Matthew Rizzo, Sean McEvoy, and John Lee
- Published in print:
- 2006
- Published Online:
- May 2009
- ISBN:
- 9780195177619
- eISBN:
- 9780199864683
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195177619.003.0023
- Subject:
- Neuroscience, Sensory and Motor Systems, Behavioral Neuroscience
This chapter considers how neuroergonomics—the study of the brain and behavior at work in healthy and impaired states—is relevant to assessments and interventions in patient safety at the levels of ...
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This chapter considers how neuroergonomics—the study of the brain and behavior at work in healthy and impaired states—is relevant to assessments and interventions in patient safety at the levels of individuals and health care systems. It reviews potential areas for neuroergonomic interventions at the level of individuals and systems, and cultural and legal issues that affect the ability to intervene.Less
This chapter considers how neuroergonomics—the study of the brain and behavior at work in healthy and impaired states—is relevant to assessments and interventions in patient safety at the levels of individuals and health care systems. It reviews potential areas for neuroergonomic interventions at the level of individuals and systems, and cultural and legal issues that affect the ability to intervene.
Monica Shaw
- Published in print:
- 2009
- Published Online:
- February 2010
- ISBN:
- 9780198569008
- eISBN:
- 9780191717499
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198569008.003.09
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This chapter reflects on the UK Government's approach to tackling patient safety, and the complexities that arise with respect to developing the evidence base on which it is supposed to depend. It ...
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This chapter reflects on the UK Government's approach to tackling patient safety, and the complexities that arise with respect to developing the evidence base on which it is supposed to depend. It explores the problems that arise in estimating the scale of the patient safety problem, including those associated with the definition and measurement of ‘adverse events’ and ‘near misses’. Approaches that seek to make a causal link between medical interventions and harmful outcomes, and those that advocate whole system analysis are critically discussed. The chapter reviews the problems that arise in requiring staff to report on errors, including those of judgement and defensiveness. It concludes with a review of the continuing challenges of the patient safety agenda, and the balancing act between risk aversion and the development of cutting edge treatments.Less
This chapter reflects on the UK Government's approach to tackling patient safety, and the complexities that arise with respect to developing the evidence base on which it is supposed to depend. It explores the problems that arise in estimating the scale of the patient safety problem, including those associated with the definition and measurement of ‘adverse events’ and ‘near misses’. Approaches that seek to make a causal link between medical interventions and harmful outcomes, and those that advocate whole system analysis are critically discussed. The chapter reviews the problems that arise in requiring staff to report on errors, including those of judgement and defensiveness. It concludes with a review of the continuing challenges of the patient safety agenda, and the balancing act between risk aversion and the development of cutting edge treatments.
Sarah Hammond
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199558612
- eISBN:
- 9780191595011
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199558612.003.0001
- Subject:
- Public Health and Epidemiology, Public Health
This chapter presents an overview of clinical governance. It discusses the meaning of clinical governance, origins of clinical governance, and the regulatory bodies tasked with the assessment of ...
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This chapter presents an overview of clinical governance. It discusses the meaning of clinical governance, origins of clinical governance, and the regulatory bodies tasked with the assessment of clinical governance by regulatory bodies. It then describes the Patient Safety First Campaign, which was launched within the National Health Service (NHS) in England in 2008 to make the safety of patients the highest priority and make all avoidable death and harm unacceptable.Less
This chapter presents an overview of clinical governance. It discusses the meaning of clinical governance, origins of clinical governance, and the regulatory bodies tasked with the assessment of clinical governance by regulatory bodies. It then describes the Patient Safety First Campaign, which was launched within the National Health Service (NHS) in England in 2008 to make the safety of patients the highest priority and make all avoidable death and harm unacceptable.
Elizabeth Haxby, David Hunter, and Siân Jaggar (eds)
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199558612
- eISBN:
- 9780191595011
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199558612.001.0001
- Subject:
- Public Health and Epidemiology, Public Health
Clinical governance is integral to healthcare and all doctors must have an understanding of both basic principles, and how to apply them in daily practice. Within the Clinical Governance framework, ...
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Clinical governance is integral to healthcare and all doctors must have an understanding of both basic principles, and how to apply them in daily practice. Within the Clinical Governance framework, patient safety is the top priority for all healthcare organizations, with the prevention of avoidable harm a key goal. Traditionally, medical training has concentrated on the acquisition of knowledge and skills related to diagnostic intervention and therapeutic procedures. The need to focus on non-technical aspects of clinical practice, including communication and team working, is now evident; ensuring tomorrow's staff are competent to function effectively in any healthcare facility. This book provides a guide to how healthcare systems work; their structure, regulation and inspection, and key areas including risk management, resource effectiveness, and wider aspects of knowledge management. This book presents a simple overview of clinical governance in context, highlighting important principles required to function effectively in a pressurized healthcare environment. It is presented in short sections based on the original seven pillars of clinical governance. These have been expanded to include the fundamental principles of systems, team working, leadership, accountability, and ownership in healthcare, with examples from everyday practice. Examples from all branches of medicine are presented to facilitate understanding.Less
Clinical governance is integral to healthcare and all doctors must have an understanding of both basic principles, and how to apply them in daily practice. Within the Clinical Governance framework, patient safety is the top priority for all healthcare organizations, with the prevention of avoidable harm a key goal. Traditionally, medical training has concentrated on the acquisition of knowledge and skills related to diagnostic intervention and therapeutic procedures. The need to focus on non-technical aspects of clinical practice, including communication and team working, is now evident; ensuring tomorrow's staff are competent to function effectively in any healthcare facility. This book provides a guide to how healthcare systems work; their structure, regulation and inspection, and key areas including risk management, resource effectiveness, and wider aspects of knowledge management. This book presents a simple overview of clinical governance in context, highlighting important principles required to function effectively in a pressurized healthcare environment. It is presented in short sections based on the original seven pillars of clinical governance. These have been expanded to include the fundamental principles of systems, team working, leadership, accountability, and ownership in healthcare, with examples from everyday practice. Examples from all branches of medicine are presented to facilitate understanding.
Elizabeth Haxby and Richard Hartopp
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199558612
- eISBN:
- 9780191595011
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199558612.003.0003
- Subject:
- Public Health and Epidemiology, Public Health
Risk identification is key to a comprehensive risk management program that include clinical, operational, and financial risks. All NHS institutions are required by the National Health Service ...
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Risk identification is key to a comprehensive risk management program that include clinical, operational, and financial risks. All NHS institutions are required by the National Health Service Litigation Authority (NHSLA) Risk management Standards for Acute Trusts to have a systematic approach to clinical risk management, since it is a fundamental part of the provision of safe, effective healthcare. This chapter discusses patient safety incident reporting, claims and complaints, clinical audits, morbidity and mortality meetings, executive safety walkrounds, proactive risk assessment, national reports and surveys, and patient safety alerts.Less
Risk identification is key to a comprehensive risk management program that include clinical, operational, and financial risks. All NHS institutions are required by the National Health Service Litigation Authority (NHSLA) Risk management Standards for Acute Trusts to have a systematic approach to clinical risk management, since it is a fundamental part of the provision of safe, effective healthcare. This chapter discusses patient safety incident reporting, claims and complaints, clinical audits, morbidity and mortality meetings, executive safety walkrounds, proactive risk assessment, national reports and surveys, and patient safety alerts.
Alison Wright
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199558612
- eISBN:
- 9780191595011
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199558612.003.0038
- Subject:
- Public Health and Epidemiology, Public Health
Patient feedback and the associated assessment of the performance of health care professionals has increased in prominence in recent years. This is attributed partly to concerns around patient safety ...
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Patient feedback and the associated assessment of the performance of health care professionals has increased in prominence in recent years. This is attributed partly to concerns around patient safety and the resultant efforts to improve performance. This chapter discusses the evolution of patient surveys, the National Patient Survey Programme (NPSP), patient priorities, the importance of patient feedback in shaping improvements, and optimizing the use of patient feedback.Less
Patient feedback and the associated assessment of the performance of health care professionals has increased in prominence in recent years. This is attributed partly to concerns around patient safety and the resultant efforts to improve performance. This chapter discusses the evolution of patient surveys, the National Patient Survey Programme (NPSP), patient priorities, the importance of patient feedback in shaping improvements, and optimizing the use of patient feedback.
Murray Anderson-Wallace
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199558612
- eISBN:
- 9780191595011
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199558612.003.0042
- Subject:
- Public Health and Epidemiology, Public Health
This chapter discusses the challenge of communicating with the media and the public about healthcare quality and safety. The task is made difficult by factors such as the complexity of messages, risk ...
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This chapter discusses the challenge of communicating with the media and the public about healthcare quality and safety. The task is made difficult by factors such as the complexity of messages, risk of creating anxiety amongst those for whom care is provided, and fast moving and often hostile media environment. The reciprocal relationships between NHS staff, the communities they serve, and external media sources can be powerful tools to support change but must be managed effectively.Less
This chapter discusses the challenge of communicating with the media and the public about healthcare quality and safety. The task is made difficult by factors such as the complexity of messages, risk of creating anxiety amongst those for whom care is provided, and fast moving and often hostile media environment. The reciprocal relationships between NHS staff, the communities they serve, and external media sources can be powerful tools to support change but must be managed effectively.
Rachel Matthews
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199558612
- eISBN:
- 9780191595011
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199558612.003.0035
- Subject:
- Public Health and Epidemiology, Public Health
This chapter discusses the importance of patient and public involvement (PPI). PPI increases the accountability of the NHS to the taxpayer. PPI can support service improvement and the concept of ...
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This chapter discusses the importance of patient and public involvement (PPI). PPI increases the accountability of the NHS to the taxpayer. PPI can support service improvement and the concept of co-design which draws from patient and staff experience is being adopted in health care settings. Section 242 of the NHS Act 2006 requires health services to make arrangements to involve those who use services and the Darzi Review (2008) reinforces this as part of the new national quality framework.Less
This chapter discusses the importance of patient and public involvement (PPI). PPI increases the accountability of the NHS to the taxpayer. PPI can support service improvement and the concept of co-design which draws from patient and staff experience is being adopted in health care settings. Section 242 of the NHS Act 2006 requires health services to make arrangements to involve those who use services and the Darzi Review (2008) reinforces this as part of the new national quality framework.
John Wright
- Published in print:
- 2010
- Published Online:
- May 2010
- ISBN:
- 9780199238934
- eISBN:
- 9780191716621
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199238934.003.16
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This chapter discusses the following topics: aspects of quality in health; quality improvement methods; clinical audit; patient safety; evidence-based practice; clinical guidelines; and getting ...
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This chapter discusses the following topics: aspects of quality in health; quality improvement methods; clinical audit; patient safety; evidence-based practice; clinical guidelines; and getting knowledge into practice.Less
This chapter discusses the following topics: aspects of quality in health; quality improvement methods; clinical audit; patient safety; evidence-based practice; clinical guidelines; and getting knowledge into practice.
Suzette Woodward
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199558612
- eISBN:
- 9780191595011
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199558612.003.0002
- Subject:
- Public Health and Epidemiology, Public Health
Risk awareness is the recognition of the potential for hazards, risks, and incidents that occur within the healthcare environment and result in patient harm. Being risk aware means that individuals ...
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Risk awareness is the recognition of the potential for hazards, risks, and incidents that occur within the healthcare environment and result in patient harm. Being risk aware means that individuals and organizations are potentially able to prevent error and subsequent harm to patients by putting plans and contingencies in place. Within organizations an effective patient safety culture is said to exist when there is high awareness of safety issues at all levels from Trust Board to Ward. This chapter discusses factors which help improve risk awareness, barriers to effective action, and tools which help improve risk awareness.Less
Risk awareness is the recognition of the potential for hazards, risks, and incidents that occur within the healthcare environment and result in patient harm. Being risk aware means that individuals and organizations are potentially able to prevent error and subsequent harm to patients by putting plans and contingencies in place. Within organizations an effective patient safety culture is said to exist when there is high awareness of safety issues at all levels from Trust Board to Ward. This chapter discusses factors which help improve risk awareness, barriers to effective action, and tools which help improve risk awareness.
C.P. Landrigan
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199566594
- eISBN:
- 9780191595066
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199566594.003.0017
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This chapter describes the silent worldwide epidemic of medical error, and outlines what is known about the manner in which human cognitive limits and system complexity contribute to problems in ...
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This chapter describes the silent worldwide epidemic of medical error, and outlines what is known about the manner in which human cognitive limits and system complexity contribute to problems in patient safety. It then discusses the manner in which sleep deprivation, circadian misalignment, and sleep inertia contribute to the genesis of error, and reviews the literature on the relationship between sleep deprivation, work hours, and healthcare provider performance. It presents the results of recent cohort studies directly measuring the effects of sleep deprivation on safety, along with the results of intervention studies designed to mitigate its effects. The chapter concludes with a brief discussion of current healthcare provider work hour policies in Europe and the United States, and the future healthcare policy implications of this emerging work.Less
This chapter describes the silent worldwide epidemic of medical error, and outlines what is known about the manner in which human cognitive limits and system complexity contribute to problems in patient safety. It then discusses the manner in which sleep deprivation, circadian misalignment, and sleep inertia contribute to the genesis of error, and reviews the literature on the relationship between sleep deprivation, work hours, and healthcare provider performance. It presents the results of recent cohort studies directly measuring the effects of sleep deprivation on safety, along with the results of intervention studies designed to mitigate its effects. The chapter concludes with a brief discussion of current healthcare provider work hour policies in Europe and the United States, and the future healthcare policy implications of this emerging work.
Rebecca Kolins Givan
- Published in print:
- 2016
- Published Online:
- January 2017
- ISBN:
- 9780801450051
- eISBN:
- 9781501706028
- Item type:
- chapter
- Publisher:
- Cornell University Press
- DOI:
- 10.7591/cornell/9780801450051.003.0007
- Subject:
- Sociology, Health, Illness, and Medicine
This chapter expounds on Chapter 5, which exemplifies the bottom-up change in the United Kingdom. It particularly discusses the bottom-up change initiated in hospitals in the United States. One of ...
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This chapter expounds on Chapter 5, which exemplifies the bottom-up change in the United Kingdom. It particularly discusses the bottom-up change initiated in hospitals in the United States. One of the strongest, broadest initiatives for change in health care organizations across the industrialized world has been the push to improve patient safety, clinical outcomes, and overall productivity. Theoretically at least, these changes might offer something to all the key stakeholders. If one assumes that provision of the highest quality clinical care is a universal priority, then these initiatives should be broadly appealing. In the best-case scenarios, administrators and policymakers suggest that certain performance enhancements can work as panaceas, producing more efficient (lower cost) health care with better clinical results.Less
This chapter expounds on Chapter 5, which exemplifies the bottom-up change in the United Kingdom. It particularly discusses the bottom-up change initiated in hospitals in the United States. One of the strongest, broadest initiatives for change in health care organizations across the industrialized world has been the push to improve patient safety, clinical outcomes, and overall productivity. Theoretically at least, these changes might offer something to all the key stakeholders. If one assumes that provision of the highest quality clinical care is a universal priority, then these initiatives should be broadly appealing. In the best-case scenarios, administrators and policymakers suggest that certain performance enhancements can work as panaceas, producing more efficient (lower cost) health care with better clinical results.
Bob Heyman, Andy Alaszewski, Monica Shaw, and Mike Titterton
- Published in print:
- 2009
- Published Online:
- February 2010
- ISBN:
- 9780198569008
- eISBN:
- 9780191717499
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198569008.001.0001
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
All too often, service users, health professionals, policy makers, educators, and researchers draw upon risk management frameworks without reflecting critically on their assumptions or limitations. ...
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All too often, service users, health professionals, policy makers, educators, and researchers draw upon risk management frameworks without reflecting critically on their assumptions or limitations. This book is designed to promote ‘risk literacy’. It introduces the reader to a range of issues, often unrecognized, which underlie all health risk management. The book is designed for practitioners, managers, educators, policy makers, researchers, service users, and members of the public who are concerned with health risks. It will help readers to critically evaluate the claims made about organized responses to identified risks in an informed and critical way. The topics covered in the book are illustrated through real clinical examples that demonstrate their relevance for practice. The book unpicks the core elements of risk-thinking; namely, categorization, valuing, inductive probabilistic reasoning, and time-framing. It then reviews key issues relating to organized health risk management: encoding, media representation and influence, regulation, and the patient safety agenda. The concluding chapter analyses responses to the 2009 swine flu pandemic in order to illustrate and draw together the themes discussed in the book.Less
All too often, service users, health professionals, policy makers, educators, and researchers draw upon risk management frameworks without reflecting critically on their assumptions or limitations. This book is designed to promote ‘risk literacy’. It introduces the reader to a range of issues, often unrecognized, which underlie all health risk management. The book is designed for practitioners, managers, educators, policy makers, researchers, service users, and members of the public who are concerned with health risks. It will help readers to critically evaluate the claims made about organized responses to identified risks in an informed and critical way. The topics covered in the book are illustrated through real clinical examples that demonstrate their relevance for practice. The book unpicks the core elements of risk-thinking; namely, categorization, valuing, inductive probabilistic reasoning, and time-framing. It then reviews key issues relating to organized health risk management: encoding, media representation and influence, regulation, and the patient safety agenda. The concluding chapter analyses responses to the 2009 swine flu pandemic in order to illustrate and draw together the themes discussed in the book.
Alison Lovatt and Mel Johnson
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199558612
- eISBN:
- 9780191595011
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199558612.003.0004
- Subject:
- Public Health and Epidemiology, Public Health
Risk assessments are undertaken to estimate the consequences and likelihood of a particular risk being realized. This chapter discusses risk assessment in healthcare, the risk assessment process, ...
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Risk assessments are undertaken to estimate the consequences and likelihood of a particular risk being realized. This chapter discusses risk assessment in healthcare, the risk assessment process, assessing severity of risks, and implementing successful risk assessment.Less
Risk assessments are undertaken to estimate the consequences and likelihood of a particular risk being realized. This chapter discusses risk assessment in healthcare, the risk assessment process, assessing severity of risks, and implementing successful risk assessment.
Simon Finney
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199558612
- eISBN:
- 9780191595011
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199558612.003.0034
- Subject:
- Public Health and Epidemiology, Public Health
This chapter discusses clinical information systems (CIS). When properly implemented, clinical information systems can improve patient safety and reduce medical error. Decision support is a powerful ...
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This chapter discusses clinical information systems (CIS). When properly implemented, clinical information systems can improve patient safety and reduce medical error. Decision support is a powerful tool to reduce errors of omission and commission. Clinical information systems can enhance the quality and reduce the burden of clinical audit. Unless users can be actively engaged, new systems are likely to fail.Less
This chapter discusses clinical information systems (CIS). When properly implemented, clinical information systems can improve patient safety and reduce medical error. Decision support is a powerful tool to reduce errors of omission and commission. Clinical information systems can enhance the quality and reduce the burden of clinical audit. Unless users can be actively engaged, new systems are likely to fail.
Teun Zuiderent-Jerak
- Published in print:
- 2015
- Published Online:
- January 2016
- ISBN:
- 9780262029384
- eISBN:
- 9780262329439
- Item type:
- chapter
- Publisher:
- The MIT Press
- DOI:
- 10.7551/mitpress/9780262029384.003.0006
- Subject:
- Sociology, Health, Illness, and Medicine
Sociological interventions in national improvement programs are the topic of this chapter. It deals with a sociological evaluation of a large improvement program for care of older adults. This was a ...
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Sociological interventions in national improvement programs are the topic of this chapter. It deals with a sociological evaluation of a large improvement program for care of older adults. This was a patient safety quality improvement collaborative that presented a narrow definition of ‘useful’ research in which social scientists are supposed to discover the factors that support or hamper the implementation of existing policy agendas. Such definitions are unfortunate, since they undo the capacity to complexify the taken-for-granted conceptualizations of the object of study that is crucial for situated intervention research. As an alternative to this definition of ‘usefulness’, this chapter explores a focus on multiple ontologies in the making when studying patient safety. Through this focus, social scientists become involved in refiguring the problem space of patient safety, the relations between research subjects and objects, and the existing policy agendas. This role gives social scientists the opportunity to focus on which practices of ‘effective care’ and ‘participation’ are enacted through different approaches to dealing with patient safety and what their consequences are for the care practices under study. Such a focus on multiple ontologies of safety opens up new ways for intervention in quality improvement collaborative, but also points to the limitations of evaluation as intervention.Less
Sociological interventions in national improvement programs are the topic of this chapter. It deals with a sociological evaluation of a large improvement program for care of older adults. This was a patient safety quality improvement collaborative that presented a narrow definition of ‘useful’ research in which social scientists are supposed to discover the factors that support or hamper the implementation of existing policy agendas. Such definitions are unfortunate, since they undo the capacity to complexify the taken-for-granted conceptualizations of the object of study that is crucial for situated intervention research. As an alternative to this definition of ‘usefulness’, this chapter explores a focus on multiple ontologies in the making when studying patient safety. Through this focus, social scientists become involved in refiguring the problem space of patient safety, the relations between research subjects and objects, and the existing policy agendas. This role gives social scientists the opportunity to focus on which practices of ‘effective care’ and ‘participation’ are enacted through different approaches to dealing with patient safety and what their consequences are for the care practices under study. Such a focus on multiple ontologies of safety opens up new ways for intervention in quality improvement collaborative, but also points to the limitations of evaluation as intervention.
Angela Walsh
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199558612
- eISBN:
- 9780191595011
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199558612.003.0044
- Subject:
- Public Health and Epidemiology, Public Health
Clinical networks are described as linked groups of health professionals and organizations from primary, secondary, and tertiary care, working in a co-ordinated manner, unconstrained by existing ...
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Clinical networks are described as linked groups of health professionals and organizations from primary, secondary, and tertiary care, working in a co-ordinated manner, unconstrained by existing professional (and organizational) boundaries to ensure equitable provision of high-quality and clinically-effective services. This chapter discusses the types of networks, engagement in clinical networks, and clinical governance and improving patient safety across a network.Less
Clinical networks are described as linked groups of health professionals and organizations from primary, secondary, and tertiary care, working in a co-ordinated manner, unconstrained by existing professional (and organizational) boundaries to ensure equitable provision of high-quality and clinically-effective services. This chapter discusses the types of networks, engagement in clinical networks, and clinical governance and improving patient safety across a network.
A. Sloan Frank and M. Chepke Lindsey
- Published in print:
- 2008
- Published Online:
- August 2013
- ISBN:
- 9780262195720
- eISBN:
- 9780262283809
- Item type:
- chapter
- Publisher:
- The MIT Press
- DOI:
- 10.7551/mitpress/9780262195720.003.0008
- Subject:
- Economics and Finance, Public and Welfare
This chapter shows that despite all the national attention on the issue of medical errors, surprisingly little progress has been made in implementing error reduction systems. This is partly because ...
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This chapter shows that despite all the national attention on the issue of medical errors, surprisingly little progress has been made in implementing error reduction systems. This is partly because meaningful financial incentives for health care providers to adopt patient safety measures have been lacking. In principle, tort liability could provide such incentives, but not as it is currently structured in the medical field. And under the best of circumstances, tort liability is only one of several policy instruments that can be applied to make medical care safer than it is now. The threat of a lawsuit would presumably deter such errors, but there is empirical evidence that such errors are widespread, and some experts even argue that medical malpractice has been counterproductive in achieving the objective of reducing medical error rates.Less
This chapter shows that despite all the national attention on the issue of medical errors, surprisingly little progress has been made in implementing error reduction systems. This is partly because meaningful financial incentives for health care providers to adopt patient safety measures have been lacking. In principle, tort liability could provide such incentives, but not as it is currently structured in the medical field. And under the best of circumstances, tort liability is only one of several policy instruments that can be applied to make medical care safer than it is now. The threat of a lawsuit would presumably deter such errors, but there is empirical evidence that such errors are widespread, and some experts even argue that medical malpractice has been counterproductive in achieving the objective of reducing medical error rates.
Ruth Symons
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199558612
- eISBN:
- 9780191595011
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199558612.003.0007
- Subject:
- Public Health and Epidemiology, Public Health
Complaints and claims in the National Health Service (NHS) are managed in accordance with national guidance and legislation. Analysis of complaints and claims data, together with patient-safety ...
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Complaints and claims in the National Health Service (NHS) are managed in accordance with national guidance and legislation. Analysis of complaints and claims data, together with patient-safety incidents, can provide a valuable source of learning and opportunity for risk identification particularly in relation to patient safety. This chapter discusses the NHS complaints system, clinical negligence claims in the NHS, the Clinical Negligence Scheme for Trusts (CNST). It also considers why patients make complaints and claims, and their implications for clinicians.Less
Complaints and claims in the National Health Service (NHS) are managed in accordance with national guidance and legislation. Analysis of complaints and claims data, together with patient-safety incidents, can provide a valuable source of learning and opportunity for risk identification particularly in relation to patient safety. This chapter discusses the NHS complaints system, clinical negligence claims in the NHS, the Clinical Negligence Scheme for Trusts (CNST). It also considers why patients make complaints and claims, and their implications for clinicians.
Robert Craig
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199558612
- eISBN:
- 9780191595011
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199558612.003.0046
- Subject:
- Public Health and Epidemiology, Public Health
This chapter discusses effective communication in hospitals. Hospitals offer a multitude of challenges for effective communication, but good communication is possible when it is recognized that the ...
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This chapter discusses effective communication in hospitals. Hospitals offer a multitude of challenges for effective communication, but good communication is possible when it is recognized that the challenge needs time, commitment, and resources; when formal processes and structures exist and are used effectively; and, particularly, when the importance of informal communication channels is recognized and exploited.Less
This chapter discusses effective communication in hospitals. Hospitals offer a multitude of challenges for effective communication, but good communication is possible when it is recognized that the challenge needs time, commitment, and resources; when formal processes and structures exist and are used effectively; and, particularly, when the importance of informal communication channels is recognized and exploited.
