Handbook of Healthcare Quality and Patient Safety Girdhar J Gyani, Alexander Thomas
INDEX
Page numbers followed by f refer to figure and t refer to table.
A
Acquired immune deficiency syndrome 143
Administration errors 180
Air
conditioning 250, 260
management 266
operation theater 266
systems 250
filtration 267
handling 266
unit 260, 266, 266t
quality 266
indoor 250
velocity 266
Airborne precautions 157
American Hospital Association 40
American Society of Anesthesiologists 298
Anesthesia 41
patient safety foundation 298
Angiography 108
Anticipating losses 234
Antimicrobial policies 186
Antimicrobial Stewardship Programme 186
Appraisal costs 8
Aseptic technique 156
Atomic Energy Regulatory Board 110
Audit 160
criteria 220
framework 220
plan, rapid cycle 160t
priorities 218
standards 219
Automatic fire hydrant system 264
B
Bariatric rooms 250
Basic life support 356
Biohazardous waste 359
Biomedical equipment 272
management 355
Black belt 34
Blood
stream infections, central line 340
sugar 172
Bloodstream infection 156, 160
Bodies, accreditation 41
Brain storming 33
Breakdown maintenance 272
Building engineering systems 250
structure 250
C
Carbon footprint 361
Casualty assessment 183
Catheter-associated urinary tract infection 156, 340
prevention 161
Central Sterile Service Department 261
Chemotherapeutic agent 60
Chief executive officers 199
Chief medical officer 338
Cholesterol
control levels of 100f
levels of 100
Clinical audit 195, 217, 229, 356
cycle 218f
process 218
Clinical decision support system 212
Communicating findings 224
Communication 71, 254, 305
barriers to effective 311, 311t
competence, stages of 305
diagonal 314
doctor 325
employees of healthcare organization 312
for quality healthcare 303
horizontal 314
lateral 314
management of 41
system 113
within organizational hierarchy 313
Community acquired 92
Community Health Accreditation Program 41
Computer technology 206
Computer-based patient records 209
Computerized physician order entry 210
Conscious
competence 305
incompetence 305
Cook book 148
Council on Health Services Accreditation for South Africa 41
Credentialing and Privileging in Healthcare Organizations 77
Customer focus 4
Customer focused organization 37
Customer, suppliers and process relationship 5f
D
Data collection, planning 221
Deep vein thrombosis 347
Dermatitis 154
Diesel generator 260, 263
sets 262
Discharge process 324
Disease control and prevention, center for 160
Disinfection 153, 159
and sterilization in healthcare facilities 159
surface 159
terminal 159
Dispensing cycle 178f
Document system and processes 354
Documentation errors 177
Donabedian's equation 342
Drainage cleaning 262
Droplet precautions 158
Drug 179f
and Therapeutic Committee 145
events, adverse 171
reactions, adverse 170, 171, 182
supply based on standards 148
Durable pocket manuals 148
E
Ear 286
Ecofriendly substances 360
Education and training 34, 192
Effluent treatment plant 260
Egyptian papyri 35
E-health (as per WHO) 207
Electronic care record 210
Emergency care research institute 46
Employees, benefits for 52
Environment 159, 278
changing 345
Environmental analysis 65
Environmental management systems 15
Equipment history card 284
Equipment-related losses 275t
F
Faced by hospitals, types of 232
Fingernails 154
Fire alarm system 263
Fire safety 254
Fires, types of 264
Fluoroscopy 108
Focus on training 141
Food and
drug administration 232
hygiene 361
Food Safety
and Standards Authority of India 12
management system 16, 17
G
Gaussian distribution 98, 99f
Global warming potential 363
H
Hand hygiene 153, 154
five moments for 155f
practices 153
Handwash
methods 155t
technique 153f
Handwashing 153, 154f
Hazard analysis 238
Hazard decision matrix 237t
Health 206, 278
digital 207
electronic 209
identification 229
information
exchange 212
management 206
technology 339
quality services 41
record, electronic 339, 343
Healthcare 19, 38
accreditation 39, 41
complexity of 352
consumer 321
cost of 294
operational 300
ecosystem 199
failure mode effects and analysis 236f
decision tree 238
infection 152, 157
informatics 206
institutions, quality-driven strategy for 60
leadership challenges in 204
leadership in 202
lean 1820
management in 231
organization 62, 63, 152, 286, 292, 351
management of 241
pneumonia 133
cause-effect for 135f
reduction in rates 134f, 137f
with causes 136f
poor quality of 28f
process 38
quality assurance in 75
professionals 50
providers 42
quality 18
association on accreditation 42
history of 36
management 1
professional in 340
research and quality, agency for 46
systems 217, 294
teamwork in 346t
workers 153
Hearing stories 345
High-frequency ultrasound 112
Hospital
accreditation 126
acquired 92
infections 340f
based biomedical equipment facility 272
complexity 120
engineering services 260
facilities, preventive maintenance for 260
fire safety system 263
green and sustainable 359
infection control 43
information system 113, 209, 210
initiative, green 268
legal requirements of 286
maintenance of facility 260
management
doctors 322
staff 322
patient safety 51
processes 50
ratings 327
Standardization Committee 39, 40
systems 120
Human factors 121
Human immunodeficiency virus 152
Human resource management 43
Hydrant pump 264
Hypothesis testing 33
I
Indian Institute of Quality Management 12
Infection
control of 41
prevention of 41
Infection control 90, 152, 331, 357
monitoring 90
nurse 357
practices 160
Programs 152
Infection prevention and control nurse 357
Infection risk assessment and control 245
Infection-related ventilator complication 166
Infectious diseases 267
Infectious isolation 249
Information
and communication technology 207, 209
management of 41, 208
system 43
modes of 208
technology 339, 347
and systems 209
Intelligence, artificial 212
Intensive care unit 153, 247
International Accreditation Programme 55
International Healthcare Accreditation Organizations 41
International patient safety goals 41
International society for quality in healthcare 41, 45, 47
International Standards Organization 9
J
Jockey pump 264
Joint commission
development of 40
international 41, 170, 191, 204, 269
on accreditation of healthcare organizations 39, 48, 232
L
Laboratory information systems 212
Leadership engagement and
commitment 192
empowerment 198, 202
Legal and ethical challenges 215
M
Medical
audit 217
Council of India 78
education, continuous 195
equipment
acceptance of 269, 272t
management 269
utilization 271
errors 240
history of 294
reduction of 333
ethics 296
gas 265
pipeline system 255
laboratories, quality assurance in 97
mistakes 27f, 27t
negligence 289
record 209
electronic 209, 254
staff engagement 346
testing laboratory 97
Medicare and medicaid services, centers for 296, 339
Medication
errors 169171, 171f, 176f
causes of 181
detecting 180
reporting 180
sources of 171
storage-related 172
types of 171
management of 41, 43
practices, institute for safe 170
process, steps of 120
safety 169
use process, cycle of 172f
Medicine 169
evidence-based 212
institute of 36, 46, 170, 342
list, essential 143
storage of 172
Menstruation period, last 111
Methicillin-resistant Staphylococcus aureus 243
Misinterpretation of verbal order 177
Mock survey 48
Myocardial infarction, acute 171
N
Nails, artificial 154
National Accreditation Board for Hospitals 42, 232
and Healthcare Providers 42, 72, 170, 191, 269, 351
and Healthcare Providers 42, 77
National Accreditation Board for Testing and Calibration Laboratories 12
National Coordinating Council for Medication Error Reporting and Prevention 182
National Digital Health Authority 216
National E-health Authority 215, 216
National Healthcare Safety Network 164
recommendation 160
National Productivity Council 11
of India, role of 11
Neonatal
care privileges 81
intensive care unit 248, 324
Neural networks, artificial 212
Non-Governmental Organization 47
Nose 286
Nuclear medicine 109
Nursing
communication 325
department, head of 62
education 195
staff in specific period 27t
O
Obstructive pulmonary disease 228
chronic 221, 228
Occupational Health and Safety Assessment Aeries 16
Operating procedures, standard 353
Operating room
processes 90
traffic 167
Operation theaters, green 363
Oxygen saturation 229
P
Paraffin embedding 104
Patient
assessment of 41
counseling and education 184
discharge 137
levels of harm to 122
meals 324
medical record information 209
movement and transfers 246
records, electronic 209
rights and education 43
room 249
Patient and family
benefits for 52
education 41
and counseling 91
rights 41
Patient care 83
flow process 86f
processes, quality assurance in 83
safe 196
Patient safety 41, 119, 127, 294
accreditation for 46f, 356f
clinical environments 328
committee 123
environments 330
implementation of 317
management 117
measures 119
planning for 243
promoting 123
quality improvement 203
Patient satisfaction 322, 323
surveys 322
benefits 322
Pediatric privileges 81
category
A 81
B 81
C 81
D 81
E 81
O 81
delineation of 81
Personal health record 210
Personal protective equipment 110, 157
Personality and communication style 315
Pharmaceutical pollution, reduce 361
Pharmacy 324
Physician-patient encounter 306
Plasmodium parasites from blood smear 146
Post-examination aspects 105
Potable water 159
Pre-conception diagnostic techniques 110
Pre-natal diagnostic techniques 110
Preventive maintenance of
kitchen 268
public areas 268
rooms 267
Psychiatric seclusion 250
Public address system 263
Public sector undertakings 9
Q
Quality and economic reforms 10
Quality assessment, external 105
Quality assurance
emergence of 6
triangle 84
Quality beyond accreditation/certification 356
Quality care 83
Quality circle forum of India 9
Quality control 97, 102
emergence of 5
internal 99
Quality council of India 12
Quality culture 68
leadership role in setting 68
Quality dashboards 342
Quality department 340
Quality elements, costs of poor 8f
Quality governance structure 341
Quality healthcare 303
economics of sustaining of 300
Quality implementation 351
Quality improvement 41
Quality in healthcare, journey of 35
Quality infrastructure 340
Quality initiatives by manufacturing sector 9
Quality management 6, 7t, 11, 35
system
formal 51
in healthcare 352
maintenance of 51
emergence of total 6
total 102, 191
system 4, 1315, 53, 351
environment 69
Quality movement in India, history of 9
Quality of improvement, continuous 35, 43, 357
Quality standards, implementation of 317, 299
Quality tools 6, 195
Quality, improving 85, 86
Quality-driven strategy, lifeline of 71
R
Radiation safety officer 110
Radiology information system 113
Reception and admissions counters 324
Resident medical officer 78
Rights of Patient under Consumer Protection Act 286
Root cause analysis 344
S
Safety
electronic 253
maintenance of 315
Scientific management 3
Seeking different perspectives 200
Sewage treatment plant 260, 262
Sigma processes, three 32f
Single patient rooms 330
Six sigma 18, 32
methodology 33
processes 32f
Sprinkler pump 264
Staff education 41
Staff qualifications 41
Staff sensitization 181
Stakeholder involvement 64
Stakeholders, external 364
Staphylococcus aureus 168
Sterilization 153, 159
Surgical care 41
Surgical infection rates, monitoring 88, 88t
Surgical site infection rate 89
Surgical suite 248
T
Telephone survey 327
Tension panel, low 268
Therapeutic duplication 173
of medicine 174f
Thermoluminescent dosimeter 110
Third party surveys, essential of 326
Throat 286
Tissue processing 104
Tools
application of 21
lean 21t
Treatment guideline
advantages of 143
development of standard 149
standard 142, 143, 149, 356
Twin challenges, coping with 294
U
Unconscious competence 306
Unconsciously incompetent 305
V
Vaccination 153
Ventilation 250, 260, 266
Ventilator-associated
pneumonia 156, 167
surveillance of 164
Verbal communication styles 307
Visual management 18, 31
functions of 31
W
Waste
lean management, classification of 23t
management 360
type of 23
Water
footprint 361
management 260
Westgard multirole 101f, 102f
World Health Organization 152, 170, 248, 304
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