Are you ready and willing to get to the root causes of problems? As Medicare, Medicaid, and major insurance companies increasingly deny payment for never events, it has become imperative that hospitals and doctors develop new ways to prevent these avoidable catastrophes from recurring. Proactive tools such as root cause analysis (RCA), basic failur

The book follows a proven training outline, including real-life examples and exercises, to teach healthcare professionals and students how to lead effective and successful Root Cause Analysis (RCA) to eliminate patient harm. This book discusses the need for RCA in the healthcare sector, providing practical advice for its facilitation. It addresses when to use RCA, how to create effective RCA action plans, and how to prevent common RCA failures. An RCA training curriculum is also included. This book is intended for those leading RCAs of patient harm events, leaders, students, and patient safety advocates who are interested in gaining more knowledge about RCA in healthcare.

Your organization needs to conduct and analyze at least one high-risk process per year to comply with the JCAHO's Improving Organization Performance standard PI.3.20. The Failure Modes and Effects Analysis (FMEA) is a proactive process that helps you comply with this standard. It allows you to reduce risk-in a process, system, and ultimately your organization-so you can protect both patients and staff from the danger of medical errors before they occur. Your one-stop guide to conducting FMEAs Unfortunately, hospitals across the country continue to struggle with the practicality of this process and are unable to translate theory into reality. The good news? Our new book Failure Modes and Effects Analysis: Building Safety into Everyday Practice will walk you step-by-step through the FMEA process by using case studies that encompass the most problematic areas: blood transfusions, medication use, patient suicide, wrong-site surgery, and delay in treatment. Taking your FMEA to the next level Many of our customers who purchased our best-selling book, Step-by-Step Guide to Failure Modes and Effects Analysis, published in May 2002, learned the best way to conduct an FMEA. This new book takes this PI process to the next level by providing in-depth case studies, real examples, and practical tools! We've done the work for you by studying how other organizations have analyzed their own high-risk areas using an FMEA, and providing you with this information in an easy-to-read case study format. Sample FMEAs, charts, and tools! You'll receive tools including sample FMEAs, flowcharts of each process, and tables to indicate your risk-reduction efforts. The sample FMEAs highlight the potential failure modes and demonstrate how to rate the likelihood of each error, the severity of the outcome, and how to prioritize your improvement efforts to prevent medical errors. Take a look below to see how each sample FMEA will help you with your FMEA process

From the nation’s leading experts in healthcare safety—the first comprehensive guide to delivering care that ensures the safety of patients and staff alike. One of the primary tenets among healthcare professionals is, “First, do no harm.” Achieving this goal means ensuring the safety of both patient and caregiver. Every year in the United States alone, an estimated 4.8 million hospital patients suffer serious harm that is preventable. To address this industry-wide problem—and provide evidence-based solutions—a team of award-winning safety specialists from Press Ganey/Healthcare Performance Improvement have applied their decades of experience and research to the subject of patient and workforce safety. Their mission is to achieve zero harm in the healthcare industry, a lofty goal that some hospitals have already accomplished—which you can, too. Combining the latest advances in safety science, data technology, and high reliability solutions, this step-by-step guide shows you how to implement 6 simple principles in your workplace. 1. Commit to the goal of zero harm.2. Become more patient-centric.3. Recognize the interdependency of safety, quality, and patient-centricity.4. Adopt good data and analytics.5. Transform culture and leadership.6. Focus on accountability and execution. In Zero Harm, the world’s leading safety experts share practical, day-to-day solutions that combine the latest tools and technologies in healthcare today with the best safety practices from high-risk, yet high-reliability industries, such as aviation, nuclear power, and the United States military. Using these field-tested methods, you can develop new leadership initiatives, educate workers on the universal skills that can save lives, organize and train safety action teams, implement reliability management systems, and create long-term, transformational change. You’ll read case studies and success stories from your industry colleagues—and discover the most effective ways to utilize patient data, information sharing, and other up-to-the-minute technologies. It’s a complete workplace-ready program that’s proven to reduce preventable errors and produce measurable results—by putting the patient, and safety, first.

Despite the evolution and growing awareness of patient safety, many medical professionals are not a part of this important conversation. Clinicians often believe they are too busy taking care of patients to adopt and implement patient safety initiatives and that acknowledging medical errors is an affront to their skills. Patient Safety provides clinicians with a better understanding of the prevalence, causes and solutions for medical errors; bringing best practice principles to the bedside. Written by experts from a variety of backgrounds, each chapter features an analysis of clinical cases based on the Root Cause Analysis (RCA) methodology, along with case-based discussions on various patient safety topics. The systems and processes outlined in the book are general and broadly applicable to institutions of all sizes and structures. The core ethic of medical professionals is to “do no harm”. Patient Safety is a comprehensive resource for physicians, nurses and students, as well as healthcare leaders and administrators for identifying, solving and preventing medical error.