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Title : Still Not Safe: Patient Safety and the Middle-Managing of American Medicine

Author : Robert Wears

category : Books,New, Used & Rental Textbooks,Medicine & Health Sciences

Publisher : Robert Wears

ISBN-10 : 0190271264

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Size : 5523 KB

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Still Not Safe: Patient Safety and the Middle-Managing of American Medicine by Robert Wears

Read Online and Download Still Not Safe: Patient Safety and the Middle-Managing of American Medicine by Robert Wears. The term "patient safety" rose to popularity in the late nineties, as the medical community -- in particular, physicians working in nonmedical and administrative capacities -- sought to raise awareness of the tens of thousands of deaths in the US attributed to medical errors each year. Butwhat was causing these medical errors? And what made these accidents to rise to epidemic levels, seemingly overnight?Still Not Safe is the story of the rise of the patient-safety movement -- and how an "epidemic" of medical errors was derived from a reality that didn't support such a characterization. Physician Robert Wears and organizational theorist Kathleen Sutcliffe trace the origins of patient safety to theemergence of market trends that challenged the place of doctors in the larger medical ecosystem: the rise in medical litigation and physicians' aversion to risk; institutional changes in the organization and control of healthcare; and a bureaucratic movement to "rationalize" medical practice -- tomake a hospital run like a factory. If these social factors challenged the place of practitioners, then the patient-safety movement provided a means for readjustment. In spite of relatively constant rates of medical errors in the preceding decades, the "epidemic" was announced in 1999 with the publication of the Institute of Medicinereport To Err Is Human; the reforms that followed came to be dominated by the very professions it set out to reform. Weaving together narratives from medicine, psychology, philosophy, and human performance, Still Not Safe offers a counterpoint to the presiding, doctor-centric narrative of contemporary American medicine. It is certain to raise difficult, important questions around the state of our healthcare system-- and provide an opening note for other challenging conversations.

Still Not Safe: Patient Safety and the Middle-Managing of American Medicine by Robert Wears Review

Harm during healthcare has been identified (rightly or wrongly) as the third leading cause of death in the US. Sadly, the response has been reductionist nonsense and a misguided preoccupation with error.Wears' and Sutcliffe's Still Not Safe details why, 20 years after To Err is Human, little has improved.If you work in patient safety and do not read this book and apply its lessons, you are officially part of the problem.

I enjoyed reliving the early years of . the patient safety movement. Some progress has been made. Some organizations have been ware successful than others. the authors challenge us to examine what works and what is needed to reach the next level of safety.- Agree that we need expertise from other fields to improve. Some in the field have moved away from error to focus on the patient experience of harm. Recommend to all interested in patient safety if nothing more than to provoke examination of our current approaches.

Well written, rich in detail, and greatly helpful as a resource for human performance practitioners working in any industry.

Written in a style so all interested parties, not just professionals, can read and comprehend. Left me feeling both pessimistic and optimistic about prospects for patient safety. I highly recommend this book of you are at all interested in patient safety.

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2019 The modern patient safety movement has struggled to achieve the goals set forth in To Err Is Human Still Not Safe: Patient Safety and the Middle-Managing of Your browser indicates if you've visited this linkhttps com/Still-Not-Safe-Middle-Managing-American/dp/0190271264Still Not Safe is the story of the rise of the patient-safety movement -- and how an "epidemic" of medical errors was derived from a reality that didn't support such a characterization Physician and organizational theorist Kathleen Sutcliffe trace the origins of patient safety to theMedical errors: Many patients today still aren't safeYour browser indicates if you've visited this linkhttps news-medical net/news/20191209/Medical-errors-Many-patients-today-still-arent-safe aspxMedical errors: Many patients today still aren't safe In 1999, the Institute of Medicine issued To Err Is Human, a 300-page declaration of a crisis in patient safety The report made headlines Patient Safety - World Health OrganizationYour browser indicates if you've visited this linkhttps who int/news-room/fact-sheets/detail/patient-safetyPatient safety is fundamental to delivering quality essential health services Indeed, there is a clear consensus that quality health services across the world should be effective, safe and people-centred In addition, to realize the benefits of quality health care, health services must be timely, equitable, integrated and efficient 4 Medication Safety Tips for Older Adults | FDAYour browser indicates if you've visited this linkhttps fda gov/consumers/consumer-updates/4-medication-safety-tips-older-adultsThe older you get, the more likely you are to use additional medicines, which can increase the chance of harmful interactions So, consider these safety tips (and share them with your loved ones Safe and Effective Pain Control After Surgery BrochureYour browser indicates if you've visited this linkhttps facs org/-/media/files/education/patient-ed/safe_pain_control_adult ashxnot interfere with my activities • I notice my pain and it distracts me, but I can still do activities (sitting up, walking, standing) Non-medication therapies + Non-opioid, oral medications You may take these to control mild to moderate pain when needed • My pain is hard to ignore and is more noticeable even when I rest Appropriate Prescribing of Medications: An Eight-Step Your browser indicates if you've visited this linkhttps aafp org/afp/2007/0115/p231 html†— Lisinopril would get a U rating for safety if the patient was a female of childbearing age who was pregnant or not using reliable birth control Information from reference 10 Clinical negligence costs: taking action to safeguard NHS Your browser indicates if you've visited this linkhttps bmj com/content/368/bmj m552The NHS cannot afford to divert more and more money to litigation, and we need to tackle the problem at source Tim Draycott and colleagues set out four principles to reduce avoidable harm ### Key messages The NHS paid £2 4bn (€2 8bn; $3 1bn) in clinical negligence claims in 2018-19, according to NHS Resolution (formerly the NHS Litigation Authority) 1 This sum equates to about 2% of the Perception of reporting medication errors including near Your browser indicates if you've visited this linkhttps journals lww com/md-journal/Fulltext/2017/09290/Perception_of_reporting_medication_errors 4 aspxMedication errors threaten patient safety by requiring admission, readmission, and/or a longer hospital stay, and can even be fatal Near-misses indicate the potential for medication errors to have occurred Therefore, reporting near-misses is a first step in preventing medication errors The aim of this study was to estimate the reporting rate More results

Still Not Safe: Patient Safety and the Middle-Managing of American Medicine by Robert Wears

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