{"title":"State adverse health incident reporting systems in the United States","authors":"B. A. Noah","doi":"10.4324/9781315167596-9","DOIUrl":"https://doi.org/10.4324/9781315167596-9","url":null,"abstract":"In the United States, the multiple overlapping adverse event reporting systems for patient safety reflect the country’s fragmented, inefficient, and inequitable health care finance and delivery system. This Chapter provides a brief description of the United States' health care environment and its impact on the frequency of adverse events. It includes an overview and the progress in state-by-state adverse event reporting systems and a discussion of the role of the Joint Commission's \"Speak Up\" initiative. The Author concludes that, in spite of the system's gaps and failings, the efforts of many physicians, health care institutions, regulatory bodies, and other stakeholders deserve both recognition for their roles in improving its safety and substantially more governmental and budgetary support going forward.","PeriodicalId":367600,"journal":{"name":"Global Patient Safety","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122210658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patient safety and substantive English medical law","authors":"C. Foster","doi":"10.4324/9781315167596-3","DOIUrl":"https://doi.org/10.4324/9781315167596-3","url":null,"abstract":"","PeriodicalId":367600,"journal":{"name":"Global Patient Safety","volume":"21 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131059417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Japanese Obstetric Compensation System for Cerebral Palsy – a case study of a no-fault compensation system","authors":"S. Ushiro","doi":"10.4324/9781315167596-17","DOIUrl":"https://doi.org/10.4324/9781315167596-17","url":null,"abstract":"","PeriodicalId":367600,"journal":{"name":"Global Patient Safety","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130071910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A critical analysis of patient safety strategies in Kurdistan Region of Iraq (KRI)","authors":"Azhin Omer","doi":"10.4324/9781315167596-15","DOIUrl":"https://doi.org/10.4324/9781315167596-15","url":null,"abstract":"","PeriodicalId":367600,"journal":{"name":"Global Patient Safety","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127476916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patient safety, the ‘safe space’ and the duty of candour","authors":"J. McHale","doi":"10.4324/9781315167596-6","DOIUrl":"https://doi.org/10.4324/9781315167596-6","url":null,"abstract":"","PeriodicalId":367600,"journal":{"name":"Global Patient Safety","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127019172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patient safety policy development in the NHS in England","authors":"J. Tingle","doi":"10.4324/9781315167596-1","DOIUrl":"https://doi.org/10.4324/9781315167596-1","url":null,"abstract":"","PeriodicalId":367600,"journal":{"name":"Global Patient Safety","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114477467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Mannion, H. Davies, J. Blenkinsopp, J. McHale, R. Millar, M. Powell, N. Snowden
{"title":"Speaking up or blowing the whistle for better, safer care","authors":"R. Mannion, H. Davies, J. Blenkinsopp, J. McHale, R. Millar, M. Powell, N. Snowden","doi":"10.4324/9781315167596-5","DOIUrl":"https://doi.org/10.4324/9781315167596-5","url":null,"abstract":"In modern healthcare systems, not all care is as good or as safe as it could be and there is growing evidence to suggest about one in ten patients admitted to hospital may be harmed as a result of their admission. This chapter draws on some recent work funded by the UK National Institute for Health Research to explore the ways in which front-line voices are heard or silenced in the English NHS. It explores various aspects of whistleblowing and the organisational actions seen in response. The chapter presents the policy background and the legal protections afforded to whistleblowers and concludes that there is much more yet to be done if front-line staff are to be given an effective voice. Recent legal developments concerning whistleblowing in the NHS can be seen as deriving from the case of Grahame Pink, a nurse at Stockport General Infirmary who blew the whistle about poor patient care at the hospital in the late 1980s.","PeriodicalId":367600,"journal":{"name":"Global Patient Safety","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129650255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}