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Statement of Topic
To Err is Human first uncovered the fact that between forty-four thousand and ninety-
eight thousand people die every year from medical mistakes (Buchbinder, Shanks & Kite 2019).
Healthcare msitakes not only cost organizations lots of money they cost lives of patients which
to healthcare providers should be an unacceptable consequence. This paper will uncover the
multifaceted areas of quality improvement in healthcare to define methods, challenges, and the
way that patient care is impacted. Determining the current state of healthcare quality and
illuminating how continuous improvement and the pursuit of excellence in healthcare can shape
the core of healthcare quality in the future and at all cost minimize patient fatalaties caused by
medical error.
Topic Statement Buchbinder, S. B., Shanks, N. H., & Kite, B. J. (2019). Introduction to Health
Care Management (4th ed.). Jones & Bartlett Learning.
https://libertyonline.vitalsource.com/books/9781284205312Citation:
Shah, R. K., & Godambe, S. A. (Eds.). (2021). Patient safety and quality improvement in
healthcare : a case-based approach. Springer. https://doi.org/10.1007/978-3-030-
55829-1
Dr. Rahul K. Shah is noted as one of the top “50 Patient Safety Experts to know” in 2020 by
Becker’s Healthcare. He has authored over 130 articles and three books and chaired multiple
national commitees related to patient safety and quality improvement. Dr. Godambe serves as
vice president, CMO and previously as a chief quality and safety officer of a children’s hospital.
This book gives insight to the long term preservation of quality improvement efforts.
Demonstrating how to use quality tools to asses and measure quality improvement . “A common
problem in quality improvement is the ability to sustain projects for prolonged periods of time.
Smart aim statements usually include verbiage to indicate the degree of improvement over a
prescribed period of time (6, 9Emonths, etc.). It is the leader’s role to ensure that the project
“sticks” and that true improvement is achieved.” (Shah 2021).
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Roberts-Turner, R., & Shah, R. K. (Eds.). (2021). Pocket guide to quality improvement in
healthcare. Springer. https://doi.org/10.1007/978-3-030-70780-4
Dr. Roberts-Turner is the Director of Nursing Quality and Professional Practice and Program
Director in the Division of Nursing. She is also a board certified Nurse Executive and
Professional in Healthcare Quality. Dr. Rahul K. Shah is noted as one of the top “50 Patient
Safety Experts to know” in 2020 by Becker’s Healthcare. He has authored over 130 articles and
three books and chaired multiple national commitees related to patient safety and quality
improvement. Roberts-Turner & Shah (2021) demonstrate how practical tools for quality
improvement can be implemented and the methods that are best used to produce meaningful
data. Their aim to provide immediate insight to quality improvement that can be understood and
implemented in one’s role rapidly enforces the idea that everyone should be involved in quality
improvement from stakeholders to anyone working in healthcare. This quote from the text truly
says it all,
“To truly improve safety, systems must be designed to support people in doing the right thing at
the righr time and provide safeguards to combat human error.” (Roberts-Turner & Shah 2021)
Solid, C. A. (2020). Return on investment for healthcare quality improvement. Springer.
Craig A. Solid, is a health services reasercher and consultant. Solid has extensive expertise in
healthcare quality measurement and assessment, coupled with knowledge of federal quality
initivies and reimbursement requirements. This book gives insigh into some challenges that
healthcare organizations may face in regards to funding and the turning trend towards “value
based” healthcare systems. The text also lays a foundation for how healthcare management and
leadership can use Quality Improvement to determine return on investment. As the book states “
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Understanding that value is subjective, that it will depend on the perspective and that it can
change over time is key to determining how to best measure, assess, and describe relevant value.
Much of the complexity involved in exploring value mirrors what the industry has previously
experienced in its quest to define and mesure quality.” (Solid 2020).
Moody-Williams, Jean. (2020). A Journey Towards Patient-Centered Healthcare Quality :
Patients, Families and Caregivers, Voices of Transformation. Springer.
Jean Moody-Williams is a Deputy Director of the Center for Clinical Standards and Quality,
Centers for Medicare & Medicaid Services, United States Department of Health and Human
Services. She serves as a part of the leadership team to provide national direction on policy
activities for Quality Improvement and Quality Measurement. This book gives an overview of
trends in patient care and future healthcare models. The author provides information on quality
improvement and how it corresponds to patient experiences. As the author states “While much
progress has been made to engate patients in their care and provide the kind of information
needed to introduce choice and competition into health care, ther is still a great deal of work to
be done.” (Moody-Williams 2020).
Davies, J. M., Steinke, Carmella., & Flemons, W. Ward. (2022). Fatal solution : how a
healthcare system used tragedy to transform itself and redefine just culture (First
edition.). Productivity Press. https://doi.org/10.4324/9781003185307
Jan Davies is a professor of Anesthesiology Pain Medicine and Adjunct professor of psychology
at the University of Calgary and became a safety advisor to the region after the tragedy. Carmella
Steinke appointed to Senior Clinical Safety Leader and eventually to the Manager of Clinical
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Safety Evaluation oversaw the new reporting systems and Clinical Safety Committee. Ward
Flemons was the the inaugural Quality Improvement Physiscian for the department of Medicine
for Calgary. He also became the regions Quality Improvement and Health Information portfolio
leader. The tragedy that occurred at Calgary Health Region is a true picture of why quality
improvement in healthcare is a necessity. When we look at our healthcare organizations and
think of the word quality the foundation should be rooted in patient safety. The text in this book
show how a tragedy led to acknowledgement of quality deficiencies in an organization and how
the deaths of two individuals impacted an entire organization and healthcare quality
improvement as a whole. “Systems awareness and systems design are important for health
professionals, but are not enough. The are enabling mechanizms only. It is the ethical dimensions
of individuals that is essential to a system’s success. Ultimately, the secret of quality is love.”
(Davies,Steinke &Flemons 2022).
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