The Thinking Healthcare System

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Health Systems Thinking

Health Systems Thinking
  • Author : James A. Johnson,Douglas E. Anderson,Caren C. Rossow
  • Publisher : Jones & Bartlett Learning
  • Release Date : 2018-10-18
  • Total pages : 149
  • ISBN : 9781284167146
  • File Size : 28,7 Mb
  • Total Download : 832
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This book is a primer focusing on systems thinking as it spans the domains of health administration, public health, and clinical practice. Currently, the accrediting commissions within public health, health administration, and nursing are including systems thinking as part of the core competencies in their respective fields and professions. Meanwhile, academic programs do not have the materials, other than journal articles, to give students the requisite understanding of systems thinking as is expected of the next generation of health professionals. This primer is designed to meet that void and serve as a supplemental reading for this important and timely topic. This is the only book of its kind that provides a broad introduction and demonstration of the application of health systems thinking.

Systems Thinking Analyses for Health Policy and Systems Development

Systems Thinking Analyses for Health Policy and Systems Development
  • Author : Jo. M. Martins,Indra Pathmanathan,David T. Tan,Shiang Cheng Lim,Pascale Allotey
  • Publisher : Cambridge University Press
  • Release Date : 2021-08-26
  • Total pages : 559
  • ISBN : 9781108845205
  • File Size : 50,9 Mb
  • Total Download : 570
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Employing critical-systems thinking, this study analyses the evolution of a health system providing universal coverage.

Systems Thinking for Health Systems Strengthening

Systems Thinking for Health Systems Strengthening
  • Author : World Health Organization
  • Publisher : World Health Organization
  • Release Date : 2009
  • Total pages : 113
  • ISBN : 9789241563895
  • File Size : 39,7 Mb
  • Total Download : 656
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Many developing countries are looking to scale-up what works through major systems strengthening investments. With leadership, conviction and commitment, systems thinking can facilitate and accelerate the strengthening of systems to more effectively deliver interventions to those in need and be better able to improve health in an equitable way. Systems thinking is not a panacea. Its application does not mean that resolving problems and weaknesses will come easily or naturally or without overcoming the inertia of the established way of doing things. But it will identify, with more precision, where some of the true blockages and challenges lie. It will help to: 1) explore these problems from a systems perspective; 2) show potentials of solutions that work across sub-systems; 3) promote dynamic networks of diverse stakeholders; 4) inspire learning; and 5) foster more system-wide planning, evaluation and research. And it will increase the likelihood that health system strengthening investments and interventions will be effective. The more often and more comprehensively the actors and components of the system can talk to each other from within a common framework --communicating, sharing, problem-solving -- the better chance any initiative to strengthen health systems has. Real progress will undoubtedly require time, significant change, and momentum to build capacity across the system. However, the change is necessary -- and needed now. This report therefore speaks to health system stewards, researchers and funders and maps out a set of strategies and activities to harness these approaches, to link them to these emerging opportunities and to assist systems thinking to become the norm in design and evaluation of interventions in health systems. But, the final message is to the funders of health system strengthening and health systems research who will need to recognize the potential in these opportunities, be prepared to take risks in investing in such innovations, and play an active role in both driving and following this agenda towards more systemic and evidence-informed health development.

Application of Systems Thinking to Health Policy & Public Health Ethics

Application of Systems Thinking to Health Policy & Public Health Ethics
  • Author : Michele Battle-Fisher
  • Publisher : Springer
  • Release Date : 2014-11-14
  • Total pages : 100
  • ISBN : 9783319122038
  • File Size : 35,6 Mb
  • Total Download : 839
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​​​​This book looks at health policy through the lens of public versus private: population health versus the somatic, social, or emotional experiences of a patient. Rather than presenting policy/ethics as overly technical, this book takes a novel approach of framing public and private health in terms of political philosophy, ethics, and popular examples. Each chapter ties back to the general ethics or political literature as applicable, which are not customarily parts of the current public health curriculum. The author's work on the Orgcomplexity blog has touched on this subject by systemically exploring public policy issues, and the tone of this book mimics the blog with an extension of the arguments.

Lean Thinking for Healthcare

Lean Thinking for Healthcare
  • Author : Nilmini Wickramasinghe,Latif Al-Hakim,Chris Gonzalez,Joseph Tan
  • Publisher : Springer Science & Business Media
  • Release Date : 2013-10-04
  • Total pages : 645
  • ISBN : 9781461480365
  • File Size : 17,5 Mb
  • Total Download : 278
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A growing, aging population; the rise to epidemic proportions of various chronic diseases; competing, often overlapping medical technologies; and of course, skyrocketing costs compounded by waste and inefficiency - these are just a few of the multifarious challenges currently facing healthcare delivery. An unexpected source of solutions is being imported from the manufacturing sector: lean thinking. Lean Principles for Healthcare presents a conceptual framework, management principles, and practical tools for professionals tasked with designing and implementing modern, streamlined healthcare systems or overhauling faulty ones. Focusing on core components such as knowledge management, e-health, patient-centeredness, and collaborative care, chapters illustrate lean concepts in action across specialties (as diverse as nursing, urology, and emergency care) and around the globe. Extended case examples show health systems responding to consumer needs and provider realities with equal efficiency and effectiveness, and improved quality and patient outcomes. Further, contributors tackle the gamut of technological, medical, cultural, and business issues, among them: Initiatives of service-oriented architecture towards performance improvement Adapted lean thinking for emergency departments Lean thinking in dementia care through smart assistive technology Supporting preventive healthcare with persuasive services Value stream mapping for lean healthcare A technology mediated solution to reduce healthcare disparities Geared toward both how lean ideas can be carried out and how they are being used successfully in the real world, Lean Principles for Healthcare not only brings expert knowledge to healthcare managers and health services researchers but to all who have an interest in superior healthcare delivery.

Crossing the Global Quality Chasm

Crossing the Global Quality Chasm
  • Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Board on Global Health,Committee on Improving the Quality of Health Care Globally
  • Publisher : National Academies Press
  • Release Date : 2019-01-27
  • Total pages : 399
  • ISBN : 9780309477895
  • File Size : 48,7 Mb
  • Total Download : 402
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In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

Healthcare Systems

Healthcare Systems
  • Author : Jeffrey Braithwaite,Russell Mannion,Yukihiro Matsuyama,Paul G. Shekelle,Stuart Whittaker,Samir Al-Adawi
  • Publisher : CRC Press
  • Release Date : 2018-05-11
  • Total pages : 536
  • ISBN : 9781351683715
  • File Size : 19,5 Mb
  • Total Download : 195
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This book brings together professionals who have dedicated their careers to the health system. It presents a canvas to paint their prediction of the future of healthcare. This third book complements the previous two books, Healthcare Reform, Quality, and Safety: Perspectives, Participants, Partnerships, and Prospects in 30 Countries, and Health Systems Improvement Across the Globe: Success Stories from 60 Countries, by covering from around the globe, what the future might hold for healthcare systems. Rather than focusing on western nations, like other healthcare literature, this book provides a snapshot, along with 57 case studies, of future predictions of health systems globally.

Health Design Thinking, second edition

Health Design Thinking, second edition
  • Author : Bon Ku,Ellen Lupton
  • Publisher : MIT Press
  • Release Date : 2022-04-05
  • Total pages : 228
  • ISBN : 9780262369282
  • File Size : 44,7 Mb
  • Total Download : 126
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A practice-based guide to applying the principles of human-centered design to real-world health challenges; updated and expanded with post–COVID-19 innovations. This book offers a practice-based guide to applying the principles of human-centered design to real-world health challenges that range from drug packaging to breast cancer detection. Written by pioneers in the field—Bon Ku, a physician leader in innovative health design, and Ellen Lupton, an award-winning graphic designer—the book outlines the fundamentals of design thinking and highlights important products, prototypes, and research in health design. This revised and expanded edition describes innovations developed in response to the COVID-19 crisis, including an intensive care unit in a shipping container, a rolling cart with intubation equipment, and a mask brace that gives a surgical mask a tighter seal. The book explores the special overlap of health care and the creative process, describing the development of such products and services as a credit card–sized device that allows patients to generate their own electrocardiograms; a mask designed to be worn with a hijab; improved emergency room signage; and a map of racial disparities and COVID-19. It will be an essential volume for health care providers, educators, patients, and designers who seek to create better experiences and improved health outcomes for individuals and communities.

The Future of the Public's Health in the 21st Century

The Future of the Public's Health in the 21st Century
  • Author : Institute of Medicine,Board on Health Promotion and Disease Prevention,Committee on Assuring the Health of the Public in the 21st Century
  • Publisher : National Academies Press
  • Release Date : 2003-02-01
  • Total pages : 536
  • ISBN : 9780309133180
  • File Size : 10,8 Mb
  • Total Download : 185
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The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

Lean Thinking for Emerging Healthcare Leaders

Lean Thinking for Emerging Healthcare Leaders
  • Author : Arnout Orelio
  • Publisher : Business Expert Press
  • Release Date : 2020-09-09
  • Total pages : 162
  • ISBN : 9781952538315
  • File Size : 41,5 Mb
  • Total Download : 263
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Lean Thinking for Emerging Healthcare Leaders: How to Develop Yourself and Implement Process Improvements aims to solve the issues in modern day healthcare by handing over the reins of the improvement process to healthcare professionals. Putting those who are doing the work and are closest to the actual situation in the lead.The purpose of this book is to help you understand how to develop yourself and your leadership in such a way that will best benefit your team and your patients. This includes change management practices that will help to build commitment with your team members, colleagues, management, patients, and other stakeholders. This book educates you, as a leading medical professional, in the principles and values of Lean leadership and management. It will teach you how to improve healthcare from the inside, making it safer, better, faster, more accessible, and more affordable. With this book we want to inspire, motivate, and stimulate you to lead continuous improvement—while being respectful to people—on your way to ideal care for every patient. The primary target audience for the book are medical professionals who have (recently) acquired leadership, management, or business responsibilities. The book will also be of high value to those who obtained temporary leadership positions, like project leaders, problem solvers, change managers, and innovators. Because most of the teachings in the book are meta skills and ways of thinking, the book is easily relatable and transferable to other disciplines and even sectors.

Health Professions Education

Health Professions Education
  • Author : Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit
  • Publisher : National Academies Press
  • Release Date : 2003-07-01
  • Total pages : 191
  • ISBN : 030913319X
  • File Size : 31,5 Mb
  • Total Download : 321
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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.

Which Country Has the World's Best Health Care?

Which Country Has the World's Best Health Care?
  • Author : Ezekiel J. Emanuel
  • Publisher : PublicAffairs
  • Release Date : 2020-06-16
  • Total pages : 464
  • ISBN : 9781541797727
  • File Size : 28,6 Mb
  • Total Download : 537
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The preeminent doctor and bioethicist Ezekiel Emanuel is repeatedly asked one question: Which country has the best healthcare? He set off to find an answer. The US spends more than any other nation, nearly $4 trillion, on healthcare. Yet, for all that expense, the US is not ranked #1 -- not even close. In Which Country Has the World's Best Healthcare? Ezekiel Emanuel profiles eleven of the world's healthcare systems in pursuit of the best or at least where excellence can be found. Using a unique comparative structure, the book allows healthcare professionals, patients, and policymakers alike to know which systems perform well, and why, and which face endemic problems. From Taiwan to Germany, Australia to Switzerland, the most inventive healthcare providers tackle a global set of challenges -- in pursuit of the best healthcare in the world.

Building a Better Delivery System

Building a Better Delivery System
  • Author : Institute of Medicine,National Academy of Engineering
  • Publisher : National Academies Press
  • Release Date : 2005-10-20
  • Total pages : 277
  • ISBN : 9780309096430
  • File Size : 18,9 Mb
  • Total Download : 173
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In a joint effort between the National Academy of Engineering and the Institute of Medicine, this books attempts to bridge the knowledge/awareness divide separating health care professionals from their potential partners in systems engineering and related disciplines. The goal of this partnership is to transform the U.S. health care sector from an underperforming conglomerate of independent entities (individual practitioners, small group practices, clinics, hospitals, pharmacies, community health centers et. al.) into a high performance "system" in which every participating unit recognizes its dependence and influence on every other unit. By providing both a framework and action plan for a systems approach to health care delivery based on a partnership between engineers and health care professionals, Building a Better Delivery System describes opportunities and challenges to harness the power of systems-engineering tools, information technologies and complementary knowledge in social sciences, cognitive sciences and business/management to advance the U.S. health care system.

Lean Healthcare Systems Engineering for Clinical Environments

Lean Healthcare Systems Engineering for Clinical Environments
  • Author : Bohdan Oppenheim
  • Publisher : CRC Press
  • Release Date : 2021-05-25
  • Total pages : 224
  • ISBN : 9781000385700
  • File Size : 27,7 Mb
  • Total Download : 593
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It has been almost 20 years since the Institute of Medicine released the seminal report titled, Crossing the Quality Chasm. In it, the IoM identified six domains of care quality (safe, timely, effective, efficient, equitable, and patient-centric) and noted a huge gap between the current state and the desired state. Although this report received a great deal of attention, sadly there has been little progress in these areas. In the U.S., healthcare still has huge disparities, is inefficient, and is fragmented with delays in care that are often unsafe. Most U.S. citizens are expected to suffer from a diagnostic error sometime during their lifetime, not receive a large fraction of recommended care, and pay for one of the most expensive systems in the world. Much has been written about quality improvement over the years but many prominent quality and safety experts. Yet progress has been slow. Some have called on the healthcare professions to look outside of healthcare to other industries using examples in nuclear power and airlines for safety, the hotel and entertainment industry for a ‘customer’ focus, and the automotive industry, particularly Toyota for efficiency (Lean). This book by Dr. Oppenheim on lean healthcare systems engineering (LHSE) is a fresh approach that brings forth concepts that systems engineers have used in huge national defense projects. What’s unique in this book is that these powerful system engineering tools are modified to be able to address smaller sized healthcare problems that still involve similar problems in fragmentation and poor communication and coordination. This book is an invaluable reference for a new powerful process named Lean Healthcare Systems Engineering (LHSE) for managing workflow and care improvement projects in all clinical environments. The book applies to ambulatory clinics and hospitals of all types including operating rooms, emergency departments, and ancillary departments, clinical and imaging laboratories, pharmacies, and population health. The book presents a generic rigorous but not mathematical step-by-step process of integrated healthcare, systems engineering and Lean. The book also contains the first major product created with the LHSE process, namely tabularized summaries of representative projects in healthcare delivery applications, called Lean Enablers for Healthcare Projects. Each full-page enabler table lists the challenges and wastes, powerful improvement goals, risks, and expected benefits, and some useful descriptions of the healthcare system of interest. The book provides user-friendly solutions to major problems in healthcare delivery operations in all clinical environments, addressing fragmentation, wastes, wrong incentives, ad-hoc and stove-piped management, lack of optimized processes, hierarchy gradient, lack of systems thinking, “blaming and shaming culture”, burnout of providers and many others.

Advances in Patient Safety

Advances in Patient Safety
  • Author : Kerm Henriksen,James Bruce Battles,Eric S. Marks,David I. Lewin
  • Publisher : Unknown
  • Release Date : 2005
  • Total pages : 229
  • ISBN : OCLC:60830307
  • File Size : 48,9 Mb
  • Total Download : 573
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The 140 articles in the 4-volume set represent the efforts of AHRQ-funded patient safety researchers as well as the patient safety initiatives of other parts of the Federal Government. The articles cover a wide range of research paradigms, clinical settings, and patient populations, and they cover various stages of the research process. The volumes include the articles research that is complete and from research still in process, as well as a series of articles that address implementation issues and provide useful tools and products that can be used to improve patient safety.

Best Care at Lower Cost

Best Care at Lower Cost
  • Author : Institute of Medicine,Committee on the Learning Health Care System in America
  • Publisher : National Academies Press
  • Release Date : 2013-05-10
  • Total pages : 437
  • ISBN : 9780309282819
  • File Size : 54,8 Mb
  • Total Download : 370
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America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.

Dissemination and Implementation Research in Health

Dissemination and Implementation Research in Health
  • Author : Ross C. Brownson
  • Publisher : Oxford University Press
  • Release Date : 2017-12-05
  • Total pages : 545
  • ISBN : 9780190683214
  • File Size : 36,5 Mb
  • Total Download : 104
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Fifteen to twenty years is how long it takes for the billions of dollars of health-related research to translate into evidence-based policies and programs suitable for public use. Over the past 15 years, an exciting science has emerged that seeks to narrow the gap between the discovery of new knowledge and its application in public health, mental health, and health care settings. Dissemination and implementation (D & I) research seeks to understand how to best apply scientific advances in the real world, by focusing on pushing the evidence-based knowledge base out into routine use. To help propel this crucial field forward, leading D & I scholars and researchers have collaborated to put together this volume to address a number of key issues, including : how to evaluate the evidence base on effective interventions; which strategies will produce the greatest impact; how to design an appropriate study; and how to track a set of essential outcomes. D & I studies must also take into account the barriers to uptake of evidence-based interventions in the communities where people live their lives and the social service agencies, hospitals, and clinics where they receive care. The challenges of moving research to practice and policy are universal, and future progress calls for collaborative partnerships and cross-country research. The fundamental tenet of D & I research--taking what we know about improving health and putting it into practice--must be the highest priority. This book is nothing less than a roadmap that will have broad appeal to researchers and practitioners across many disciplines. [Ed.].

(Re)Thinking Violence in Health Care Settings

(Re)Thinking Violence in Health Care Settings
  • Author : Trudy Rudge
  • Publisher : Routledge
  • Release Date : 2016-03-16
  • Total pages : 366
  • ISBN : 9781317189190
  • File Size : 42,6 Mb
  • Total Download : 344
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This comprehensive volume explores various forms of violence in health care settings. Using a broad range of critical approaches in the field of anthropology, cultural studies, gender studies, political philosophy and sociology, it examines violence following three definite yet interrelated streams: institutional and managerial violence against health care workers or patients; horizontal violence amongst health care providers and finally, patients' violence towards health care providers. Drawing together the latest research from Australia, Canada, the UK, and the US, (Re)Thinking Violence in Health Care Settings engages with the work of critical theorists such as Bourdieu, Butler, Foucault, Latour, and Zizek, amongst others, to address the issue of violence and theorise its workings in creative and controversial ways. As such, it will be of interest to sociologists and anthropologists with research expertise in health, medicine, violence and organisations, as well as to health care professionals.

EBOOK: Applied Systems Thinking for Health Systems Research: A Methodological Handbook

EBOOK: Applied Systems Thinking for Health Systems Research: A Methodological Handbook
  • Author : Don de Savigny,Karl Blanchet,Taghreed Adam
  • Publisher : McGraw-Hill Education (UK)
  • Release Date : 2017-09-16
  • Total pages : 280
  • ISBN : 9780335261338
  • File Size : 28,7 Mb
  • Total Download : 287
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Patient safety in health systems has become more and more important as a theme in health research, and so it is not surprising to see a growing interest in applying systems thinking to healthcare. However there is a difficulty – health systems are very complex and constantly adapting to respond to core drivers and fit needs. How do you apply systems thinking in this situation, and what methods are available? National health authorities, international donors and research practitioners need to know the “how-to” of conducting health systems research from a systems thinking perspective. This book will fill this gap and provide a range of tools that give clear guidance of ways to carry out systems thinking in health. These methodologies include: System dynamics and causal loops Network analysis Outcome mapping Soft systems methodology Written by an international team of experts in health research, this handbook will be essential reading for those working in or researching public health, health policy, health systems, global health, service improvement and innovation in practice.

The Doctor of Nursing Practice Essentials

The Doctor of Nursing Practice Essentials
  • Author : Zaccagnini,Kathryn White
  • Publisher : Jones & Bartlett Publishers
  • Release Date : 2015-12-14
  • Total pages : 596
  • ISBN : 9781284079708
  • File Size : 17,9 Mb
  • Total Download : 372
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The newly revised Third Edition of The Doctor of Nursing Practice Essentials: A New Model for Advanced Practice Nursing is the first text of its kind and is modeled after the eight DNP Essentials as outlined by the American Association of Colleges of Nursing (AACN). Important Notice: the digital edition of this book is missing some of the images or content found in the physical edition.

Critical Thinking TACTICS for Nurses

Critical Thinking TACTICS for Nurses
  • Author : M. Gaie Rubenfeld,Barbara Scheffer
  • Publisher : Jones & Bartlett Publishers
  • Release Date : 2014-03-28
  • Total pages : 396
  • ISBN : 9781284041422
  • File Size : 52,6 Mb
  • Total Download : 620
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Critical Thinking TACTICS for Nurses: Achieving IOM Competencies, Third Edition is a user-friendly and practical manual focusing on the day-to-day realities of doing, learning, and evaluating critical thinking in nursing. With clear examples of both the parts and the whole of this complex process, each chapter includes action learning activities to promote critical thinking: Tracking, Assessing, and Cultivating Thinking to Improve Competency-based Strategies or TACTICS. Issues addressed include critical thinking language and awareness enhancement, the impact of critical thinking on quality care, mentoring the critical thinking of staff and students, and designing performance criteria for critical thinking. Based on the authors’ research in both defining and assessing critical thinking in nursing, this text also draws from their years of refining critical thinking teaching and learning methods.