Engineering The System Of Healthcare Delivery

Author: William B. Rouse
Publisher: IOS Press
ISBN: 1607505320
Size: 40.94 MB
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As the United States continues to debate reform of its healthcare system, this book argues that providing health insurance for all without improving the delivery system will not improve the current problems of access, affordability, and quality. The US healthcare system has many excellent components; strong scientific input, extraordinary technology for diagnosis and treatment, dedicated staff and top-class facilities among them. But the system has evolved haphazardly over time and although it has not failed entirely, the authors argue that like any system where attention, is paid to individual components at the expense of the system as a whole, it can never hope to succeed. Above all, they point out that the US system does not provide high value healthcare; it has the highest costs in the world and yet many other countries have lower infant mortality rates and better life expectancy. Together with a team of highly regarded thought leaders, the authors of this publication advocate a complete re-thinking of healthcare from a systems perspective - an engineering approach to healthcare-and they then describe how to set about it. Covering a wide range of subjects including: health care costs and economics, barriers to change, integrated health systems, electronic records and computer-based patient support as well as patient safety and palliative and chronic care, this book will be of interest to all those involved in healthcare provision whose goal is affordable care to promote healthy, high quality lives.

Engineering Patient Safety In Radiation Oncology

Author: Lawrence Marks
Publisher: CRC Press
ISBN: 1482233657
Size: 50.96 MB
Format: PDF, Docs
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Because radiation is a central curative and palliative therapy for many patients, it is essential to have safe and efficient systems for planning and delivering radiation therapy. Factors such as rapid technological advances, financial reorganization, an aging population, and evolving societal expectations, however, may be compromising our ability to deliver highly reliable and efficient care. Engineering Patient Safety in Radiation Oncology describes proven concepts and examples, borrowed from organizations known for high reliability and value creation, to guide radiation oncology centers towards achieving patient safety and quality goals. It portrays the authors’ efforts at the University of North Carolina to address the challenges of keeping patients safe while continuously improving care delivery processes. Reviews past and current challenges of patient safety issues within radiation oncology Provides an overview of best practices from high reliability organizations Explains how to optimize workplaces and work processes to minimize human error Offers methods for engaging and respecting people during their transition to safety mindfulness Requiring no prior knowledge of high reliability and value creation, the book is divided into two parts. Part one introduces the basic concepts, methods, and tools that underlie the authors’ approach to high reliability and value creation. In addition, it provides an overview of key safety challenges within radiation oncology. In part two, the authors supply an in-depth account of their journey to high reliability and value creation at the University of North Carolina.

Clinical Engineering Handbook

Author: Joseph F. Dyro
Publisher: Academic Press
ISBN: 012226570X
Size: 47.19 MB
Format: PDF
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Author Joseph Dyro has been awarded the Association for the Advancement of Medical Instrumentation (AAMI) Clinical/Biomedical Engineering Achievement Award which recognizes individual excellence and achievement in the clinical engineering and biomedical engineering fields. He has also been awarded the American College of Clinical Engineering 2005 Tom O'Dea Advocacy Award. As the biomedical engineering field expands throughout the world, clinical engineers play an evermore important role as the translator between the worlds of the medical, engineering, and business professionals. They influence procedure and policy at research facilities, universities and private and government agencies including the Food and Drug Administration and the World Health Organization. Clinical Engineers were key players in calming the hysteria over electrical safety in the 1970's and Y2K at the turn of the century and continue to work for medical safety. This title brings together all the important aspects of Clinical Engineering. It provides the reader with prospects for the future of clinical engineering as well as guidelines and standards for best practice around the world. * Clinical Engineers are the safety and quality faciltators in all medical facilities.

Handbook Of Healthcare Delivery Systems

Author: Yuehwern Yih
Publisher: CRC Press
ISBN: 9781439803622
Size: 17.65 MB
Format: PDF, Mobi
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With rapidly rising healthcare costs directly impacting the economy and quality of life, resolving improvement challenges in areas such as safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity has become paramount. Using a system engineering perspective, Handbook of Healthcare Delivery Systems offers theoretical foundations, methodologies, and case studies in each main sector of the system. It explores how system engineering methodologies and their applications in designing, evaluating, and optimizing the operations of the healthcare system could improve patient outcomes and cost effectiveness. The book presents an overview of current challenges in the healthcare system and the potential impact of system engineering. It describes an integrated framework for the delivery system and the tools and methodologies used for performance assessment and process improvement with examples of lean concept, evidence-based practice and risk assessment. The book then reviews system engineering methodologies and technologies and their applications in healthcare. Moving on to coverage of the design, planning, control and management of healthcare systems, the book contains chapters on 12 services sectors: preventive care, telemedicine, transplant, pharmacy, ED/ICU, OR, decontamination, laboratory, emergency response, mental health, food and supplies, and information technology. It presents the state-of-the-art operations and examines the challenges in each service unit. While system engineering concepts have been broadly applied in healthcare systems, most improvements have focused on a specific segment or unit of the delivery system. Each unit has strong interactions with others and any significant improvement is more likely to be sustained over time by integrating the process and re-evaluating the system design from a holistic viewpoint. By providing an overview of individual operational sectors in the extremely complex healthcare system and introducing a wide array of engineering methods and tools, this handbook establishes the foundation to facilitate integrated system thinking to redesign the next generation healthcare system.

Patient Safety

Author: B.S. Dhillon
Publisher: CRC Press
ISBN: 1439873860
Size: 10.95 MB
Format: PDF, ePub, Mobi
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With unintended harm during hospital care costing billions of dollars to the world economy, not to mention millions of deaths each year, it’s no wonder the issue is equally front and center in the minds of healthcare providers and the public. Although the issue has been tackled in journal articles and conference proceedings, there are very few books on the topic. And none consider how methods and techniques developed in the area of engineering can handle safety and human error-related problems. Until now. Written by an expert with vast know-how in engineering management, design, reliability, safety, and quality, Patient Safety: An Engineering Approach brings together the pertinent information scattered throughout books and journals, eliminating the need to consult many different and diverse sources to find what you need. B.S. Dhillon draws on his real-world experience to demonstrate how to handle patient safety-related problems using engineering techniques and backs this up with references for further reading at the end of each chapter. He sets the stage with introductory chapters on mathematical, patient safety, and human factors concepts essential to understanding materials presented in subsequent chapters. Dhillon’s clear, concise discussion of the topics presents the information in such a way that no previous knowledge is required to understand the contents, yet he does not present it at a merely rudimentary level. He brings a fresh approach and engineering perspective to the issues, giving you a new tool kit for performing patient safety-related analysis, designing better medical systems/devices, and handling patient safety-related problems from an engineering perspective.

Building A Better Delivery System

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030909643X
Size: 53.80 MB
Format: PDF
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In a joint effort between the National Academy of Engineering and the Institute of Medicine, this books attempts to bridge the knowledge/awareness divide separating health care professionals from their potential partners in systems engineering and related disciplines. The goal of this partnership is to transform the U.S. health care sector from an underperforming conglomerate of independent entities (individual practitioners, small group practices, clinics, hospitals, pharmacies, community health centers et. al.) into a high performance "system" in which every participating unit recognizes its dependence and influence on every other unit. By providing both a framework and action plan for a systems approach to health care delivery based on a partnership between engineers and health care professionals, Building a Better Delivery System describes opportunities and challenges to harness the power of systems-engineering tools, information technologies and complementary knowledge in social sciences, cognitive sciences and business/management to advance the U.S. health care system.

Handbook Of Human Factors And Ergonomics In Health Care And Patient Safety Second Edition

Author: Pascale Carayon
Publisher: CRC Press
ISBN: 1439830347
Size: 72.20 MB
Format: PDF, Mobi
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The first edition of Handbook of Human Factors and Ergonomics in Health Care and Patient Safety took the medical and ergonomics communities by storm with in-depth coverage of human factors and ergonomics research, concepts, theories, models, methods, and interventions and how they can be applied in health care. Other books focus on particular human factors and ergonomics issues such as human error or design of medical devices or a specific application such as emergency medicine. This book draws on both areas to provide a compendium of human factors and ergonomics issues relevant to health care and patient safety. The second edition takes a more practical approach with coverage of methods, interventions, and applications and a greater range of domains such as medication safety, surgery, anesthesia, and infection prevention. New topics include: work schedules error recovery telemedicine workflow analysis simulation health information technology development and design patient safety management Reflecting developments and advances in the five years since the first edition, the book explores medical technology and telemedicine and puts a special emphasis on the contributions of human factors and ergonomics to the improvement of patient safety and quality of care. In order to take patient safety to the next level, collaboration between human factors professionals and health care providers must occur. This book brings both groups closer to achieving that goal.

Patient Safety Research Into Practice

Author: Walshe, Kieran
Publisher: McGraw-Hill Education (UK)
ISBN: 0335218539
Size: 75.19 MB
Format: PDF, Kindle
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Presents a research-based perspective on patient safety, drawing together the most recent ideas on how to understand patient safety issues, along with how research findings are used to shape policy and practice.

Building A Culture Of Patient Safety Through Simulation

Author: Kathleen Gallo, PhD, MBA, RN, FAAN
Publisher: Springer Publishing Company
ISBN: 0826169074
Size: 19.29 MB
Format: PDF, Mobi
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"This book provides a dynamic and comprehensive interprofessional approach to building a culture of safety by using simulation across clinical and education spheres in healthcare... This is a comprehensive guide and resource for healthcare organizations, educators, and diverse interprofessional healthcare team members to use to improve patient safety efforts to adapt to the ever-changing, complex world of healthcare. Its practical application is pertinent in transforming the education and practice of medicine, nursing, and other health-related fields... Weighted Numerical Score: 99 - 5 Stars!" Patricia West, MS, BSN Michigan State University College of Nursing Doody's Medical Reviews ì[The authors] have brought together a core group of national leaders to produce what I think is a paradigm-busting book that will help to transform education at the graduate level in medicine, nursing, and all related fields. The book speaks expertly about the high fidelity of simulation training, the need for synthetic models, the adult learning theory behind the debriefÖit is a manifesto about where we must go as an interprofessional team, caring for the patient of the future.î From the Foreword, by David B. Nash, MD, MBA Dean, Jefferson School of Population Health Philadelphia, PA This groundbreaking book reflects the accomplishments of an internationally recognized leader of innovation regarding interprofessional clinical learning through simulation. Based on the North Shore-LIJ Health System corporate university experience, the book describes how this organization used simulation to successfully tackle the major interprofessional health issue of our time: patient safety. This health system created a transformative simulation center that involves nurses, doctors, and related health professionals whose work in clinical teams has resulted in measurable improvements in all aspects of clinical decision-making, critical thinking, teamwork, and communication skillsótoward the ultimate goal of improved patient safety. Key Features: Describes in detail a groundbreaking system of achieving patient safety that uses interprofessional clinical learning through simulation Detailed case studies using concrete methods and examples illustrate the application of theory to practice Presents simulations scalable to any size organization and for use by health care professionals in all specialties Includes theoretical foundations and practical applications for teaching and learning Focuses on interprofessional cooperation and learning

Annual Review Of Nursing Research Volume 24 2006

Author: Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN
Publisher: Springer Publishing Company
ISBN: 9780826141385
Size: 29.45 MB
Format: PDF, ePub
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Designated a Doody's Core Title! Supporting the urgent need for new patient safety guidelines and practices, Focus on Patient Safety, provides the most current and authoritative research and review to help decision makers develop new and much-needed standards and practices in nursing. With contributions from experts in the field, this new up-to-date reference focuses on key disciplines and topics that are critical to patient safety today including: Patient safety indicators Medication errors Falls and injury prevention Hospital-acquired infections Patient safety in acute-care units in hospitals Medications in the perioperative environment Home visit programs for the elderly Nursing homes Informatics issues Organizational, climate, and culture factors From new and emerging issues in patient safety to a review of research methods and measurement, this new 24th volume in the Annual Review of Nursing Research (ARNR) series continues to provide the highest standards of content and authoritative review of research for students, researchers, and clinicians.