Applying Quality Management in Healthcare by Patrice L. SpathThe COVID-19 pandemic exposed the flaws in patient care delivery in many healthcare organizations. Hospitals scrambled to deal with inadequate supplies of ventilators and personal protective equipment while simultaneously combating the inefficiencies inherent in their existing systems. Outpatient areas struggled to deliver care in an environment that was safe for both workers and patients. The pandemic was a reminder that a focus on comprehensive quality management is vital to the daily work of healthcare providers and those they treat. Applying Quality Management in Healthcare: A Systems Approach examines the real-world tools and techniques necessary for improving systems that affect patient care outcomes. Author Patrice L. Spath explains how to explore and modify interconnected systems to make lasting changes that benefit the entire organization. This updated edition features a new chapter on three organizational characteristics that advance success in quality management: continuous improvement, high reliability, and accountability. Throughout, the book emphasizes the role of leadership in all aspects of quality.
Publication Date: 2021-08-30
Bearing Witness by Courtney S. CampbellIn Bearing Witness, Courtney S. Campbell draws on his experience as a teacher, scholar, and a bioethics consultant to propose an innovative interpretation of the significance of religious values and traditions for bioethics and health care. The book offers a distinctive exposition of a covenantal ethic of gift-response-responsibility-transformation that informs a quest for meaning in the profound choices that patients, families, and professionals face in creating, sustaining, and ending life. Campbell's account of "bearing witness" offers new understandings of formative ethical concepts, situates medicine as a calling and vocation rooted in concepts of healing, affirms professional commitments of presence for suffering and dying persons, and presents a prophetic critique of medical-assisted death. This book offers compelling critiques of secular models of medical professionalism and of individualistic assumptions that distort the physician-patient relationship. This innovative interpretation bears witness to the relevance of religious perspectives on an array of bioethical issues from new reproductive technologies to genetics to debates over end-of-life ethics and bears witness against the oddities of a market-oriented and consumerist vision of health care that is especially salient for an era of health-care reform.
Publication Date: 2019-09-09
Difficult Decisions in Endocrine Surgery by Peter Angelos (Editor); Raymon H. Grogan (Editor)This book provides a comprehensive overview of difficult decisions encountered within endocrine surgery. Brief uniformly formatted chapters are devoted to answering specific questions relevant to a range of topics across endocrine surgery based upon detailed analysis of available evidence.Topics covered include clinical decision analysis, decision making from the surgeon's and patient's perspective, using surgery as opposed to observation for papillary thyroid microcarcinoma, and the use of parathyroid cryopreservation. Difficult Decisions in Endocrine Surgery: An Evidence-Based Approach features a wealth of information on ideal approaches for making clinical decisions in selected clinical situations. It is an important and timely resource for all endocrine surgical trainees, fellows, practitioners, educators, and healthcare providers involved in the management of these patients.
Publication Date: 2018-09-18
Empathy, Normalization and De-Escalation by Massimo Biondi (Editor); Massimo Pasquini (Editor); Lorenzo Tarsitani (Editor)This book describes theory and techniques of empathic communication, normalization and de-escalation procedures for the management of aggressive or violent patients in clinical critical settings'. Consisting of 9 chapters, it discusses in detail the self-regulation of empathy in potential dangerous interactions, as well as common mistakes and nonprofessional reactions. It also explores the basic concept of neurobiology of violence and aggression behaviour, such as brain circuitry and neuromodulators, and other rapid tranquillization guidelines. The final chapter focuses on the crucial topics of post-aggression debriefing. Based on the clinical experience of the editors and authors, who work in emergency psychiatry settings, the book offers practical key expressions to promote a normalization talk, to calm agitated individuals, and to prevent crises both for psychiatric patients and people without mental disorders. It is a useful tool to help readers gain confidence as mediators in critical circumstances and will be of interest for a wide range of practitioners in healthcare settings, from psychiatrists and psychologists, to nurses and other healthcare workers.
Publication Date: 2021-01-29
Integrated Delivery by David StehlikThis book - written for those holding, preparing for, or aspiring to managerial-level and above leadership positions within healthcare organizations - promotes a new, forward-thinking framework for leadership, a model that innovates upon the current paradigm directing leadership thinking, integrating the best business and social concepts, strategies, and practices with healthcare. Like its namesake, this integrated leadership model is about bringing the best leadership assumptions and practices together so that their weaknesses amidst shifting environments are buoyed by the others' strengths. Prior to detailing the integrated leadership model, however, readers will find out how ""organized medicine"" has changed over the decades (Chapter 1), what innovation really means (Chapter 2), and how to think clearly about strategic management and its constituent parts (strategic thinking, strategy development, and strategic planning) (Chapter 3). Then, the other models which helped contribute conceptually to the development of the integrated leadership model, along with the model itself, are discussed (Chapter 4). The chapters that follow (Chapters 5-7) explore each of the three primary modes of leadership behavior (anticipatory, strategic, and administrative) that keep an organization focused and refreshed throughout its various innovation-minded, effectiveness-establishing, and efficiency-building pursuits. For those wondering about integrating the model into their leadership habits (or scaling it for their organizations), Chapter 8 includes a short story about a healthcare organization in which the model is not spoken of, though its existence should be clearly perceived. The imaginary organization will illustrate ways in which the theory that undergirds the model and the practices which bring it to life can have a home in your organization.
Publication Date: 2021-04-30
Integrating the Organization of Health Services, Worker Wellbeing and Quality of Care by Lise Tevik Løvseth (Editor); Annet de Lange (Editor)This book introduces the concept of 'healthy healthcare' and posits that this new concept is necessary in light of a shortage of healthcare staff in the near future. Healthy healthcare implies that healthcare systems are designed, managed and financed in balance with the available resources to improve workers' health and performance. Ultimately, a balanced perspective taking into account the patient, the staff and the complex healthcare system will lead to a more resource-efficient delivery of high-quality healthcare services. The book synthesizes evidence-based practice and research on the links between healthcare services, employee health and wellbeing, and quality of healthcare from an interdisciplinary perspective. Written by leading experts in this rapidly expanding field of inquiry, this is the first book ever compiled on the subject with such scope and breadth. It discusses how to conduct interventions and research on healthy healthcare with different populations and settings. The chapters critically examine the links between these pillars; and identify research gaps in both methodology and content from the perspectives of psychology, medicine, nursing, economy, law, technology, management and more. This innovative book is of interest to researchers and students of health sciences, public health, health economics and allied disciplines, as well as to stakeholders in the healthcare industry. Chapter 24 of this book is available open access under a CC-By NC-ND 4.0 license at link.springer.com
Publication Date: 2021-01-26
The Lean Healthcare Handbook by Thomas PyzdekThe book shows readers exactly how to use Lean tools to design healthcare work that is smooth, efficient, error free and focused on patients and patient outcomes. It includes in-depth discussions of every important Lean tool, including value stream maps, takt time, spaghetti diagrams, workcell design, 5S, SMED, A3, Kanban, Kaizen and many more, all presented in the context of healthcare. For example, the book explains the importance of quick operating room or exam room changeovers and shows the reader specific methods for drastically reducing changeover time. Readers will learn to create healthcare value streams where workflows are based on the pull of customer/patient demand. The book also presents a variety of ways to continue improving after initial Lean successes. Methods for finding the root causes of problems and implementing effective solutions are described and demonstrated. The approach taught here is based on the Toyota Production System, which has been adopted worldwide by healthcare organizations for use in clinical, non-clinical and administrative areas.
Publication Date: 2021-04-29
Lean Healthcare Systems Engineering for Clinical Environments by Bohdan OppenheimIt has been almost 20 years since the Institute of Medicine released the seminal report titled, Crossing the Quality Chasm. In it, the IoM identified six domains of care quality (safe, timely, effective, efficient, equitable, and patient-centric) and noted a huge gap between the current state and the desired state. Although this report received a great deal of attention, sadly there has been little progress in these areas. In the U.S., healthcare still has huge disparities, is inefficient, and is fragmented with delays in care that are often unsafe. Most U.S. citizens are expected to suffer from a diagnostic error sometime during their lifetime, not receive a large fraction of recommended care, and pay for one of the most expensive systems in the world. Much has been written about quality improvement over the years but many prominent quality and safety experts. Yet progress has been slow. Some have called on the healthcare professions to look outside of healthcare to other industries using examples in nuclear power and airlines for safety, the hotel and entertainment industry for a 'customer' focus, and the automotive industry, particularly Toyota for efficiency (Lean). This book by Dr. Oppenheim on lean healthcare systems engineering (LHSE) is a fresh approach that brings forth concepts that systems engineers have used in huge national defense projects. What's unique in this book is that these powerful system engineering tools are modified to be able to address smaller sized healthcare problems that still involve similar problems in fragmentation and poor communication and coordination. This book is an invaluable reference for a new powerful process named Lean Healthcare Systems Engineering (LHSE) for managing workflow and care improvement projects in all clinical environments. The book applies to ambulatory clinics and hospitals of all types including operating rooms, emergency departments, and ancillary departments, clinical and imaging laboratories, pharmacies, and population health. The book presents a generic rigorous but not mathematical step-by-step process of integrated healthcare, systems engineering and Lean. The book also contains the first major product created with the LHSE process, namely tabularized summaries of representative projects in healthcare delivery applications, called Lean Enablers for Healthcare Projects. Each full-page enabler table lists the challenges and wastes, powerful improvement goals, risks, and expected benefits, and some useful descriptions of the healthcare system of interest. The book provides user-friendly solutions to major problems in healthcare delivery operations in all clinical environments, addressing fragmentation, wastes, wrong incentives, ad-hoc and stove-piped management, lack of optimized processes, hierarchy gradient, lack of systems thinking, "blaming and shaming culture", burnout of providers and many others.
Publication Date: 2021-05-24
Managing Care by Richard BohmerHealthcare systems worldwide are swamped with demand, short of resources, and ill-equipped to respond to global health crises like COVID-19. This book is a guide for reforming healthcare delivery. The way we organize care matters, and the people best positioned to drive this are the clinicians who deliver care. The book offers a framework for transforming healthcare delivery that covers operational design, change management, long-term learning, and organizational environment. It describes the work of leading local operational change; identifies key decisions to be made, actions to be taken, and factors that must be taken into account; and gives clinicians the tools and perspectives they need to lead change. The challenge of modern healthcare is to develop better organizations capable of delivering compassionate and individualized care on a grand scale while preserving the personal relationship between clinician and patient and the quality of care at the ward, operating room, clinic, or practice. Informed by extensive research and experience with systems all over the world, Richard Bohmer shows how organizations may transform by deploying a new workforce of clinical change leaders and how clinicians can take greater control over their own working environments.
Publication Date: 2021-05-18
The Mental Health and Wellbeing of Healthcare Practitioners by Jo Brown (Editor); Esther Murray (Editor)THE MENTAL HEALTH AND WELLBEING OF HEALTHCARE PRACTITIONERS Explore this innovative new volume covering the growing mental health crisis amongst healthcare practitioners In The Mental Health and Wellbeing of Healthcare Practitioners, accomplished researchers and authors Esther Murray and Jo Brown deliver an insightful exploration of the theoretical and practical aspects of implementing mental health improvement within the healthcare system through a range of practical examples and cases. The book also explores the possibilities available to professionals to talk about their mental health using "borrowed" words and concepts, and uncovers structural and social concerns that prevent practitioners from accessing the time and space they need to address their mental health concerns. Readers will also benefit from the inclusion of topics such as: Borrowed words in emergency medicine and how moral injury makes spaces for talking Finding a voice through medical student engagement in creative enquiry Using language and discourse to explore queer identities in medicine Stress and mental wellbeing in emergency medical dispatchers and paramedics Perfect for healthcare students, professionals, and researchers in the fields of medicine, medical education, psychology, and sociology, The Mental Health and Wellbeing of Healthcare Practitioners will also earn a place in the libraries of healthcare management professionals and regulators.
Publication Date: 2021-08-30
Overcoming Secondary Stress in Medical and Nursing Practice by Robert J. Wicks; Gloria F. DonnellyThe mental and physical health of caregivers impacts more than just that individual worker. It affects the health of their patients, it impacts their families, it shapes communities, it influences politics, and it plays into international relations. Medical and nursing professionals working in today's health care settings must be prepared to offer support in dangerous times despite staffing shortages, financial pressures, and complex legal requirements. The nature of this work puts these professionals in harm's way not only physically, but at greater risk for secondary stress, trauma, burnout and other emotional impacts exacerbating the need for self-care. There is no better time to revisit the problem of secondary stress among caregivers than on the heels of the COVID-19 pandemic. Times of challenge and change test health care professionals' self-care insights, strategy, and reserves. New learnings and ways of maneuvering through difficult professional practice situations and life in general can become permanent elements in our self-care cache. This book will enrich the reader's insights and strategies with respect to secondary stress leading to enhanced resilience of mind, body and spirit. This second edition draws on content in the first edition and information from classic literature and research findings about the phenomenon of secondary stress experienced by nurses, physicians and physician assistants. This book highlights the importance of interprofessional communication and support in ameliorating the stressors of clinical work, an effort enhanced by interdisciplinary co-authorship. Educators and front line clinicians have come to the realization that the recognition and self-management of secondary stress and burnout will contribute to a high functioning, caring health care delivery system in the future that prevents attrition and major health problems for those in clinical careers. Overcoming Secondary Stress in Medical and Nursing Practice is an indispensable resource for medical and nursing professionals, students, and the counselors and therapists who work with them.
Publication Date: 2021-03-01
Pediatric Ethics: Theory and Practice by Nico Nortjé (Editor); Johan C. Bester (Editor)This book assists health care providers to understand the specific interplay of the roles and relationships currently forming the debates in pediatric clinical ethics. It builds on the fact that, unlike adult medical ethics, pediatric ethics begins within an acutely and powerfully experienced dynamic of patient-family-state-physician relationship. The book provides a unique perspective as it interacts with established approaches as well as recent developments in pediatric ethics theory, and then explores these developments further through cases. The book first focuses on setting the stage by introducing a theoretical framework and elaborating how pediatric ethics differ from non-pediatric ethics. It approaches different theoretical frameworks in a critical manner drawing on their strengths and weaknesses. It helps the reader in developing an ability to engage in ethical reasoning and moral deliberation in order to focus on the wellbeing of the child as the main participant in the ethical deliberation, as well as to be able to identify the child's moral claims. The second section of the book focuses on the practical application of these theoretical frameworks and discusses specific areas pertaining to decision-making. These are: the critically ill child, new and enduring ethical controversies, and social justice at large, the latter of which includes looking at the child's place in society, access to healthcare, social determinants of health, and vaccinations. With the dynamic changes and challenges pediatric care faces across the globe, as well as the changing face of new technologies, no professional working in the field of pediatrics can afford not to take due note of this resource.
Publication Date: 2021-12-02
Understanding and Cultivating Well-Being for the Pediatrician by Sarah Webber (Editor); Jessica Babal (Editor); Megan A. Moreno (Editor)With growing attention surrounding the importance of physician well-being, organizations are institutionalizing physician well-being efforts. Promoting well-being requires a understanding of the components, barriers and promoters of physician well-being, While other books exist in this space, many are focused on individual resilience-building strategies or are too broad to apply to specific groups of physicians, such as pediatricians. A critical gap in the existing literature is a book that uses an evidence-based model of well-being and applying this model to unique experience of pediatricians. Rather than a work-centric approach, the physician well-being model we describe in this book takes a comprehensive approach to well-being, integrating evidence and expertise from a broad body of well-being research and translating this knowledge to the lives and work of pediatricians. Further, while other texts focus on negative consequences of a lack of well-being, such as burnout, this text is organized around defining, understanding and optimizing well-being. Each chapter will provide strategies for both individual pediatricians and healthcare organizations to consider to improve pediatrician well-being at their institution. This book integrates well-being science from disciplines outside of medicine, offering innovative strategies to addressing this important issue. This is a book designed for pediatricians, health care leaders, and organizations looking to better understand and implement strategies for pediatrician well-being. The authors will take readers on a journey through the history of physician well-being leading to the current state of well-being in the context of modern medical practice, technology, society, policy and family life. Using an integrated model of physician well-being, readers will learn about the current state, solutions, tensions and future directions of physician well-being.