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ePub Beyond the Checklist: What Else Health Care Can Learn from Aviation Teamwork and Safety (The Culture and Politics of Health Care Work) download

by Captain Chesley "Sully" Sullenberger,Suzanne Gordon

ePub Beyond the Checklist: What Else Health Care Can Learn from Aviation Teamwork and Safety (The Culture and Politics of Health Care Work) download
Author:
Captain Chesley "Sully" Sullenberger,Suzanne Gordon
ISBN13:
978-0801451607
ISBN:
0801451604
Language:
Publisher:
ILR Press; 1 edition (December 18, 2012)
Category:
Subcategory:
Transportation
ePub file:
1475 kb
Fb2 file:
1464 kb
Other formats:
lit lrf docx rtf
Rating:
4.7
Votes:
671

"Beyond the Checklist recognizes that it takes more than just the standardized execution of processes to create a culture of safety.

a radical cultural transformation, like the one that has taken place in aviation over the past 30 years,’ the authors argue persuasively. Three positive case studies show that it can be done. ― Jan W. Steenblik, Air Line Pilot (July 2013). Beyond the Checklist recognizes that it takes more than just the standardized execution of processes to create a culture of safety. As the authors reveal, the team intelligence needed in more hospitals can flourish only in a workplace environment where there is proper training, mutual respect, and real cooperation among coworkers. ―Veda Shook, President, Association of Flight Attendants–CWA.

Keywords health care, aviation, safety, teamwork, interpersonal relations. Foreword by Captain Chesley "Sully" Sullenberger. Beyond the Checklist correctly argues that aviation safety was improved through more than just checklists, as important as those are. Checklists alone cannot cure the current fragmentation of patient care or avert tragedies like the loss of twelve-year-old Rory Staunton, who died from undetected septic shock after being dis-charged by New York University Medical Center in summer 2012.

Series: The Culture and Politics of Health Care Work Beyond the Checklistargues that lives could be saved and patient care enhanced b. .

Series: The Culture and Politics of Health Care Work. How can health care providers reduce the terrible financial and human toll of medical errors and injuries that harm rather than heal? Beyond the Checklistargues 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).

I have often heard that health care should learn from aviation how to.

I have often heard that health care should learn from aviation how to incorporate the culture of consumer safety in their deeds. This prompted me to explore answers in Beyond the Checklist: What Else Health Care Can Learn from Aviation Teamwork and Safety. This book is divided into 11 chapters with an apt foreword from Captain Chesley Sully Sullenberger who became a torchbearer for aviation safety when he safely made an emergency landing in the Hudson River with 155 passengers on board.

Suzanne Gordon is an American journalist and author who writes about healthcare delivery and health care systems and patient safety and nursing. Gordon coined the term Team Intelligence, to describe the constellation of skills and knowledge needed. Gordon coined the term Team Intelligence, to describe the constellation of skills and knowledge needed to build the kind of teams upon which patient safety depends

Series:The Culture and Politics of Health Care Work The coauthors of this book sought out the aviation professionals who made this transformation possible.

Series:The Culture and Politics of Health Care Work. Cornell university press. Beyond the Checklist argues that lives could be saved and patient care enhanced by adapting the relevant lessons of aviation safety and teamwork. The coauthors of this book sought out the aviation professionals who made this transformation possible.

Beyond the Checklist : What Else Health Care Can Learn from Aviation Teamwork and Safety Foreword by Captain Chesley "Sully" Sullenberger. 1. History of Crew Resource Management.

Beyond the Checklist : What Else Health Care Can Learn from Aviation Teamwork and Safety. Saved in: Bibliographic Details. 3. Case Study: Maimonides Medical Center. 6. Workload Management. 7. Case Study: Interprofessional Education and Practice at the University of Toronto. 8. Threat and Error Management. 10. The Problems in Medicine.

Beyond the Checklist argues that lives could be saved and patient care enhanced by adapting the relevant lessons o.As we have gone around the country discussing our book Beyond the Checklist: What Else Health Care Can Learn from Aviation Teamwork and Safety, we have been struck by the number of people who insist that healthcare has little to learn from aviation because the two enterprises are entirely different.

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.

  • 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! You and I have heard the stories of death and debilitation because of errors we knew were done... It is time for many doctors to refer out for other opinions with different providers, and get feedback from professionals outside their tight knit little cliques. They are dealing with people's lives, hopes, dreams, families, and friends, not just a "patient".

    So many doctors really care about what happens to their patients, but are shackled by the system that feeds them. Time to get back to good doctoring instead of tight business procedures. It's time for them to care enough to stand their ground and become the great doctors they can be, instead of being pawns of drug companies, management, insurance companies, and other people/things that keep them from being exemplary in their work.

  • I work in the health care system and anyone who does knows it is a mess and broken. This book provides good ideas to fix current problems and work in the best interest of the patients. The problem is because there is no one governing entity for health care to enforce changes for the better we will continue working in a hierarchical system, and not in the best interest of the patients. This is a must read.

  • Great Read! The authors discuss how concepts from crew resource management can and should be applied to other fields, such as healthcare. By focusing on teamwork and communication, organizations can evolve into highly reliable entities. Thought provoking, inspriring, and sometimes funny stories along the way.

  • This book has the potential to revolutionize the structure of the healthcare system, replacing a hierarchical approach with a team approach -- in which every member of the team is important and deserves to have his or her input taken seriously. Based on the system that many airlines have adopted, resulting in a higher degree of passenger safety, using the same cooperative style has the potential to transform and greatly increase the safety of the always changing and ever more complex healthcare system.The question is Will this book get the attention it deserves? The powers that be will be reluctant to give up their (imagined) power, no matter what the effect on patient safety. Perhaps nurses could carry this torch, just as we have done with the importance of handwashing!

  • This book has wonderful insight into the complexities of American healthcare. Great overview on TeamSTEPPs! Excellent insight into why communication continues to be difficult to consistently achieve within the healthcare team.

  • Enjoyed the book and the speed you all got it to me.

  • Suzanne Gordon brings her deep expertise in critical journalism to the topic of health care teams, through the lens of aviation. This book collaboration with coauthors Patrick Mendenhall and Bonnie Blair O'Connor shines new lights on some of the long-held assumptions about primacy and process in health care.

  • "Beyond the Checklist" offers well honed airline safety approaches that can and should transfer to health care to improve safety. A must read, as Gordon tackles the human factor issues in patient safety!