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Author: Suzanne Gordon
ISBN : B00A8WY24K
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Format: PDF
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The U.S. healthcare system is now spending many millions of dollars to improve "patient safety" and "inter-professional practice." Nevertheless, an estimated 100,000 patients still succumb to preventable medical errors or infections every year. How can health care providers reduce the terrible financial and human toll of medical errors and injuries that harm rather than heal?
Beyond the Checklist argues that lives could be saved and patient care enhanced by adapting the relevant lessons of aviation safety and teamwork. In response to a series of human-error caused crashes, the airline industry developed the system of job training and information sharing known as Crew Resource Management (CRM). Under the new industry-wide system of CRM, pilots, flight attendants, and ground crews now communicate and cooperate in ways that have greatly reduced the hazards of commercial air travel.
The coauthors of this book sought out the aviation professionals who made this transformation possible. Beyond the Checklist gives us an inside look at CRM training and shows how airline staff interaction that once suffered from the same dysfunction that too often undermines real teamwork in health care today has dramatically improved. Drawing on the experience of doctors, nurses, medical educators, and administrators, this book demonstrates how CRM can be adapted, more widely and effectively, to health care delivery.
The authors provide case studies of three institutions that have successfully incorporated CRM-like principles into the fabric of their clinical culture by embracing practices that promote common patient safety knowledge and skills.They infuse this study with their own diverse experience and collaborative spirit: Patrick Mendenhall is a commercial airline pilot who teaches CRM; Suzanne Gordon is a nationally known health care journalist, training consultant, and speaker on issues related to nursing; and Bonnie Blair O'Connor is an ethnographer and medical educator who has spent more than two decades observing medical training and teamwork from the inside.
Direct download links available for Free Beyond the Checklist: What Else Health Care Can Learn from Aviation Teamwork and Safety
- File Size: 919 KB
- Print Length: 272 pages
- Publisher: ILR Press; 1 edition (November 20, 2012)
- Sold by: Amazon Digital Services, Inc.
- Language: English
- ASIN: B00A8WY24K
- Text-to-Speech: Not enabled
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- Lending: Not Enabled
- Amazon Best Sellers Rank: #228,606 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
- #60
in Kindle Store > Kindle eBooks > History > World > Transportation > Aviation
- #60
in Kindle Store > Kindle eBooks > History > World > Transportation > Aviation
Free Beyond the Checklist: What Else Health Care Can Learn from Aviation Teamwork and Safety
The aviation industry, in conjunction with aviation regulators, developed a comprehensive system of safety practices and procedures to deal with a broad range of recurring problems that were causing aviation disasters and serious accidents. This book discusses the history of those safety efforts, identifies the critical elements of aviation safety, and argues that health care professionals can learn important lessons that could be applied to significantly reduce medical errors and improve patient safety.
The authors provide an informative look at the history of the development and application of Crew Resource Management (CRM) and threat and error management (TEM) by the aviation industry. They provide a realistic picture of the strengths, weaknesses, and limitations of CRM and TEM, and do not lapse into a simplistic or superficial advocacy of CRM and TEM as panaceas or "quick fixes" for health care professionals trying to reduce medical errors and improve patient safety. Also, the authors are careful to note both similarities and differences between the aviation industry and health care in their discussion, and avoid relying on facile or superficial analogies or comparisons that would undermine their contentions, arguments, and recommendations.
Overall, this book provides an excellent, thoughtful discussion of how the hard-earned lessons of aviation safety can provide insights and ideas that could help reduce medical errors and improve patient safety. Unfortunately, the three case studies about health care institutions used to support the authors' contentions, arguments, and recommendations have an uneven persuasive quality. The first case study provides support for the authors' contentions about the applicability of CRM and TEM to health care.
I have survived in flying a private plane for many decades... Found out (from this book) a lot about how I can improve my odds of lasting many more decades. I knew commercial pilots years ago who hated the changes that were happening in the airlines with CRM who were like me (old style seat-of-the-pants pilots) and only trusted themselves.They did not want to listen to input from others when decisions were to be made in the plane. They were THE CAPTAIN!
Those of us who survived being "Lone Rangers" of those years got ourselves in and out of trouble several times because we knew we had to do things on our own (macho). If we knew then what we know now, several pilots from years past would still be here instead of augered into terra firma.
This approach is needed in health care because I know nurses who've witnessed many critical errors in surgery, and in prescribing, that could have been avoided if they were allowed to suggest anything to the white coated autocrat. But, sadly, the heirarchy did not allow them to speak up for fear of losing their jobs.
Egos have taken many lives, and it is time for that to end. Gary Null researched the safety of medical care, and wrote "Death By Medicine". He reported that medical care kills almost a million people per year and is the leading cause of death in this country. Many physicians need to become accountable instead of relying on pharmaceutical reps, hospital management, etc. to tell them what to do (and protect them if they make a mistake). An attorney I know will not even do medical malpractice cases because he said "Good luck in getting an MD to testify against another MD." It is not a "transparent" group or organization.
The "standard of care" in medicine is not what should be done in so many cases!