Structural approaches to address issues in patient safety / edited by Susan D. Moffatt-Bruce.

Format:

Book

Contributor:

Moffatt-Bruce, Susan D., editor.

Series:

Advances in health care management ; 1474-8231 v. 18.

Advances in health care management, 1474-8231 ; volume 18

Language:

English

Subjects (All):

Medical policy.

Patient advocacy.

Physical Description:

1 online resource (290 pages) : illustrations.

Edition:

1st ed.

Place of Publication:

Bingley, England : Emerald Publishing, [2019]

Summary:

This volume delves into the potential that design thinking can have when applied to organizational systems and structures in health care environments to mitigate risks, reduce medical errors and ultimately improve patient safety, the quality of care, provider well-being, and the overall patient experience.

Contents:

Front Cover

Structural Approaches to Address Issues in Patient Safety

Copyright Page

Contents

List of Reviewers

Editorial Advisory Board

About the Contributors

Foreword

Case Study: More Patient Safety by Design - System-based Approaches for Hospitals

Introduction

Conceptual Framework

Directly Reducing Risks

Optimizing Latent Conditions, Supporting Staff Performance Levels

Encouraging Intuitive, Safety-promoting Behavior

Creating a Health-promoting Environment

Approach

Project Results: Good Practices for Improving Patient Safety by Design

Optimizing Lighting

Noise Reduction

Reduction of Interruptions

Standardization

Nudging to Raise Compliance

Conclusion

Acknowledgments

References

PROcess for the Design of User-Centered Environments (PRODUCE): Guiding Change in the Health Care Environment

Development of a Process Model to Guide Change

PROcess for the Design of User-centered Environments (PRODUCE)

Design

Construction

Preopening

Post Go-live

Assessing Outcomes

Scaling the Model

Case Study: Women's Services and Neonatal Intensive Care

Putting PRODUCE into Practice

Systems Modeling Approach for Reducing the Risk of Healthcare-associated Infections

Systems Approach in Health Care and Infection Control

Complex System Risk of Infection Model

Model Validation and Optimization

Using the Systems Model to Simulate and Identify Effective Interventions

Discussion

Summary and Future Work

Appendix 1: Mixutre Design and Contour Plot Development

Appendix 2: Fractional Factorial Experimental Design

Repurposing Geographic Information Systems for Routine Hospital Infection Control

Purpose

Design/Methodology/Approach

Findings.

Targeted Literature Review

Using GIS for Infection Prevention

Using Hospital GIS for Outbreak Investigation

Analysis of Research Gaps

Assessment of Complexity Using NASSS (Greenhalgh et al., 2017) Framework

Challenges to the Implementation of a Hospital GIS

Limitations

Future Directions

Originality/Value

Application of Human Factors in Neonatal Intensive Care Unit Redesign

Application of Human Factors to Physical Space Design

Overview of NICU Redesign Effort

Methods

Data Collection

Stakeholder Meeting: Group Interviews and Pre-mortem Simulation

In-depth Individual Interviews

Observations

Analysis to Derive Design Requirements

Expert Evaluation

Evaluating the Candidate Design Plan against the Design Requirements

Identifying Vulnerabilities in the Proposed Design

Metrics Development

Findings

Recommendations

Revisions to Design Plan

Implications and Discussion

The Mediating Role of Burnout in the Relationship between Perceived Patient-safe, Friendly Working Environment and Perceive...

Theoretical Framework

Method

Results

Conclusions and Recommendations

Failure to Rescue Event Mitigation System Assessment: A Mixed-methods Approach to Analysis of Complex Adaptive Systems

The Opportunity for Systems Analysis of Patient Safety Programs

Case Example: Failure to Rescue Event Mitigation System Analysis

Analysis Goals and Assessment Approach

Macro-level Systems Analysis Methods and Findings

Evidence Review

Current State Analysis

Integrated System Modeling

Stakeholder Knowledge Elicitation and Identification of Key System Leverage Points

Leverage Point Analysis Methods and Findings

People and Teams.

Technology and Socio-technical Issues

Dynamic System Modeling

Stakeholder Feedback and Analysis Integration

System Requirements Development and Intervention Selection

Continuous Cardiac Monitoring Policy Implementation: Three-year Sustained Decrease of Hospital Resource Utilization

A Work Systems Analysis of Sterile Processing: Sterilization and Case Cart Preparation

Design and Setting

Modeling

Performance Sampling

Basic System Description

Sterilization Process

Case Cart Preparation Process

Hierarchical Task Analysis

Abstraction Hierarchies

Variance Matrix

General Observations

Case Cart Interruptions

Tray Defect Data

Generalizability

Conclusions

A Model for Cultivating a Culture of Continuous Learning and Improvement: An Ethnographic Report

Theory

Study Design Overview

Case Setting

Procedures and Data Sources

Data Analysis and Interpretation

Cultural Evolution

Cultural Evolution Model

Theme 1: Micro-system Enablers

Theme 2: Micro-system Motivators

Theme 3: Meso-system Enablers

Theme 4: Meso-system Motivators

Theme 5: Macro-system Enablers

Theme 6: Macro-system Motivators

Theme 7: Cultural Catalysts

Theme 8: Cultural Deterrents

Practice Implications

A Systems Approach to Design and Implementation of Patient Assessment Tools in the Inpatient Setting

Literature Review of Algorithm-based Patient Assessment Approaches.

Preoperative and Post-anesthesia Care Level Risk Assessment Scores

Intensive Care Illness Severity Scores

General Care Track and Trigger Algorithms

Algorithm Development Approaches

Algorithm Implementation Considerations

Study Hospital Current State System Information

Integrated Systems Approach to Design

Summary of Observations from Current State Data and Algorithm Literature Review

Scope and Objectives

Clinical Workflow Design

Information Systems Infrastructure Model

Pilot Implementation Planning

Beyond Patient Satisfaction: Optimizing the Patient Experience

Survey Instrument

Analysis

Demographics

Metrics of Success

Sharing of Data

Index.

Notes:

Includes index.

Print version record.

ISBN:

9781838670863

1838670866

9781838670849

183867084X