First, Do Less Harm

Ross Koppel and Suzanne Gordon (Editors)

Description

Each year, hospital-acquired infections, prescribing and treatment errors, lost documents and test reports, communication failures, and other problems have caused thousands of deaths in the United States, added millions of days to patients' hospital stays, and cost Americans tens of billions of dollars. Despite (and sometimes because of) new medical information technology and numerous well-intentioned initiatives to address these problems, threats to patient safety remain, and in some areas are on the rise.In First, Do Less Harm, twelve health care professionals and researchers plus two former patients look at patient safety from a variety of perspectives, finding many of the proposed solutions to be inadequate or impractical. Several contributors to this book attribute the failure to confront patient safety concerns to the influence of the "market model" on medicine and emphasize the need for hospital-wide teamwork and greater involvement from frontline workers (from janitors and aides to nurses and physicians) in planning, implementing, and evaluating effective safety initiatives.Several chapters in First, Do Less Harm focus on the critical role of interprofessional and occupational practice in patient safety. Rather than focusing on the usual suspects-physicians, safety champions, or high level management-these chapters expand the list of "stakeholders" and patient safety advocates to include nurses, patient care assistants, and other staff, as well as the health care unions that may represent them. First, Do Less Harm also highlights workplace issues that negatively affect safety: including sleeplessness, excessive workloads, outsourcing of hospital cleaning, and lack of teamwork between physicians and other health care staff. In two chapters, experts explain why the promise of health care information technology to fix safety problems remains unrealized, with examples that are at once humorous and frightening. A book that will be required reading for physicians, nurses, hospital administrators, public health officers, quality and risk managers, healthcare educators, economists, and policymakers, First, Do Less Harm concludes with a list of twenty-seven paradoxes and challenges facing everyone interested in making care safe for both patients and those who care for them.

Sujets

• Médecine
• Sociology
• Medical sociology

Informations

• Publié par: Cornell University Press
• Date de parution: 15 août 2012
• Nombre de lectures: 0
• EAN13: 9780801464072
• Langue: English
• Poids de l'ouvrage: 1 Mo

Extrait

FIRST,DO LESS HARM

A volume in the series The Culture and Politics of Health Care Work Edited by Suzanne Gordon and Sioban Nelson

For a list of books in the series, visit our website at www.cornellpress.cornell.edu.

FIRST,DO LESS HARM

Confronting t he I nconv e ni e nt Pr obl ems of Pa t i e nt Sa f e t y

E d i te d by Ro s s Ko p p e l a n d S u z a n n e G o r d o n

ILR P RESS A N I MPRINTOF CORNELLUNIVERSITYPRESS IthacaandLondon

Copyright © 2012 Ross Koppel and Suzanne Gordon

Individual chapters copyright © 2012 by their respective authors.

All rights reserved. Except for brief quotations in a review, this book, or parts thereof, must not be reproduced in any form without permission in writing from the publisher. For information, address Cornell University Press, Sage House, 512 East State Street, Ithaca, New York 14850.

First published by Cornell University Press 2012

Printed in the United States of America

Library of Congress CataloginginPublication Data First, do less harm : confronting the inconvenient problems of patient safety / edited by Ross Koppel and Suzanne Gordon.  p. cm. — (The culture and politics of health care work)  Includes bibliographical references and index.  ISBN 978-0-8014-5077-8 (cloth : alk. paper)  1. Medical errors—Prevention. 2. Patients—Safety measures. 3. Medical care—Safety measures. 4. Hospital care—Safety measures. I. Koppel, Ross. II. Gordon, Suzanne, 1945– III. Series: Culture and politics of health care work.  R729.8.F57 2012  610.289—dc23 2011044453

Cornell University Press strives to use environmentally responsible suppliers and materials to the fullest extent possible in the publishing of its books. Such materials include vegetable-based, low-VOC inks and acid-free papers that are recycled, totally chlorine-free, or partly composed of nonwood fibers. For further information, visit our website at www.cornellpress.cornell.edu.

Cloth printing

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We dedicate this book to the physicians, nurses, pharmacists, researchers, epidemiologists, and others who work so hard to create safe treatment of patients. We also dedicate this book to patients and caregivers who have lived with both illness and patient safety failures.

Contents

Introduction SuzanneGordonandRossKoppel

1.TheDataModelThat Nearly Killed Me JosephM.Bugajski

2. Too Mean to Clean: How We Forgot to Clean Our Hospitals RosalindStanwellSmith

3.WhatGoeswithoutSaying in Patient Safety Suzanne Gordon and Bonnie O’Connor

4. Health Care Information Technology to the Rescue RossKoppel,StephenM. Davidson, Robert L. Wears, and Christine A. Sinsky

5.ADayintheLifeofaNurse KathleenBurke

6.ExcludedActorsinPatientSafety Peter Lazes, Suzanne Gordon, and Sameh Samy

7. Nursing as Patient Safety Net: Systems Issues and Future Directions SeanClarke

8. Physicians, Sleep Deprivation, and Safety Christopher P. Landrigan

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viii CONTENTS

 9. Sleep-deprived Nurses: Sleep and Schedule Challenges in Nursing Alison M. Trinkoff and Jeanne GeigerBrown

10.WoundsThatDon’tHeal:Nurses’ Experience with Medication Errors Linda A. Treiber and Jackie H. Jones

11.OnTeams,Teamwork, and Team Intelligence SuzanneGordon

Conclusion:Twenty-sevenParadoxes, Ironies, and Challenges ofPatientSafety Ross Koppel, Suzanne Gordon, and Joel Leon Telles

Notes247 Contributors277 Index283

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FIRST,DO LESS HARM