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Caution boxes identify issues that may lead to medication errors and strengthen actions that must be taken to avoid calculation errors. Tips for Clinical Practice calls attention to information critical to math calculation and patient safety as well as issues related to practice. Rule boxes familiarize students with information needed to accurately solve drug calculation problems.
v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Calculate with Confidence provides a clear consistent format with a step-by-step approach to the calculation and administration of drug dosages. It covers the ratio and proportion, formula, and dimensional analysis methods. This popular text focuses on enhancing the learning experience of students at all curricular levels by making content clinically applicable. Concepts relating to critical thinking, logical thinking, and nursing process are presented throughout. New practice problems have been added throughout this edition and rationales for the answers continue to be provided giving the students a better understanding of principles related to drug dosages. This fifth edition addresses the increasing responsibility of nurses in medication and administration; emphasizes the priority for client care, and presents material that reflects the current scope of the nursing practice. A clear and consistent, step-by-step approach to calculations and administration makes it easy to understand. Ratio and Proportion, Formula, and Dimensional Analysis content provides you with well-rounded coverage. Pretest and post-test help identify strengths and weaknesses in competency of basic math before and assess your comprehension after Unit One: Math Review. Points to Remember boxes highlighted in each chapter help you remember important concepts. Critical thinking information that should be applied in the clinical setting to help avoid drug calculation and administration errors is boxed throughout the text. Full-color illustrations, photographs, and drug labels familiarize you with what you'll encounter in the clinical setting. Current recommendations from The Joint Commission and Institute for Safe Medication Practices are followed throughout. Caution boxes identify issues that may lead to medication errors and strengthen actions that must be taken to avoid calculation errors. Tips for Clinical Practice calls attention to information critical to math calculation and patient safety as well as issues related to practice. Rule boxes familiarize students with information needed to accurately solve drug calculation problems.
This popular text covers the ratio and proportion, formula, and dimensional analysis methods offering a step-by-step approach to the calculation and administration of drug dosages. With over 2,000 practice problems, Gray Morris focuses on enhancing the learning experience of nursing students at all curricular levels by making content clinically applicable. Calculate with Confidence, 6th Edition addresses the increasing responsibility of the nurse in medication administration, prioritizes client safety, and reflects the current scope of practice. Tips for Clinical Practice boxes call attention to information critical to math calculation and patient safety. Safety Alert boxes highlight issues that may lead to mediation errors and empower you to identify actions that must be taken to avoid calculation errors Chapter review problems test all major topics presented in the chapter. Separate basic math review test allows you to assess and evaluate your understanding of basic math material covered in Unit 1, directing you to review chapters if you miss any of these test questions. Pre-test basic math review tests help you assess your basic math skills and identify areas of strength and weakness in competency of basic math. Comprehensive unit on basic math review offers complete coverage of basic math: roman numerals, fractions, decimals, ratio and proportion, and percentages. NEW! Integration of QSEN information related to patient safety in the Medication Administration chapter and throughout text. NEW! NCLEX-style questions on Evolve help prepare you for the NCLEX-RN Examination. NEW! Content additions and updates includes word problems involving dosages, Critical Thinking Scenarios, a discussion of the concepts regarding safety issues with medication administration, plus significant updates in the insulin, critical care and IV chapters. NEW! Reorganization of Answer Key features answers and the work to practice problems at the end of each chapter rather than in the back of the book.
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
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
This guide provides a step-by-step explanation of how to use the Safe Hospitals Checklist, and how the evaluation can be used to obtain a rating of the structural and nonstructural safety, and the emergency and disaster management capacity, of the hospital. The results of the evaluation enable hospital's own safety index to be calculated. The Hospital Safety Index tool may be applied to individual hospitals or to many hospitals in a public or private hospital network, or in an administrative or geographical area. In some countries, such as Moldova, all government hospitals have been evaluated using the Hospital Safety Index. In this respect, the Hospital Safety Index provides a useful method of comparing the relative safety of hospitals across a country or region, showing which hospitals need investment of resources to improve the functioning of the health system. The purpose of this Guide for Evaluators is to provide guidance to evaluators on applying the checklist, rating a hospital's safety and calculating the hospital's safety index. The evaluation will facilitate the determination of the hospital's capacity to continue providing services following an adverse event, and will guide the actions necessary to increase the hospital's safety and preparedness for response and recovery in case of emergencies and disasters. Throughout this document, the terms "safe" or "safety" cover structural and nonstructural safety and the emergency and disaster management capacity of the hospital. The Hospital Safety Index is a tool that is used to assess hospitals' safety and vulnerabilities, make recommendations on necessary actions, and promote low-cost/high-impact measures for improving safety and strengthening emergency preparedness. The evaluation provides direction on how to optimize the available resources to increase safety and ensure the functioning of hospitals in emergencies and disasters. The results of the evaluation will assist hospital managers and staff, as well as health system managers and decision-makers in other relevant ministries or organizations in prioritizing and allocating limited resources to strengthen the safety of hospitals in a complex network of health services. It is a tool to guide national authorities and international cooperation partners in their planning and resource allocation to support improvement of hospital safety and delivery of health services after emergencies and disasters. Over the past three years, the expert advice of policy-makers and practitioners from disciplines, such as engineering, architecture and emergency medicine, has been compiled, reviewed and incorporated into this second edition of the Guide. Global and regional workshops and virtual consultations have enabled technical and policy experts to contribute to the revision of Hospital Safety Index until consensus was reached on the content for its publication and distribution. Further comments and observations are certain to arise as the Hospital Safety Index continues to be applied across the world and these experiences will enable us to improve future editions. The rapid diagnostic application of the Hospital Safety Index provides, as a comparison, an out-of-focus snapshot of a hospital: it shows enough of the basic features to allow evaluators to confirm or disprove the presence of genuine risks to the safety of the hospital, and the hospital's level of preparedness for the emergencies and disasters to which it will be expected to provide health services in the emergency response. The Hospital Safety Index also takes into account the hospital's environment and the health services network to which it belongs. This second version of the second edition was released in December 2016.