Failures In Health And Social Care
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| Author | : Neil Small |
| Publisher | : Taylor & Francis |
| Total Pages | : 274 |
| Release | : 2023-06-30 |
| Genre | : Social Science |
| ISBN | : 1000900304 |
This thought-provoking book examines breakdowns in the quality of health and social care over the past decade, exploring governance failures and the challenges of achieving lasting change. Failures in care have been manifest across many different settings. Drawing on examples from care of older people and end-of-life care, as well as from learning disabilities, mental health, maternity care and services for vulnerable children, Neil Small shows that the same sorts of problems are evident across these settings and that they are occurring up to the present day. Discussing culture change alongside levels of funding and the impact of prevailing political and economic orthodoxies, and through the lens of shifts of trust in society, this book argues that the concept of culture must be cast much wider than organisational and professional cultures if change is to be secured. This book engages with how to improve quality of care in the NHS and welfare systems more generally. Its case examples are from the UK but the issues of governance, culture change and shifts in the social contract that failures illuminate have an international relevance. It is important reading for those with an interest in health, social care, political science, and sociology.
| Author | : National Academy of Engineering |
| Publisher | : National Academies Press |
| Total Pages | : 340 |
| Release | : 2011-07-14 |
| Genre | : Medical |
| ISBN | : 0309120640 |
Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 191 |
| Release | : 2003-07-01 |
| Genre | : Medical |
| ISBN | : 030913319X |
The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
| Author | : National Academies of Sciences, Engineering, and Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 473 |
| Release | : 2015-12-29 |
| Genre | : Medical |
| ISBN | : 0309377722 |
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
| Author | : Ciara Kierans |
| Publisher | : Rutgers University Press |
| Total Pages | : 201 |
| Release | : 2019-11-15 |
| Genre | : Medical |
| ISBN | : 0813596661 |
Chronic Failures: Kidneys, Regimes of Care and the Mexican State is about Chronic Kidney Disease (CKD) and the relentless search for renal care lived out in the context of poverty, inequality and uneven welfare arrangements. Based on ethnographic research conducted in the state of Jalisco, this book documents the routes uninsured Mexican patients take in order to access resource intensive biotechnical treatments, that is, different modes of dialysis and organ transplantation. It argues that these routes are normalized, bureaucratically, socially and epidemiologically, and turned into a locus for exploitation and profit. Without a coherent logic of healthcare access, negotiating regimes of renal care has catastrophic consequences for those with the least resources to expend in that effort. In carrying both the costs and the burden of care, the practices of patients without entitlement offer a critical vantage point on the interplay between the state, markets in healthcare and the sick body.
| Author | : Lynn Basford |
| Publisher | : Nelson Thornes |
| Total Pages | : 880 |
| Release | : 2003 |
| Genre | : Medical |
| ISBN | : 9780748758388 |
This is a comprehensive guide to the theory and practice of nursing addressing the nursing theory and skills specific to clients' and patients' needs. Each chapter has learning outcomes, study activities and reflection to prompt readers to learn as they read.
| Author | : Yvonne Nolan |
| Publisher | : Heinemann |
| Total Pages | : 414 |
| Release | : 2005 |
| Genre | : Medical |
| ISBN | : 9780435453732 |
This handbook provides comprehensive coverage of everything candidates need for success in this new qualification in health and social care.
| Author | : Margaret Holloway |
| Publisher | : Policy Press |
| Total Pages | : 224 |
| Release | : 2007-10-17 |
| Genre | : Medical |
| ISBN | : 1861347227 |
Once regarded as taboo, it is now claimed that we live in a death-obsessed society. The face of death in the twenty-first century, brought about by cultural and demographic change and advances in medical technology, presents health and social care practitioners with new challenges and dilemmas. By focusing on predominant patterns of dying, global images of death, shifting boundaries between the public and the private, and cultural pluralism, the author looks at the way death is handled in contemporary society and the sensitive ethical and practical dilemmas facing nurses, social workers, doctors and chaplains. This book brings together perspectives from social science, health care and pastoral theology to assist the reader in understanding and negotiating this 'new death'. Students interested in death studies from a sociological and cultural viewpoint, as well as health and social care students and practitioners, will benefit from this appraisal and application of the established knowledge base to contemporary practices and ethical debates.
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 257 |
| Release | : 1988-02-01 |
| Genre | : Medical |
| ISBN | : 0309038324 |
There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.
| Author | : Hannah Cooke |
| Publisher | : Elsevier Health Sciences |
| Total Pages | : 174 |
| Release | : 2024-09-09 |
| Genre | : Medical |
| ISBN | : 0702083151 |
An understanding of the sociology of health and illness is central to effective health and social care practice. Sociological Approaches to Health, Healthcare and Nursing is a new book for pre- and post-registration nurses and allied health professionals that brings into focus the social context of their work and its social and cultural foundations. The book introduces key social theories and concepts in an accessible way. It covers a range of contemporary post-COVID issues in health and healthcare. A central focus is the social determinants of health: the book discusses these in relation to inequality and discrimination related to social class, gender, sexual orientation, ethnicity and disability. It examines contemporary cultural understandings of health, illness and the body while linking these to social changes and the growth of digital technologies and social media. Aligned with the requirements of the updated NMC Standards of Proficiency for Nurses, this book will support the reader in considering modern healthcare systems and institutions, and their role in either reproducing or challenging inequalities of health. It encourages the reader to critically reflect on their own role within them and how they themselves can help to effect positive change. - Aligned to the requirements of the updated NMC Standards of Proficiency for Nurses - Presents a contemporary focus that takes into account changes in public health, healthcare services and health work post-pandemic - Case studies illustrate key issues and bring theory to life - Focuses on the wider determinants of health and inequalities in health and healthcare - Provides an understanding of the patient experience and its social and cultural context in order to support patient-centred care - Addresses the political and policy context of healthcare, including contemporary changes in the organisation of health services, changes in health work and changes in nursing work - Offers regular 'reflection points' to encourage critical thinking
