Abstract
Many procedures traditionally completed in operative theaters or endoscopy suites are now routinely performed at the bedside. While this may pose some additional planning on the part of the practitioner, it also poses potential benefits for the patient and the institution. By performing procedures in the intensive care unit, the need for costly operating rooms or endoscopy suites may be eliminated, thereby reducing the number of staff involved which in turn produces a savings to the patient. In this chapter, we will take an in-depth look at what it takes to ensure patient safety through process improvement initiatives such as process improvement (PI) committees, quality assurance (QA), and methodologies to allow for bedside procedure to happen in a safe and effective manner.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Gershengorn HB, Kocher R, Factor P. Management strategies to effect change in intensive care units: lessons from the world of business. Part II. quality-improvement strategies. Ann Am Thorac Soc. 2014;11(3):444–53. https://doi.org/10.1513/annalsats.201311-392as.
Process improvement: how to start and the role of the 3-P's. n.d.. Retrieved 22 July 2019, from http://www.bpminstitute.org/resources/articles/process-improvement-how-start-and-role-3-ps.
J. H. 2018. Quality improvement in healthcare: 5 deming principles. Retrieved 22 July 2019, from https://www.healthcatalyst.com/insights/5-Deming-Principles-For-Healthcare-Process-Improvement.
Institute of Medicine (US) Committee on Quality of Health Care in America. To err is human: building a safer health system. In: Kohn LT, Corrigan JM, Donaldson MS, editors. ; 2000. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/25077248.
Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety. Anesthesiol Clin. 2007;25(2):225–36. https://doi.org/10.1016/j.anclin.2007.03.009.
Improving Patient Safety through Simulation Research. Agency for healthcare research and quality. Retrieved 13 July 2019 from: http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-06-030.html.
Gaba DM. The future vision of simulation in health care. Qual Saf Health Care. 2004;13(Suppl_1):I2–I10. https://doi.org/10.1136/qhc.13.suppl_1.i2.
Altabbaa G, Raven AD, Laberge J. A simulation-based approach to training in heuristic clinical decision-making. Diagnosi. 2019;6(2):91–9. https://doi.org/10.1515/dx-2018-0084.
Handoffs and Signouts. 2019. Retrieved 16 July 2019, from https://psnet.ahrq.gov/primers/primer/9/handoffs-and-signouts.
Sehgal NL, Fox M, Sharpe BA, Vidyarthi AR, Blegen M, Wachter RM. Critical conversations: a call for a nonprocedural “time out”. J Hosp Med. 2011;6(4):225–30. https://doi.org/10.1002/jhm.853.
Boysen PG. Just culture: a foundation for balanced accountability and patient safety. 2013. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3776518/.
Suggested Reading
Handoffs and Signouts. 2019. Retrieved 16 July 2019, from https://psnet.ahrq.gov/primers/primer/9.
King HB, Battles J, Baker DP, Alonso A, Salas E, Webster J, . . . Salisbury M. n.d.. TeamSTEPPS™: team strategies and tools to enhance performance and patient safety. Retrieved 14 July 2019, from https://www.ncbi.nlm.nih.gov/books/NBK43686/.
Lateef F. Simulation-based learning: just like the real thing. J Emerg Trauma Shock. 2010;3(4):348. https://doi.org/10.4103/0974-2700.70743.
Lopreiato JO. 2018. How does health care simulation affect patient care? Retrieved 14 July 2019, from https://psnet.ahrq.gov/perspectives/perspective/255.
Measuring and Responding to Deaths From Medical Errors. 2017. Retrieved 16 July 2019, from https://psnet.ahrq.gov/perspectives/perspective/221/Measuring-and-Responding-to-Deaths-From-Medical-Errors.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Paulson, S.A., Cunningham, K. (2021). Process Improvement and Patient Safety. In: Taylor, D.A., Sherry, S.P., Sing, R.F. (eds) Interventional Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-64661-5_2
Download citation
DOI: https://doi.org/10.1007/978-3-030-64661-5_2
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-64660-8
Online ISBN: 978-3-030-64661-5
eBook Packages: MedicineMedicine (R0)