- United States --- Safety Management --- Medical Errors --- Quality Assurance, Health Care --- Evaluation Studies --- North America --- Organization and Administration --- Health Services --- Safety --- Risk Management --- Study Characteristics --- Health Care Quality, Access, and Evaluation --- Quality of Health Care --- Publication Characteristics --- Health Care --- Health Services Administration --- Accident Prevention --- Americas --- Health Care Facilities, Manpower, and Services --- Accidents --- Geographic Locations --- Geographicals --- Public Health --- Environment and Public Health --- Medical Research --- Medicine --- Health & Biological Sciences --- Evaluation --- Safety measures --- Evaluation. --- Hospital inmates --- Hospitalized patients --- Hospitals --- Inmates --- Patients --- Inmates of institutions
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Updates the policy context of the Agency for Healthcare Research and Quality (AHRQ) patient safety initiative; documents the current priorities and activities undertaken; and assesses contributions of health information technology projects and dissemination actions to support adoption of evidence-based safe practices. Discusses implications for future AHRQ policy, programming, and research; suggests ways to strengthen AHRQ activities.
Iatrogenic diseases -- Prevention -- Government policy -- United States. --- Medical errors -- Prevention -- Government policy -- United States. --- Patients -- United States -- Safety measures. --- Medical errors --- Iatrogenic diseases --- Patients --- Evaluation Studies as Topic --- Health Care Evaluation Mechanisms --- Epidemiologic Methods --- Quality of Health Care --- Information Science --- Health Services --- Communication --- Publication Formats --- North America --- Social Sciences --- Investigative Techniques --- Behavior --- Health Care Facilities, Manpower, and Services --- Public Health --- Publication Characteristics --- Health Services Administration --- Anthropology, Education, Sociology and Social Phenomena --- Americas --- Health Care Quality, Access, and Evaluation --- Geographic Locations --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Health Care --- Environment and Public Health --- Behavior and Behavior Mechanisms --- Geographicals --- Psychiatry and Psychology --- Technical Report --- Information Dissemination --- Data Collection --- Government Programs --- United States --- Outcome and Process Assessment (Health Care) --- Program Evaluation --- Medical Errors --- Medicine --- Health & Biological Sciences --- Medical Professional Practice --- Prevention --- Government policy --- Safety measures --- Safety measures. --- Errors, Medical --- Medical mishaps --- Mishaps, Medical --- Persons --- Sick --- Diseases --- Therapeutics --- Errors, Scientific --- Complications --- Practice
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