Böcker av Cynthia A Oster

The aim of this unique book is to discuss the ¿nexus¿ or vital connection between nursing and prevention of harm to patients. The meaning of ¿nexus¿ is connection and connotes a most central or most important point in time or place. Now, is the most important time to highlight how nurses as leaders affect patient safety every minute of every day in the current nursing practice environment. The contemporary safety literature messages nursing adherence to principles of patient safety is required to achieve sustainable and safer healthcare systems; meaning nurses should detect and prevent errors. This message is not helpful to nurses as they strive to lead, understand what patient safety is and how to implement safety strategies in the practice environment. The book will address this gap by providing nurses an understanding of patient safety and application of its concepts to clinical nursing practice. The book is structured as four parts: Part I provides foundations of patient safety; Part II describes nursing¿s role in patient safety; Part III illustrates patient safety at the frontline; and Part IV explains resilience, healing and moving forward. Practical case study examples with implementation strategies (how to) will be provided that highlight key safety practices inherent to nursing that prevent patient harm including effective monitoring, leadership, communication, identification of near misses, and learning from error along with cultural and organizational factors that promote and maintain safety activities by nursing.Nurses produce safety by providing a strong layer of defence between error and patient harm. The discipline of nursing is the cornerstone of safety in the complex place of healthcare. The intended audience is front line nursing staff; nurse leaders; nurses working in quality, patient safety and risk management; advance practice nurses and nurse educators. The professional nurse who reads this book will read with the desire to learn more about the connection of nursing, nursing practice and patient safety.

Awarded second place in the 2021 AJN Book of the Year Awards in Professional Issues!Nurses represent the majority of healthcare workers and are on the front lines of delivery and provision of safe and effective care. As a result, nurses are ideally situated to drive the mission to achieve high reliability in healthcare. We expect the primary audience of this text to be frontline nursing staff, nurses in administration, quality and patient safety professionals, advanced practice nurses, and nurse educators. The healthcare professional who purchases this book will do so with the desire to learn more about the application of HRO principles to patient safety and quality problems. This book is unique in that it uses HRO principles as an organizing framework for practical application. The intent of the editors is to provide a quality and patient safety book that is useful to professionals doing the work of healthcare. Healthcare professionals are constantly seeking practical tools and descriptions of practices that will improve and enhance patient safety and quality outcomes. High reliability is a current goal for hospitals, and the principles are sound. However, there is little in the literature that discusses how to apply the principles at the front lines of care to improve outcomes. This text addresses this gap by placing the need for high reliability concepts into our current climate in healthcare through illustrative discussion (theory and research) of each of the five concepts of HRO, along with a description of a current best practice and/or tool that applies to the model. The goal of this book is to stimulate organizations to embrace high reliability concepts while striving to improve the quality and safety of care delivered to patients and families. We all benefit from a safer healthcare environment.The book is divided into eight parts:Part 1: This part provides background for the current safety and quality climate. Parts 2-6: These parts offer HRO concepts as a framework for the new model with examples. The first of these HRO concepts is that HROs have a preoccupation with failure. The second of these HRO concepts is that HROs restrain the impulse to view events through a single lens and are reluctant to simplify. The third HRO concept is that HROs demonstrate sensitivity to operations by making strong responses to weak signs. The fourth HRO concept is that HROs shift decision making away from formal authority and apply deference to expertise. The final HRO concept is that HROs have a commitment to resilience. Part 7: This part puts it all together and provides the reader with examples of how HRO concepts are assimilated into practice across the care continuum.Part 8: This part provides the reader with real-world examples of HRO principles employed in a variety of patient care areas. Comprehensive Instructor's Guide and Student Workbook are available for this book.

ABOUT THE STUDENT WORKBOOKAs a student in a healthcare profession, you have probably heard of the concept of high reliability as a means to reduce harm, enhance quality, and improve outcomes. Patient safety and quality are of increasing importance to consumers, payers, providers, and organizations. As a large majority of the workforce, nurses are on the front lines of the delivery and provision of safe and effective care. The quest for high reliability must permeate an organization by way of leadership commitment, a culture of safety, continuous quality improvement, and every person's focus within the organization. This student workbook is designed as a companion to the primary textbook, High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality (2nd ed.), which explains how high reliability contributes to organizational quality and safety, recommends quality and safety activities based on high reliability principles, and integrates high reliability principles into healthcare practice.PURPOSE AND STRUCTUREThe purpose of this workbook is to provide learning activities that relate to each chapter in the book. These learning activities introduce students to high reliability, explain the concepts of high reliability and high reliability organizations (HROs), provide examples of what the concepts would look like ineveryday practice, and describe the information and tools nurses and other healthcare providers need for the organization to become an HRO. The first 26 chapters provide one accompanying learning activity, whereas the last five chapters provide context for the summative or final learning activity.Every learning activity reflects the content of its accompanying chapter. Students should read the chapter and supplemental materials and, if specified, focus on certain sections within the chapter prior to completing an exercise. Students may complete all these learning activities, but some instructors may choose only one or two from each chapter that meet the objectives of a particular course. Each learning activity begins with objectives, contains accompanying resource material or additional external resources, and has learning activity exercise-specific instructions. Nurses represent the majority of healthcare workers and are on the front lines of delivery and provision of safe and effective care. As a result, nurses are ideally situated to drive the mission to achieve high reliability in healthcare. It is our hope that the student workbook will prepare you to apply HRO principles to patient safety and quality problems in your place of practice because we all benefit from a safer healthcare environment.

Welcome to the instructor's guide for the second edition of High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. This guide is designed to be a resource for educators in a variety of academic settings in courses focused on patient safety or quality management in nursing, health services administration, or clinical programs. This instructor's guide is divided into three sections:Unit 1: Using the Textbook for Teaching and LearningUnit 2: Resources for Teaching High Reliability for Patient Safety and QualityUnit 3: Chapter Learning Activities and Instructor SupportThis guide provides suggestions to guide faculty, nurse leaders, clinical staff nurses, quality and safety staff, or other healthcare professionals who are teaching others about the application of HRO principles to patient safety and quality problems using the second edition of High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. For academic faculty, the chapter-by-chapter learning activities will help facilitate student learning about application of high reliability to patient safety and quality and can be used as part of a patient safety and quality course at a variety of academic levels.The student workbook contains the same chapter-by-chapter learning activities found in the instructor's guide. The instructor's guide contains supplemental materials including learning activity implementation strategies and student evaluation sections. There are several completed examples of fill-in responses or answers for instructors as well. A summative learning activity is included that gives instructors the opportunity to assess student ability to translate high reliability principles into practice.