La maîtrise des dépenses de santé, l'exigence de soins délivrés dans les meilleures conditions et la réduction des risques encourus par les patients et les professionnels de la santé sont les trois axes majeurs qui vont orienter le devenir des hôpitaux et des cliniques. A l'heure où la maîtrise des coûts semble prendre le pas sur toute autre considération, il est essentiel que les professionnels de la santé mettent en avant la qualité de leurs prestations. Cette initiative est d'autant plus urgente que les tutelles et les bailleurs de fonds tendent vers la mise en place d'un processus d'accréditation d'établissements et de services. Enfin, le patient, consommateur de soins, revendique de plus en plus son droit à la recherche de responsabilités lors de manifestations de non-qualité et souhaite obtenir réparation. Ce livre est construit autour de l'intégration des concepts de gestion des risques qui facilite la mobilisation des médecins, des personnels soignants et administratifs et des diverses autres corporations qui travaillent en milieu hospitalier. Ecrit par des professionnels de terrain, il permet aux hôpitaux et aux cliniques de disposer des éléments nécessaires à la mise en place d'un programme de gestion de la qualité et des risques.

Cet ouvrage devrait permettre aux cadres de santé, mais aussi aux responsables hospitaliers de mesurer dès le départ : les enjeux d'une conduite de projet des risques et de la qualité dans leur établissement. Au travers des expériences présentées : gestion des déchets, démarche HACCP, coordination des risques, les auteurs retracent la démarche suivie et n'en masque pas les écueils. Il s'agit de " retours d'expérience " analysés concrètement, lucidement et simplement qui devraient permettre à chacun d'éviter les principaux obstacles d'une démarche délicate dans son principe et son acceptation. La mise en perspective de ces travaux par deux spécialistes de la qualité et de la gestion des risques permet une généralisation critique de ces démarches en termes de limites et de conditions d'efficacité. Le mot de la fin revient à un spécialiste des crises, hors le monde hospitalier et à la directrice de la qualité et des risques dans un C.H.U. Là encore les procédures s'avèrent incapables de tout anticiper. C'est bien le management des hommes qui est au cœur de l'efficacité. Il s'agit donc d'un ouvrage tout à la fois concret et conceptuel. C'est ce qui fait son originalité.

Principles of Risk Management and Patient Safety identifies changes in the industry and describes how these changes have influenced the functions of risk management in all aspects of healthcare. The book is divided into four sections. The first section describes the current state of the healthcare industry and looks at the importance of risk management and the emergence of patient safety. It also explores the importance of working with other sectors of the health care industry such as the pharmaceutical and device manufacturers. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.

Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.

Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine