Improving Patient Care: The Implementation of Change in Clinical Practice

Improving Patient Care: The Implementation of Change in Clinical Practice

2005 | R Grol, M Wensing, M Eccles
The text presents a collection of references and book reviews related to patient safety and clinical practice. The first set of references discusses preventable medical injuries in older patients, the incidence of preventable adverse events in elderly patients, and the importance of patient safety in geriatrics. Other references explore the challenges of adverse event reporting in pediatric cardiac care, barriers to incident reporting in healthcare systems, and the implementation of clinical guidelines. The book "Improving Patient Care: The Implementation of Change in Clinical Practice" by Grol, Wensing, and Eccles provides a framework for implementing changes in clinical practice. It outlines a model for guiding the implementation of evidence-based guidelines, emphasizing the importance of understanding current practices and the reasons behind clinical behavior. The book also discusses the challenges of implementing change, including the need for a roadmap that defines success as the use of guidelines as planned, not just their development. The authors highlight the importance of evaluating and planning for change, and provide a framework for describing key features of an implementation intervention. The book "Resilience Engineering: Concepts and Precepts" by Hollnagel, Woods, and Leveson introduces the concept of resilience engineering, which focuses on the ability of systems to anticipate, detect, and recover from disturbances. It contrasts this with traditional safety approaches, emphasizing the dynamic and situational nature of safety in complex systems. The book is written for scientists and engineers familiar with safety in complex systems, and may be challenging for healthcare professionals due to its technical nature. However, it provides a valuable resource for understanding the principles of resilience engineering and its application to healthcare. The text also includes a call for contributors and peer reviewers for the journal "Clinical Evidence," which seeks healthcare professionals and epidemiologists with experience in evidence-based medicine to contribute to and review content on various clinical topics.The text presents a collection of references and book reviews related to patient safety and clinical practice. The first set of references discusses preventable medical injuries in older patients, the incidence of preventable adverse events in elderly patients, and the importance of patient safety in geriatrics. Other references explore the challenges of adverse event reporting in pediatric cardiac care, barriers to incident reporting in healthcare systems, and the implementation of clinical guidelines. The book "Improving Patient Care: The Implementation of Change in Clinical Practice" by Grol, Wensing, and Eccles provides a framework for implementing changes in clinical practice. It outlines a model for guiding the implementation of evidence-based guidelines, emphasizing the importance of understanding current practices and the reasons behind clinical behavior. The book also discusses the challenges of implementing change, including the need for a roadmap that defines success as the use of guidelines as planned, not just their development. The authors highlight the importance of evaluating and planning for change, and provide a framework for describing key features of an implementation intervention. The book "Resilience Engineering: Concepts and Precepts" by Hollnagel, Woods, and Leveson introduces the concept of resilience engineering, which focuses on the ability of systems to anticipate, detect, and recover from disturbances. It contrasts this with traditional safety approaches, emphasizing the dynamic and situational nature of safety in complex systems. The book is written for scientists and engineers familiar with safety in complex systems, and may be challenging for healthcare professionals due to its technical nature. However, it provides a valuable resource for understanding the principles of resilience engineering and its application to healthcare. The text also includes a call for contributors and peer reviewers for the journal "Clinical Evidence," which seeks healthcare professionals and epidemiologists with experience in evidence-based medicine to contribute to and review content on various clinical topics.
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[slides and audio] Resilience Engineering%3A Concepts and Precepts