ABSTRACT

According to the National Patient Safety Foundation, about 440,000 deaths from hospital mistakes are expected in 2018. These mistakes are preventable, but the number of deaths has been increasing for the last two decades instead of decreasing. This book describes how to prevent deaths at very low cost and get very high return on investment (ROI).

The unique feature of this book is that it teaches the tools of innovation that anyone can master. It teaches healthcare staff how to manage innovation efficiently and quickly, because each patient life is critical. This second edition points out why the present methods are ineffective and shows how to find elegant solutions that are simple, comprehensive, and produce high return on investments.

The second edition contains all updated material with the addition of a new chapter on systems engineering for robust improvements, a practice that has been applied in most high-risk industries, such as aerospace, defense, and NASA, for years. It aims at redesigning systems to make sure right things, right coordination and right integration happens in healthcare systems.

chapter Chapter 1|12 pages

The Etiologies of Unsafe Healthcare

chapter Chapter 5|18 pages

Innovations Should Start with Incidence Reports

chapter Chapter 6|11 pages

Doing More with Less Is Innovation

chapter Chapter 7|12 pages

Reinvent Quality Management

chapter Chapter 8|13 pages

Reinvent Risk Management

chapter Chapter 10|5 pages

Managing Safety: Lessons from Aerospace

chapter Chapter 11|8 pages

The Paradigm Pioneers

chapter Chapter 12|7 pages

Protect Patients from Dangers in Medical Devices

chapter Chapter 13|8 pages

Heuristics for Continuous Innovation

chapter Chapter 14|12 pages

Aequanimitas—The Best-Known Strategy for Safe Care