Search Results for "just-culture-balancing-safety-and-accountability"

Just Culture

Just Culture

Balancing Safety and Accountability

  • Author: Sidney Dekker
  • Publisher: Ashgate Publishing, Ltd.
  • ISBN: 1409440605
  • Category: Technology & Engineering
  • Page: 171
  • View: 2512
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While many organizations see the value of creating a just culture they struggle when it comes to developing it. In this Second Edition, Dekker expands his views, additionally tackling the key issue of how justice is created inside organizations. Dekker also introduces new material on ethics and on caring for the' second victim' (the professional at the centre of the incident). Consequently, we have a natural evolution of the author's ideas.

Implementing Safety Management Systems in Aviation

Implementing Safety Management Systems in Aviation

  • Author: Alan J. Stolzer,Carl Halford,John J. Goglia
  • Publisher: Routledge
  • ISBN: 1317118391
  • Category: Technology & Engineering
  • Page: 464
  • View: 8097
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The International Civil Aviation Organization has mandated that all of its member states implement Safety Management Systems (SMS) in their aviation industries. Responding to that call, many countries are now in various stages of SMS development, implementation, and rulemaking. In their first book, Safety Management Systems in Aviation, Stolzer, Halford, and Goglia provided a strong theoretical framework for SMS, along with a brief discourse on SMS implementation. This follow-up book provides a very brief overview of SMS and offers significant guidance and best practices on implementing SMS programs. Very specific guidance is provided by industry experts from government, industry, academia, and consulting, who share their invaluable insights from first-hand experience of all aspects of effective SMS programs. The contributing authors come from all facets of aviation, including regulation and oversight, airline, general aviation, military, airport, maintenance, and industrial safety. Chapters address important topics such as how to develop a system description and perform task analyses, perspectives on data sharing, strategies for gaining management support, establishing a safety culture, approaches to auditing, integrating emergency planning and SMS, and more. Also included is a fictional narrative/story that can be used as a case study on SMS implementation. Implementing Safety Management Systems in Aviation is written for safety professionals and students alike.

Conduct of Operations and Operational Discipline

Conduct of Operations and Operational Discipline

For Improving Process Safety in Industry

  • Author: CCPS (Center for Chemical Process Safety)
  • Publisher: John Wiley & Sons
  • ISBN: 9781118029190
  • Category: Technology & Engineering
  • Page: 242
  • View: 9033
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Process safety management (PSM) systems are only as effective as the day-to-day ability of the organization to rigorously execute system requirements correctly every time. The failure of just one person in completing a job task correctly just one time can unfortunately lead to serious injuries and potentially catastrophic incidents. In fact, the design, implementation, and daily execution of PSM systems are all dependent on workers at all levels in the organization doing their job tasks correctly every time. High levels of Operational Discipline, therefore, help ensure strong PSM performance and overall operational excellence. This book details management practices which help ensure rigor in executing process safety programs in order to prevent major accidents.

The Blame Business

The Blame Business

The Uses and Misuses of Accountability

  • Author: Stephen Fineman
  • Publisher: Reaktion Books
  • ISBN: 1780234589
  • Category: Business & Economics
  • Page: 160
  • View: 7817
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Whenever anything goes wrong our first instinct is often to find someone to blame. Blame infuses our society in myriad ways, seeding rancor and revenge, dividing lovers, coworkers, communities, and nations. Yet blame, appropriately placed and managed, safeguards moral order and legal culpability. In this book, Stephen Fineman explores this duality inherent in blame, taking us on a fascinating journey across blame’s sometimes bitter—sometimes just—landscape. Fineman focuses on blame’s roots and enduring manifestations, from the witch hunts of the past to today’s more buttoned-up scapegoating and stigmatization; from an individual’s righteous anger to entire cultures shaped by its power. Addressing our era of increasing unease about governance in public and private enterprises, he delves behind the scenes of organizations infected with blame, profiling the people who keep its plates spinning. With a critical eye, he examines the vexing issue of public accountability and the political circus that so often characterizes our politicians and corporations lost in their “blame games.” Ultimately, Fineman raises the challenging question of how we might mitigate blame’s corrosive effects, asking crucial and timely questions about the limits of remorse and forgiveness, the role of state apologies for historical wrongdoings, whether restorative justice can work, and many other topics. An absorbing look at something we all know intimately, this book deepens our understanding of blame and how it shapes our lives.

After Harm

After Harm

Medical Error and the Ethics of Forgiveness

  • Author: Nancy Berlinger
  • Publisher: JHU Press
  • ISBN: 9780801881671
  • Category: Medical
  • Page: 156
  • View: 5751
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Medical error is a leading problem of health care in the United States. Each year, more patients die as a result of medical mistakes than are killed by motor vehicle accidents, breast cancer, or AIDS. While most government and regulatory efforts are directed toward reducing and preventing errors, the actions that should follow the injury or death of a patient are still hotly debated. According to Nancy Berlinger, conversations on patient safety are missing several important components: religious voices, traditions, and models. In After Harm, Berlinger draws on sources in theology, ethics, religion, and culture to create a practical and comprehensive approach to addressing the needs of patients, families, and clinicians affected by medical error. She emphasizes the importance of acknowledging fallibility, telling the truth, confronting feelings of guilt and shame, and providing just compensation. After Harm adds important human dimensions to an issue that has profound consequences for patients and health care providers.

Understanding Patient Safety, Third Edition

Understanding Patient Safety, Third Edition

  • Author: Robert Wachter,Kiran Gupta
  • Publisher: McGraw Hill Professional
  • ISBN: 1259860256
  • Category: Medical
  • Page: 608
  • View: 9537
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Now revised and updated—the landmark patient safety primer written by the world’s leading authorities Medical errors are the unfortunate byproduct of an increasingly complex healthcare system. Now more than ever, keeping patients safe takes well-trained caregivers, relevant insights from a range of industries, additional investment—and a groundbreaking text like Understanding Patient Safety. Understanding Patient Safety is “must read” for those seeking to master the clinical, organizational, and systems issues of patient safety. In this bestselling primer, patient safety pioneer Robert Wachter and Kiran Gupta put all the essential tools and principles at your fingertips. Engaging and accessible, the book is filled with high-yield cases, analyses, tables, graphics, along with key points and references—all designed to help you optimize quality and safety. Understanding Patient Safety begins with an introduction to patient safety and medical errors. Its second section surveys specific types of medical errors, including those related to surgery, medications, diagnosis, transition and handoff, and infections. The third section covers proven solutions, from establishing reporting systems, to creating a culture of safety. The third edition reflects pivotal new developments in the field, including major updates in diagnostic errors, information technology and patient safety, ambulatory safety, and clinician burnout. Features: •Coverage of human factors and errors at the person-machine interface •Review of workplace issues, including supporting caregivers after major errors •How to organize an effective safety program •Coordination of patient education and training •Overview of the malpractice system •Discussion of the patient’s role

Understanding Patient Safety, Second Edition

Understanding Patient Safety, Second Edition

  • Author: Robert Wachter
  • Publisher: McGraw Hill Professional
  • ISBN: 0071765786
  • Category: Medical
  • Page: 320
  • View: 9744
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Gain a thorough understanding of the key principles of patient safety with the subject's pioneer text -- Now in full color "This highly readable yet comprehensive book will appeal to every member of the healthcare team. It is a must for every physician's bookshelf." -- Abraham Verghese, MD, Professor, Stanford University and author of the bestselling Cutting for Stone "Bob Wachter's quest to improve the safety of American healthcare represents the very essence of a physician's duty to put the patient first. His unflinching candor about the nature and magnitude of our current safety problems is matched only by his passion for improvement." -- Mark R. Chassin, MD, MPP, MPH, President, The Joint Commission "Amazingly readable for such a wealth of important information. This book should be required reading for every health professional and every healthcare executive." -- Christine Cassel, MD, President and CEO, American Board of Internal Medicine "In a single volume, Wachter accomplishes the seemingly impossible: furnishing the novice with a highly accessible, easy-to-read introduction to patient safety, while providing a comprehensive, fully annotated reference for the experienced patient safety practitioner. All of the important issues are addressed in individual chapters, each with a lively and relevant clinical example and a “key points” summary at the end bracketing full, balanced and lucid descriptions. A true gem, destined to be a close companion for all of us who strive to make healthcare safe." -- Lucian Leape, MD, Professor, Harvard School of Public Health and Chair, Lucian Leape Institute of the National Patient Safety Foundation "There's no more prominent authority on patient safety than Bob Wachter. And there's no more effective primer on patient safety than this one." -- Atul Gawande, MD, MPH, Associate Professor, Harvard Medical School, staff writer for the New Yorker, and bestselling author of Complications and The Checklist Manifesto "Compelling: a must read for all concerned with patient safety. Bob Wachter has a unique voice, incorporating clinical experience, research expertise, and policy implications…all with the patient front and center." -- Peter J. Pronovost, MD, PhD, Professor and Director of the Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine Understanding Patient Safety, Second Edition is the essential book for anyone seeking to learn the core clinical, organizational, and systems issues of patient safety. Written in an engaging and accessible style by one of the world’s leading authorities on patient safety and quality, Understanding Patient Safety is filled with valuable cases and analyses, as well as tables, graphics, references, and tools. This classic reference is designed to make the patient safety field understandable to medical, nursing, pharmacy, hospital administration, and other trainees, and to be the go-to book for experienced clinicians and non-clinicians alike. The second edition has been revised to include coverage of the latest issues and trends, including: Information technology Measurements of safety, errors, and harm Checklist-based interventions Safety targets Policy issues in patient safety Balancing “no blame” and accountability Understanding Patient Safety, Second Edition delivers key insights to help you understand and prevent a a broad range of errors, including those related to medications, surgery, diagnosis, infections, and nursing care. The crucial contextual issues -- including errors at the person-machine interface, the role of culture, patient engagement in their own safety, and workforce and trainee considerations, are also well covered. Finally, the book provides a practical overview of how to organize an effective safety program, in both hospitals and clinics.

Patient Safety and Hospital Accreditation

Patient Safety and Hospital Accreditation

A Model for Ensuring Success

  • Author: Sharon Ann Myers, RN, MSN, MSB, FACHE, FAIHQ, CPHQ, CPHRM
  • Publisher: Springer Publishing Company
  • ISBN: 0826106404
  • Category: Medical
  • Page: 340
  • View: 3795
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Improving the culture of safety in our health care institutions is an essential component of preventing or reducing errors as well as improving overall health care quality. This book presents the clinically tested Myer's Patient Safety Model for health care system leaders, middle managers, and administrators to build their patient safety program and to help sustain, renew, or obtain accreditation. The author provides detailed explanations of why medical errors still occur in accredited hospitals, and provides the much needed organization-wide steps to prevent these errors and enhance patient safety for improved outcomes. Current patient safety challenges are discussed with an emphasis on the concept of reliability. The Myers Model is examined in detail, along with current evidence for its three interrelated levels of organizational structure-the leadership (system) level, the unit (microsystem) level, and the individual level. The text includes interviews about key aspects of patient safety with three leaders of major health care accreditation programs in the U.S., Canada, and Australia. Additionally, it provides an overview of reporting systems within the U.S. and covers two essential tools for patient safety-root cause analysis and failure mode and effect analysis. The book links all aspects of patient safety with accreditation standards at the national level, and also discusses efforts to globalize accreditation criteria and procedures. Key Features: Presents a clinically tested model for building a patient safety program and helping to sustain, renew, or obtain accreditation Provides tools for use in ensuring patient safety and accreditation, including root cause analysis and failure mode and effect analysis Discusses how aggregate data inform patient safety documentation and accreditation through integrated perspectives Offers a global view of accreditation and patient safety Includes techniques to improve communication among members of health care teams

Second Generation QSEN, An Issue of Nursing Clinics

Second Generation QSEN, An Issue of Nursing Clinics

  • Author: Jane Barnsteiner,Joanne Disch
  • Publisher: Elsevier Health Sciences
  • ISBN: 1455747270
  • Category: Medical
  • Page: 240
  • View: 1972
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This issue of Nursing Clinics of North America, Guest Edited by Joanne Disch, PhD, RN, FAAN, and Jane Barnsteiner, PhD, RN, FAAN, will focus on Second Generation Work with QSEN, with article topics including: Second Victim; Interprofessional education for QSEN; The Quality Burden; New technologies for teaching quality and safety; Creating Academic/Clinical Partnerships; Incorporating QSEN into Pre-Licensure Programs; Innovative Strategies for Embedding QSEN; Gaining Senior Level Support for QSEN; and Nursing Internships to Promote Quality and Safety.

Highest Duty

Highest Duty

My Search for What Really Matters

  • Author: Captain Chesley B. Sullenberger, III,Jeffrey Zaslow
  • Publisher: Harper Collins
  • ISBN: 0061959537
  • Category: Biography & Autobiography
  • Page: 368
  • View: 4354
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Now a major motion picture from Clint Eastwood, starring Tom Hanks—the inspirational autobiography by one of the most captivating American heroes of our time, Capt. ‘Sully’ Sullenberger—the pilot who miraculously landed a crippled US Airways Flight 1549 in New York’s Hudson River, saving the lives of all 155 passengers and crew. On January 15, 2009, the world witnessed a remarkable emergency landing when Captain "Sully" Sullenberger skillfully glided US Airways Flight 1549 onto the Hudson River, saving the lives of all 155 passengers and crew. His cool actions not only averted tragedy but made him a hero and an inspiration worldwide. His story is now a major motion picture from director / producer Clint Eastwood and stars Tom Hanks, Laura Linney and Aaron Eckhart. Sully's story is one of dedication, hope, and preparedness, revealing the important lessons he learned through his life, in his military service, and in his work as an airline pilot. It reminds us all that, even in these days of conflict, tragedy and uncertainty, there are values still worth fighting for—that life's challenges can be met if we're ready for them.