| Document Type
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BL
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| Record Number
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1027017
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| Doc. No
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b781387
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| Main Entry
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Latino, Robert J.
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| Title & Author
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Patient safety : : the PROACT root cause analysis approach /\ Robert J. Latino.
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| Publication Statement
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Boca Raton :: CRC Press,, ©2009.
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| Page. NO
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1 online resource (xxii, 197 pages) :: illustrations
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| ISBN
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1281792705
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: 1420087274
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: 1420087282
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: 9781281792709
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: 9781420087277
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: 9781420087284
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| Bibliographies/Indexes
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Includes bibliographical references and index.
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| Contents
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The need for reliability tools in healthcare -- Creating the management support for a proactive environment to succeed -- Failure classification -- Basic failure mode and effects analysis : the traditional approach -- Opportunity analysis (OA) : the modified approach -- Understanding why things go wrong -- The PROACT root cause analysis (RCA) methodology -- Ordering the analysis team -- Analyzing the data : introducing the logic tree -- Communicate findings and recommendations -- Tracking for results -- Automating proactive analyses : the utilization of the PROACT® suite software solution (version 3.0+) -- Case studies.
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| Abstract
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As Medicare, Medicaid, and major insurance companies increasingly deny payment for 'never events', it has become imperative that hospitals and doctors develop new ways to prevent these avoidable catastrophes from recurring. Proactive tools such as root cause analysis (RCA), basic failure mode and effects analysis (FMEA), and opportunity analysis (OA) are useful in preventing error, but in the healthcare field, such tools are often constrained by reticence to share information about mistakes and other inhibitive paradigms inherent to the industry. "Patient Safety: The PROACT[registered] Root Cause Analysis Approach" addresses the proactive methodologies and organizational paradigms that must change in order to support and sustain such activities in the interest of patient safety. Written by reliability expert Robert J. Latino, this book provides a perspective on patient care from outside the health industry and culture. It teaches a proven approach that measures its effectiveness based on patient safety results, rather than compliance, and demonstrates the Return-On-Investment for using RCA to reduce and/or eliminate undesirable outcomes. Addressing the contribution of human error to physical consequences, it explores ways to identify conditions which are more prone to result in human error. It also uses FMEA to proactively identify unacceptable risks, and then uses the concepts of RCA to prevent risks from materializing. Consult the accompanying website for more information Robert J. Latino has spent the past 10 years researching the differences in industrial culture versus the healthcare culture. In this book, he expertly makes the appropriate modifications to proven methodologies to successfully bridge the proactive technologies from industry to healthcare. Additional information, including an audio-visual presentation by the author, is available on the PROACT website.
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| Subject
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Health facilities-- Quality control.
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Medical care-- Quality control.
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Medical errors-- Prevention.
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Health facilities-- Quality control.
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Medical care-- Quality control.
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Medical errors-- Prevention.
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MEDICAL-- Administration.
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Medical Errors-- prevention control.
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Health Facility Administration.
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Outcome and Process Assessment (Health Care)
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Safety Management-- organization administration.
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| Subject
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Systems Analysis.
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| Dewey Classification
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610.68
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| LC Classification
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R729.8.L38 2009
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| NLM classification
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2008 N-148
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WX 153L357p 2009
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