The introduction of clinical governance gives National Health Service organisations a powerful incentive to focus on serious failures in health care. This report reviews what is known about the scale and nature of these failures, examining the extent to which the NHS has the capacity to learn from them when they do occur, and recommending measures which could help to minimise the likelihood of repeated failures in service in the future. Information was drawn from industry, aviation and academic research.
This step-by-step guide takes the reader through the complex process of investigating serious incidents in health, social care, and criminal justice environments, acknowledging differences of culture and context that shape an investigation. Taking a multi-disciplinary approach, Part 1 begins by exploring the key principles of investigation, including ethical and legal perspectives, the involvement of families and carers, and being aware of unconscious bias, among other issues. Part 2 outlines in detail the conduct of investigations, from planning to processing the findings, before moving on to Part 3, carrying them out in diverse settings. Further chapters then look at investigating within diverse environments before moving on to to Part 4 which deals with reviewing and analysing the evidence collected and writing up the investigation. This final part also examines the pivotal issue of learning from the investigation and disseminating the report. The inclusion of case studies, models of good practice, and vignettes enables the reader to view each stage of the process in context and drive the transformation of practice. This practical resource is designed to support health and social care professionals who undertake investigations as part of their role, including nurses, allied health practitioners, social workers, doctors, and psychologists, as well as military personnel and law enforcers. It is an essential companion.
There is constant pressure on hospitals to improve health care delivery and increase cost effectiveness. New initiatives are the order of the day in the dramatically different health care systems of the United States and Great Britain. Often, as we know all too well, these efforts are not successful. In The Challenge to Change, Rebecca Kolins Givan analyzes the successes and failures of efforts to improve hospitals and explains what factors make it likely that the implementation of reforms will rewarded by positive transformation in a particular institution’s day-to-day operation. Givan’s in-depth qualitative case studies of both top-down initiatives and changes first suggested by staff on the front lines of care point clearly to the importance of all hospital workers in effecting change and even influencing national policy. Givan illuminates the critical role of workers, managers, and unions in enabling or constraining changes in policies and procedures and ensuring their implementation. Givan spotlights an Anglo-American model of hospital care and work organization, even while these countries retain their differences in access and payment. Entrenched professional roles, hierarchical workplace organization, and the sometimes-detached view of policymakers all shape the prospects for change in hospitals. Givan provides important examples of how the dedication and imagination of the people who work in hospitals can make all the difference when it comes to providing quality health care even in a challenging economic environment.
Wide-ranging in scope, 'The Age of the Inquiry' focuses on service and policy development in the fields of health and welfare in the 1990s. It provides an invaluable text for students, teachers and professionals from a wide range of disciplines and professional groups.
Some of the most important and best lessons in a doctor’s career are learnt from mistakes. However, an awareness of the common causes of medical errors and developing positive behaviours can reduce the risk of mistakes and litigation. Written for Foundation Year doctors, trainees and general practitioners, and unlike any other clinical management title available, Avoiding Errors in General Practice identifies and explains the most common errors likely to occur in an outpatient setting - so that you won’t make them. The first section in this brand new guide discusses the causes of errors in general practice. The second and largest section consists of case scenarios and includes expert and legal comment as well as clinical teaching points and strategies to help you engage in safer practice throughout your career. The final section discusses how to deal with complaints and the subsequent potential medico-legal consequences, helping to reduce your anxiety when dealing with the consequences of an error. Invaluable during the Foundation Years, Specialty Training and for Consultants, Avoiding Errors in General Practice is the perfect guide to help tackle the professional and emotional challenges of life as a GP.
"A sophisticated, yet accessible, exposition and development of Deleuze & Guattari's legal theory. Although there has been considerable interest in Deleuze & Guattari in critical legal studies, as well as considerable interest in legality in Deleuze & Guattari studies, this is the first book to focus exclusively on Deleuze & Guattari and law. In Deleuze & Guattari's ontology there are two fundamental operations in the organisation of nature and the social: molecular and molar. Molecular processes of genesis and organisation draw upon the forces of the virtual, creating molecular emergent dissipative structures. By contrast, molar organisation draws upon the differentiating operation of a boundary that constitutes a division. After introducing and explaining this ontology, Jamie Murray situates Deleuze & Guattari's engagement with social organisation and legality in the context of their theory of 'abstract machines' and 'intensive assemblages'. He then presents their theory of law: as that of a two-fold conception of, first, a transcendent molar law and, second, an immanent molecular emergent law. Transcendent molar legality is the traditional object of legal theory. And, as explicated here, immanent molecular emergent law is the novel juridical object that Deleuze & Guattari identify. Developing this conception, Deleuze & Guattari: Emergent Law also draw out its implications for current and for future legal theory; arguing that it provides the basis for a new jurisprudence capable of creating new concepts of legality"--Page 4 of cover
This practical guide covers the background to the development of clinical governance, suggests structures for implementation and addresses the main areas of clinical governance. Each chapter is summarized with key issues and implementation points.
Helps the reader to follow new government directives on ensuring quality and cost effectiveness.Provides helpful suggestions on how to address obstacles to practice development in everyday practice.Reflective questions, activities and case studies present a direct treatment of how to implement practice development.
Annotation. "In times of rapid change, experience is no longer a sufficient guide to practice. Taking the principles of evidence-based medicine, this is the first guide to evidence-based management. It will help managers and clinicians to make a difference to their organisation." "Illustrated with case studies designed for 'the reader in a hurry', the clear layout of this practical guide is based on a questioning approach of Why? When? Where? How? and Who? which demonstrates how to apply the best evidence in decision making and in assessing performance. Obstacles to practising evidence-based management in healthcare are described, with explanations of how to overcome them." "Health managers and clinicians with managerial responsibilities will find this book an essential guide. Leaders in health service organisations, public health doctors and public sector managers will find it of great benefit in their work."--BOOK JACKET. Title Summary field provided by Blackwell North America, Inc. All Rights Reserved.
The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACCA). The new edition continues to approach issues on Intensive and Acute Cardiac Care for not only cardiologists, intensivists and critical care specialists, but emergency physicians and healthcare professionals too.
