First Do Less Harm Confronting the Inconvenient Problems of Patient Safety 1st Edition by Ross Koppel, Suzanne Gordon ISBN 978-0801450778 0801450772

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Product details: 

ISBN 10:  0801450772

ISBN 13: 978-0801450778

Author: Ross Koppel, Suzanne Gordon

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.

Table of contents: 

1. The Data Model That Nearly Killed Me
Joseph M. Bugajski

2. Too Mean to Clean: How We Forgot to Clean Our Hospitals
Rosalind Stanwell-Smith

3. What Goes without Saying in Patient Safety
Suzanne Gordon & Bonnie O’Connor

4. Health Care Information Technology to the Rescue
Ross Koppel, Stephen M. Davidson, Robert L. Wears, Christine A. Sinsky

5. A Day in the Life of a Nurse
Kathleen Burke

6. Excluded Actors in Patient Safety
Peter Lazes, Suzanne Gordon & Sameh Samy

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

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

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

10. Wounds That Don’t Heal: Nurses’ Experience with Medication Errors
Linda A. Treiber & Jackie H. Jones

11. On the Frontlines of Patient Safety
Geralyn Fay

12. The Politics of Patient Safety and Professional Autonomy
Suzanne Gordon

13. The Business Case for Patient Safety
John Ovretveit

14. A Tale of Two Stories: Contrasting Views of Patient Safety
Lucian Leape

15. Not Safe to Work: An American Perspective
Bernard J. Healey

16. Lifting the Burden of Harm: UK Patient Safety Initiatives
Suzette Woodward

17. First, Do Less Harm
Ross Koppel, Suzanne Gordon & Karen B. Lasater

18. Epilogue: Less Harm in the Future
Suzanne Gordon

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Tags: Ross Koppel, Suzanne Gordon, First Do Less, Confronting the Inconvenient, Patient Safety