Ealth Management Elements of Patient Safety

HEALTH MANAGEMENT ELEMENTS OF PATIENT SAFETY

TASK:

A written assignment, analysing the manageras role in initiating
and/or maintaining patient safety, in a chosen health care setting or for a chosen service user group.

***Compare and contrast high reliability theory and normal accident theory
set out key ideas involved in each theory and using an example and supporting evidence explore the:

Strengths & weaknesses
Opportunities & threats
Advantages & disadvantages these may generate

As a result of your analysis-which theory can best be used in the health setting? Give a short conclusion and make recommendations for the future.

LEARNING OUTCOMES TO COVER:

a? To provide an analytical understanding of current
theories, models and concepts in health care
safety, and their role in modern health care

1. Understand the historical background to health
care safety

2. Explain the different theories, models and
concepts underpinning safe health care

3. Appreciate the empirical foundations of health
care risk monitoring and risk management

7. Explore the role of healthcare design to mitigate
against errors and adverse incidents

-INTRODUCTION
Background
Policies
Scope

-MAIN BODY
Theory/Model/Concept
Detail of its use (Evidence)
High reliability organisation theory (HROT)
Swiss cheese model

DISCUSSION

CONCLUSION

Reading and resources for the module:
Core
Dekker S (2007) Just Culture. Balancing Safety and
Accountability. Surrey UK, Ashgate.
St Pierre M, Hofinger G, Buerschaper C (2008) Crisis
Management in Acute Care Settings. Berlin, Springer.
Vincent C (2006) Patient Safety. London, Elsevier.
Wachter RM (2007) Understanding Patient Safety. McGraw Hill
Medical
Recommended
Amalberti R, Auroy Y, Berwick D, Barach P (2005) Five system
barriers to achieving ultrasafe healthcare. Annals of Internal
Medicine v 142 (9) pp765-764.
Department of Health (2000) An organisation with a memory:
learning from adverse incidents in the NHS. The Stationery
Office, London.
Helmreich RL (2000) On error management: lessons from
aviation. British Medical Journal v 320 pp781-785.
Khatri Hughes LC, Chan Y, & Mark B (2009) Quality and
Strength of patient safety climate on medical-surgical units.
Health Care Management Review v34(1) pp19-28.
N, Brown GD, Hicks LL (2009) From a blame culture to a just
culture in health care Health Care Management Review v34(4)
pp300-311.
Kramen SS, Hamm G (2002) Risk management: extreme
honesty may be the best policy. Annals of Internal Medicine
v131 pp963-967.