Patient Safety and Quality Improvement in Healthcare

Rahul K. Shah, MD, MBA, Children's National Health System, Washington, DC 
Sandip A. Godambe, MD, PhD, MBA, Children's Hospital of The King's Daughters Health System, Norfolk, VA 

Introduction: A Case-Based Approach to Quality Improvement.- Organizational Safety Culture: The Foundation for Safety and Quality Improvement.- Creation of Quality Management Systems: Frameworks for Performance Excellence.- Reliability, Resilience, and Developing a Problem-Solving Culture.- Building an Engaging Toyota Production System Culture to Drive Winning Performance for our Patients, Caregivers, Hospitals, and Communities.- What to Do When an Event Happens: Building Trust in Every Step.- Communication with Disclosure and Its Importance in Safety.- Using Data to Drive Change.- Quality Methodology.- Designing Improvement Teams for Success.- Handoffs: Reducing Harm Through High Reliability and Inter-Professional Communication.- Safety II: A Novel Approach to Reducing Harm.- Bundles and Checklists.- Pathways and Guidelines: An Approach to Operationalizing Patient Safety and Quality Improvement.- Accountable Justifications and Peer Comparisons as Behavioral Economic Nudges to Improve Clinical Practice.- Diagnostic Errors and Their Associated Cognitive Biases.- An Improvement Operating System: A Case for a Digital Infrastructure for Continuous Improvement.- Patient Flow in Healthcare: A Key to Quality.- It Takes Teamwork: Consideration of Difficult Hospital-Acquired Conditions.- Human Factors in Healthcare.- Workforce Safety.- Changing the Improvement Paradigm for Our Kids.