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patient_safety_books [2020/01/26 05:24]
mgunderloy
patient_safety_books [2020/02/14 08:24] (current)
mgunderloy
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   * [[https://​www.amazon.com/​Leading-Healthcare-Improvement-Personal-Organizational/​dp/​0578212994|Leading Healthcare Improvement:​ A Personal & Organizational Journey]]: An excellent (and short, about 150 pages) framework for helping an organization and its leaders along the road to better performance and outcomes. The authors combine work from a wide variety of thinkers, notably Deming & Wilber, together with their own years of learning to come up with a view that starts with the individual and then moves out to the organization. Though this is specifically aimed at healthcare professionals,​ a large proportion applies to any organization trying to improve its reliability. (Reviewed by Mike Gunderloy)   * [[https://​www.amazon.com/​Leading-Healthcare-Improvement-Personal-Organizational/​dp/​0578212994|Leading Healthcare Improvement:​ A Personal & Organizational Journey]]: An excellent (and short, about 150 pages) framework for helping an organization and its leaders along the road to better performance and outcomes. The authors combine work from a wide variety of thinkers, notably Deming & Wilber, together with their own years of learning to come up with a view that starts with the individual and then moves out to the organization. Though this is specifically aimed at healthcare professionals,​ a large proportion applies to any organization trying to improve its reliability. (Reviewed by Mike Gunderloy)
   * [[https://​www.amazon.com/​Management-Lessons-Mayo-Clinic-Organizations/​dp/​1260011836|Management Lessons from Mayo Clinic: Inside One of the World'​s Most Admired Service Organizations]]:​ I picked this one up because it lies at the intersection of my interests in management theory in general and healthcare quality in particular, and I was not disappointed. Mayo Clinic is one of the most respected brands around, and it's been one for a long time - and the authors here make the case that this is no accident. There are plenty of smart doctors working at other hospitals, there are plenty of other organizations doing good work - but Mayo has managed to put all the pieces together to create long-lasting excellence. It shouldn'​t be any huge surprise that this is the result of culture, maybe even more than it is of clinical superiority. With everyone dedicated to the patient first, with a guideline set early on that profit took the back seat, with deliberate training programs for leaders, this organization does most everything right. (Reviewed by Mike Gunderloy)   * [[https://​www.amazon.com/​Management-Lessons-Mayo-Clinic-Organizations/​dp/​1260011836|Management Lessons from Mayo Clinic: Inside One of the World'​s Most Admired Service Organizations]]:​ I picked this one up because it lies at the intersection of my interests in management theory in general and healthcare quality in particular, and I was not disappointed. Mayo Clinic is one of the most respected brands around, and it's been one for a long time - and the authors here make the case that this is no accident. There are plenty of smart doctors working at other hospitals, there are plenty of other organizations doing good work - but Mayo has managed to put all the pieces together to create long-lasting excellence. It shouldn'​t be any huge surprise that this is the result of culture, maybe even more than it is of clinical superiority. With everyone dedicated to the patient first, with a guideline set early on that profit took the back seat, with deliberate training programs for leaders, this organization does most everything right. (Reviewed by Mike Gunderloy)
 +  * [[https://​www.amazon.com/​Patient-Survival-Handbook-Victim-Medical/​dp/​0996265600/​|The Patient Survival Handbook]]: Increasingly the hospital system sees patients as partners in their own quality of care - but very few people know that before they enter the hospital. This book is a clear guide to some of the things that you can do as a patient, or perhaps even more important as an advocate for a patient, to get the best possible care. They range from simply reminding people to wash their hands, to the difficult subject of avoiding care from a physician who is impaired by drugs. It's an overwhelming amount of information,​ and not every piece will apply to every hospital stay, but it's worth reading before you get hospitalized so you get a sense of what levels you can pull to have a better chance of a good outcome. Loaded with resources for further research and help as well. (Full disclosure: one of the authors is on the board of my current employer). (Reviewed by Mike Gunderloy)
   * [[https://​www.amazon.com/​Rethinking-Patient-Safety-Suzette-Woodward/​dp/​1498778542|Rethinking Patient Safety]]: Woodward has been a long-time patient safety advocate in the UK's National Health Service. In this book, she reflects on why, even when we know there'​s a problem and have many tactics for improving patient safety in particular situations, long-term change and improvement remain elusive. There'​s no cookbook recipe for fixing everything, but an underlying theme of talking and listening in a "just culture"​ way to help move everyone along to a better place. Reminds me a bit of the "No silver bullet"​ thinking in software development;​ there'​s no substitute for doing the work, and no flashy technique that will make actually communicating with people unnecessary. (Reviewed by Mike Gunderloy)   * [[https://​www.amazon.com/​Rethinking-Patient-Safety-Suzette-Woodward/​dp/​1498778542|Rethinking Patient Safety]]: Woodward has been a long-time patient safety advocate in the UK's National Health Service. In this book, she reflects on why, even when we know there'​s a problem and have many tactics for improving patient safety in particular situations, long-term change and improvement remain elusive. There'​s no cookbook recipe for fixing everything, but an underlying theme of talking and listening in a "just culture"​ way to help move everyone along to a better place. Reminds me a bit of the "No silver bullet"​ thinking in software development;​ there'​s no substitute for doing the work, and no flashy technique that will make actually communicating with people unnecessary. (Reviewed by Mike Gunderloy)
 +  * [[https://​www.amazon.com/​Safety-Cases-Reports-Motivation-Management-dp-0754646491/​dp/​0754646491/​|Safety Cases and Safety Reports]]: A book for professionals in the safety industry, ie, those who think about how to make things safer in general, rather than on the level of a particular company or industrial sector. It's written mainly for those who have to work within various regulatory frameworks, and offers good advice on things like figuring out what level of risk is acceptable in a particular operation, or the difference between auditing and assessing reports. (Reviewed by Mike Gunderloy)
   * [[https://​www.amazon.com/​Still-Not-Safe-Middle-Managing-American/​dp/​0190271264|Still Not Safe]]: This book is at the intersection of two of my areas of interest: science and technology studies (which was my grad school major), and patient safety (the field of my current job). The co-authors apply the tools of history and sociology to investigate what's happened in the field of patient safety in the US in the past twenty years, since the publication of To Err Is Human. Their conclusion is fairly damning: that the entire patient safety movement has been gradually co-opted by a class of professional medical bureaucrats,​ more concerned with protecting their own positions and the structure they'​re embedded in than in seriously addressing the issues. I expect to see this debated in patient safety circles, but it does at the very least provide an explanation of why things have really not gotten much better in the past two decades. Yes, there are areas of healthcare that are safer, and some types of patient harms that have been reduced. But overall, it seems as many people as ever are hurt by hospitals (though it's tough to be sure, since the measurement is so tricky). Wears and Sutcliffe argue strongly that the tools of epedemiology and Taylorism are inadequate to even understand the problem, let alone get a handle on it, and provide evidence that the findings of non-medical safety science researchers have been de-emphasized even as the safety talk within the healthcare system has ramped up. If you don't find this convincing, then you need some other explanation for our lack of progress. I'm not impelled to stop trying to make a difference; however, I am less sure than ever after reading this book that one more app, one more bit of technology, or one more training or conference will make a difference to the lives of actual patients. and in the end, that's what matters. (Reviewed by Mike Gunderloy)   * [[https://​www.amazon.com/​Still-Not-Safe-Middle-Managing-American/​dp/​0190271264|Still Not Safe]]: This book is at the intersection of two of my areas of interest: science and technology studies (which was my grad school major), and patient safety (the field of my current job). The co-authors apply the tools of history and sociology to investigate what's happened in the field of patient safety in the US in the past twenty years, since the publication of To Err Is Human. Their conclusion is fairly damning: that the entire patient safety movement has been gradually co-opted by a class of professional medical bureaucrats,​ more concerned with protecting their own positions and the structure they'​re embedded in than in seriously addressing the issues. I expect to see this debated in patient safety circles, but it does at the very least provide an explanation of why things have really not gotten much better in the past two decades. Yes, there are areas of healthcare that are safer, and some types of patient harms that have been reduced. But overall, it seems as many people as ever are hurt by hospitals (though it's tough to be sure, since the measurement is so tricky). Wears and Sutcliffe argue strongly that the tools of epedemiology and Taylorism are inadequate to even understand the problem, let alone get a handle on it, and provide evidence that the findings of non-medical safety science researchers have been de-emphasized even as the safety talk within the healthcare system has ramped up. If you don't find this convincing, then you need some other explanation for our lack of progress. I'm not impelled to stop trying to make a difference; however, I am less sure than ever after reading this book that one more app, one more bit of technology, or one more training or conference will make a difference to the lives of actual patients. and in the end, that's what matters. (Reviewed by Mike Gunderloy)
   * [[https://​www.amazon.com/​gp/​product/​1259584755|Understanding Health Policy: A Clinical Approach]]: A college-level text that takes a broad survey of quite a few important topics in healthcare. Given the rapidly-increasing costs in the sector, the first four chapters focus on the financial aspects of payment and access, and money continues to be an important subtopic throughout. But the book also covers quality and preventative health issues, the mechanics of long-term care, health care reform and medical ethics. Though it's mostly focused on the US system, there is a valuable chapter comparing the way things are organized in four other nations (Germany, Canada, the UK, and Japan). It concludes with a look at some of the current conflict and perhaps forthcoming changes. This seventh edition dates to 2015, so parts are already a bit obsolete, but it's a valuable overview with plenty of references and a selection of discussion topics. (Reviewed by Mike Gunderloy)   * [[https://​www.amazon.com/​gp/​product/​1259584755|Understanding Health Policy: A Clinical Approach]]: A college-level text that takes a broad survey of quite a few important topics in healthcare. Given the rapidly-increasing costs in the sector, the first four chapters focus on the financial aspects of payment and access, and money continues to be an important subtopic throughout. But the book also covers quality and preventative health issues, the mechanics of long-term care, health care reform and medical ethics. Though it's mostly focused on the US system, there is a valuable chapter comparing the way things are organized in four other nations (Germany, Canada, the UK, and Japan). It concludes with a look at some of the current conflict and perhaps forthcoming changes. This seventh edition dates to 2015, so parts are already a bit obsolete, but it's a valuable overview with plenty of references and a selection of discussion topics. (Reviewed by Mike Gunderloy)
   * [[https://​www.amazon.com/​Understanding-Patient-Safety-Second-Wachter-ebook/​dp/​B00DZNIBIM|Understanding Patient Safety]]: A basic text on all things patient safety from Robert Wachter, an academic physician who has been heavily involved in defining the direction of the movement. This is a wide-ranging survey work, reviewing basic classes of patient safety issues and then walking through a variety of more-or-less mature solutions. There are no silver bullets here, but there is plenty of evidence as to what goes wrong, what works, and what doesn'​t. (Reviewed by Mike Gunderloy)   * [[https://​www.amazon.com/​Understanding-Patient-Safety-Second-Wachter-ebook/​dp/​B00DZNIBIM|Understanding Patient Safety]]: A basic text on all things patient safety from Robert Wachter, an academic physician who has been heavily involved in defining the direction of the movement. This is a wide-ranging survey work, reviewing basic classes of patient safety issues and then walking through a variety of more-or-less mature solutions. There are no silver bullets here, but there is plenty of evidence as to what goes wrong, what works, and what doesn'​t. (Reviewed by Mike Gunderloy)
   * [[https://​www.amazon.com/​Why-Hospitals-Should-Fly-Ultimate-ebook/​dp/​B004NSV83S|Why Hospitals Should Fly]]: The story of a fictional hospital that the author concocted to demonstrate his ideas on how to improve healthcare quality & safety. Some of these (such as checklists and timeouts in the OR, or creating an atmosphere of safety for everyone to speak up) are relatively mainstream. Others (such as empowering nurses and putting patients into shared 5-bed suites) are somewhat less so. It's an interesting way to explore these ideas, but of course in fiction you can make whatever you like work well. An introduction to the field but not I think a substitute for more academic work. (reviewed by Mike Gunderloy)   * [[https://​www.amazon.com/​Why-Hospitals-Should-Fly-Ultimate-ebook/​dp/​B004NSV83S|Why Hospitals Should Fly]]: The story of a fictional hospital that the author concocted to demonstrate his ideas on how to improve healthcare quality & safety. Some of these (such as checklists and timeouts in the OR, or creating an atmosphere of safety for everyone to speak up) are relatively mainstream. Others (such as empowering nurses and putting patients into shared 5-bed suites) are somewhat less so. It's an interesting way to explore these ideas, but of course in fiction you can make whatever you like work well. An introduction to the field but not I think a substitute for more academic work. (reviewed by Mike Gunderloy)
  • patient_safety_books.txt
  • Last modified: 2020/02/14 08:24
  • by mgunderloy