Communication and coordination breakdowns represent the leading cause of adverse events in healthcare. This is especially true in the operating room environment - the wrong patient may be operated on, the wrong procedure may be performed, or consideration of specific patient information may be missed in surgery planning, preparation and execution. This book presents an in-depth study of the impact of breakdowns on surgical work in two large urban hospitals. The focus of analysis is set beyond teamwork dynamics to include system level communication and coordination processes. The book presents a breakdown detection method as a first step in the management of breakdowns. The knowledge acquired through a series of hospital studies is also translated into system design guidelines tailored to the requirements of the surgical setting.
This classic resource offers complete coverage of nursing case management - from theoretical background and historical perspective to practical applications and how the field is changing to meet the challenges of today's health care environment. It focuses on the implementation of various case management models used throughout the United States and abroad. Key topics include the impact of public policy on health care; understanding the effects of health care reimbursement and its application at the patient level; throughput and capacity management; the impact of the revenue cycle; compliance and regulatory issues; and principles needed to improve case manager-client interaction. This helpful resource is designed to help nurse case managers assess their organization's readiness for case management, prepare and implement a plan to achieve necessary improvements and evaluate the plan's success. Includes numerous proven case management models currently being used in institutions across the country Organized to take the nursing case manager on a journey from the historical development of nursing case management to the successful implementation of a case management program Offers detailed guidance for planning, implementing, and evaluating a case management program Outlines the planning process with information on key topics such as analysis of the organization, the role of the organization's members, selection criteria for new case managers, case management education, credentialing, and partnerships Features guidelines for implementing a case management program with information on ethical issues, technology, compliance, and regulatory issues Addresses the evaluation component of developing and implementing a case management program by presenting information on outcomes, research, documentation, continuous quality improvement, measuring cost effectiveness, care continuum, and evidence-based practice Presents acute care and community based models of case management Highlights the evolution of collaborative models of case management, addressing key elements of joint decision-making, shared accountability, and interdisciplinary systems of care Addresses health care delivery through case management and public policy by presenting current legislative issues and their affect on both health care reimbursement and the application of care at the patient level Presents the insights, experiences, and advice of nursing administrators who have researched and successfully implemented nursing case management programs in various facilities
Confronted with worldwide evidence of substantial public health harm due to inadequate patient safety, the World Health Assembly (WHA) in 2002 adopted a resolution (WHA55.18) urging countries to strengthen the safety of health care and monitoring systems. The resolution also requested that WHO take a lead in setting global norms and standards and supporting country efforts in preparing patient safety policies and practices. In May 2004, the WHA approved the creation of an international alliance to improve patient safety globally; WHO Patient Safety was launched the following October. For the first time, heads of agencies, policy-makers and patient groups from around the world came together to advance attainment of the goal of "First, do no harm" and to reduce the adverse consequences of unsafe health care. The purpose of WHO Patient Safety is to facilitate patient safety policy and practice. It is concentrating its actions on focused safety campaigns called Global Patient Safety Challenges, coordinating Patients for Patient Safety, developing a standard taxonomy, designing tools for research policy and assessment, identifying solutions for patient safety, and developing reporting and learning initiatives aimed at producing 'best practice' guidelines. Together these efforts could save millions of lives by improving basic health care and halting the diversion of resources from other productive uses. The Global Patient Safety Challenge, brings together the expertise of specialists to improve the safety of care. The area chosen for the first Challenge in 2005-2006, was infection associated with health care. This campaign established simple, clear standards for hand hygiene, an educational campaign and WHO's first Guidelines on Hand Hygiene in Health Care. The problem area selected for the second Global Patient Safety Challenge, in 2007-2008, was the safety of surgical care. Preparation of these Guidelines for Safe Surgery followed the steps recommended by WHO. The groundwork for the project began in autumn 2006 and included an international consultation meeting held in January 2007 attended by experts from around the world. Following this meeting, expert working groups were created to systematically review the available scientific evidence, to write the guidelines document and to facilitate discussion among the working group members in order to formulate the recommendations. A steering group consisting of the Programme Lead, project team members and the chairs of the four working groups, signed off on the content and recommendations in the guidelines document. Nearly 100 international experts contributed to the document (see end). The guidelines were pilot tested in each of the six WHO regions--an essential part of the Challenge--to obtain local information on the resources required to comply with the recommendations and information on the feasibility, validity, reliability and cost-effectiveness of the interventions.
Get the most comprehensive, in-depth coverage on health unit coordinating from the industry's most popular text! Expert authors Elaine Gillingham and Monica Wadsworth Seibel offer in-depth discussion of key theories and concepts surrounding the profession and guide you through the common responsibilities of a health unit coordinator in both traditional and electronic medical record environments. From greeting new patients and dealing with visitors to transcribing physicians' orders, maintaining statistical reports, and preparing patient charts, this text will prepare you for success across all areas of health unit coordination. - Certification Review Guide with mock certification exam is included on the Evolve site with every purchase of the book. - Step-by-step instructions on how to perform important procedures include in-depth explanations of key tasks and possible modifications that would meet special requirements. - High Priority boxes throughout the text offer useful information such as lists of addresses, organizations, laboratory studies, hospital specialties, health unit coordinator career ladders, helpful hints, and more, related to chapter discussions. - Example boxes in the Communication chapters present real-life scenarios that outline the responsibilities of the health unit coordinator in each situation and offer tips on how you can conduct yourself in a professional and helpful manner. - Bad handwriting examples give you experience deciphering hard-to-read handwriting that you will encounter in practice.Student-friendly features such as outlines, chapter objectives, vocabulary, and abbreviations are included at the beginning of each chapter to set the stage for the important information to be covered later in the chapter. - References within the text to the companion skills practice manual and online tools direct you to hands-on exercises that stress the practical applications of skills and procedures in a simulated health care environment. - NEW! Expanded coverage of the EMR/CPOE explains how the implementation of the electronic medical record/CPOE is changing the role of the Health Unit Coordinator. - UPDATED! Coverage of medications, diagnostic procedures, therapies, surgical procedures, and new health care trends keep you up to date on how to perform your role effectively in today's medical environment. - NEW! Hot topics in health unit coordinating keep you abreast of issues currently affecting the health unit coordinator such as, the electronic health record/CPOE, physician order entries, preceptorships, and interviewing/background checks, are addressed. - NEW! Additional student activities are included in each chapter to help reinforce material, expand your critical thinking and application skills, and prepare you for exams. - NEW! Flashcards on Evolve help you review important terminology and abbreviations that you will use on the job.
Awarded second place in the 2018 AJN Book of the Year Awards in Medical-Surgical Nursing! Healthcare is evolving at an incredible pace and with it, the roles and responsibilities of the medical-surgical nurse. Ensure you are fully equipped to thrive and adapt in this ever-changing nursing environment with Ignatavicius, Workman, and Rebar's Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, 9th Edition. This trendsetting text not only covers all essential adult health knowledge, but also reinforces the application, conceptual thinking, and clinical judgment skills that today’s nurses need to stay one step ahead in delivering exceptional patient care, no matter the environment. As with previous "Iggy" editions, you’ll find a unique collaborative care approach to adult health nursing, a thorough integration of QSEN competencies, extensive NCLEX® Exam preparation, and a direct, reader-friendly tone throughout the text. This ninth edition incorporates two emerging and complementary trends — the Core Competencies for Interprofessional Collaborative Practice and a more conceptual approach teaching and learning — areas that will ground you in how to think like a nurse and how to apply the knowledge you gain from the text to clinical practice. There are a lot of med-surg nursing texts out there, but there’s only one that combines all the information, concepts, and on-the-job realities in a way that makes perfect sense: "Iggy!" Trendsetting QSEN integration emphasizes patient safety and evidence-based practice with Nursing Safety Priority boxes, including Drug Alerts, Critical Rescues, and Action Alerts. UNIQUE! Emphasis on clinical judgment helps you develop skills in clinical reasoning and clinical decision-making when applying concepts to clinical situations. Strong emphasis on NCLEX Exam preparation includes chapter-opening Learning Outcomes and chapter-ending Get Ready for the NCLEX Examination! sections organized by NCLEX Client Needs Categories, plus NCLEX Examination Challenge questions, with an answer key in the back of the book and on the Evolve companion website. Exceptionally readable content features shorter sentences, straightforward vocabulary, and a direct, reader-friendly writing style.
Learn to provide state-of-the-art care to any patient in any setting with the most comprehensive trauma nursing resource available. Using the unique cycles of trauma framework, Trauma Nursing: From Resuscitation Through Rehabilitation, 5th Edition features coverage of cutting-edge research findings and current issues, trends, and controversies in trauma nursing. The thoroughly updated fifth edition guides you through all phases of care - from preventive care and the time of injury to the resuscitative, operative, critical, intermediate, and rehabilitative stages. Plus, new chapters address unique trauma patient populations including pregnant women, children, the elderly, bariatric individuals, burned patients, those with a history of substance abuse and organ donors. With timely discussions on emerging topics such as mass casualty events and rural trauma, this is the most complete resource available for both students and experienced trauma nurses. UPDATED! Disaster preparedness, response and recovery for mass casualty incidents prepares students to act quickly and confidently in the event of a disaster, with guidelines for initial response and sustained response. UPDATED! The latest sepsis protocols, opioid use and pain/sedation protocols, and treating injured patients with diabetes. Special populations coverage prepares you to meet the needs of unique trauma patient populations including pregnant women, children, the elderly, bariatric individuals, burn patients, those with a history of substance abuse and organ donors. Coverage of specific issues that affect all patients regardless of their injury, gives you a solid understating of mechanism of injury, traumatic shock, patient/family psychosocial responses to trauma, pain, anxiety, delirium and sleep management; infection; wound healing, and nutrition. Tables and illustrations throughout add clarity to the content being discussed. NEW! Information on a team-centered, interdisciplinary approach to care. NEW! Up-to-date evidence-based information about issues that affect trauma care systems, includes injury pathophysiology, and state-of-the-art care for the trauma patient during all phases of care. NEW! All new content includes information on cultural sensitivity, care for caregivers, and how to handle self-harm injuries and suicide. NEW! Certification review questions help you to prepare for certification by listing the correct answers and rationales. NEW! Current recommendations for measuring fluid administration responsiveness.
This fifth edition of Where Medicine Fails, like previous editions, argues for a broader definition of society's responsibilities to the ill than is commonly perceived to be the case. The authors examine the moral and economic implications of medical technology, especially in regard to fetal tissue transplant, cancer survival, childbirth, and dying, and provide a thoughtful assessment of the issues and challenges facing American hospitals. Seventeen chapters are new to this edition. The aim of this volume is to encourage serious examination of the current structure of health services and of the complicated facets of health care reform.
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
