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Health Systems Science Review E-Book

Author: Jesse M. Ehrenfeld

Publisher: Elsevier Health Sciences

Published: 2019-03-30

Total Pages: 128

ISBN-13: 0323653715

As part of the American Medical Association (AMA)’s Accelerating Change in Medical Education Consortium’s work, Health Systems Science (HSS) is establishing itself as the third major branch of a balanced medical education, alongside basic and clinical sciences. Health Systems Science Review is a first-of-its-kind review book designed to prepare future physicians and other health care professionals to function effectively within health systems by better understanding how health care is delivered, how health care professionals work together to deliver that care, and how the health system can improve patient care and health care delivery. This study tool provides case-based questions followed by discussions of answers and suggested readings—making it a valuable review resource for medical students and instructors, as well as medical residents; nursing, allied health, and public health students; and hospital administrators. Meets a growing need for an effective, targeted review tool on HSS, a topic increasingly covered on the USMLE and other exams. Contains 250+ case-based, multiple-choice questions, with extensive discussion of correct and incorrect answers. Offers an up-to-date, effective review to support and assess competence in HSS, covering health care delivery and processes, health care policy and economics, clinical informatics and technology, social determinants of health, patient safety, teamwork and collaboration, systems thinking and complexity science, and much more. Provides highly relevant content applicable to today’s evolving health care delivery written by experts in emerging areas of HSS. Serves as an excellent study companion for the ground-breaking book, Health Systems Science, by Susan E. Skochelak, MD, MPH, et al., also developed by the AMA’s Accelerating Change in Medical Education Consortium, which is at the forefront of change and innovation in medical education.

Health Systems Science Review E-Book

Author: Jesse M. Ehrenfeld

Publisher: Elsevier Health Sciences

Published: 2019-03-30

Total Pages: 128

ISBN-13: 0323653715

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To Err Is Human

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2000-03-01

Total Pages: 312

ISBN-13: 0309068371

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Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine

Principles of Systems Science

Author: George E. Mobus

Publisher: Springer

Published: 2014-11-10

Total Pages: 782

ISBN-13: 1493919202

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This pioneering text provides a comprehensive introduction to systems structure, function, and modeling as applied in all fields of science and engineering. Systems understanding is increasingly recognized as a key to a more holistic education and greater problem solving skills, and is also reflected in the trend toward interdisciplinary approaches to research on complex phenomena. While the concepts and components of systems science will continue to be distributed throughout the various disciplines, undergraduate degree programs in systems science are also being developed, including at the authors’ own institutions. However, the subject is approached, systems science as a basis for understanding the components and drivers of phenomena at all scales should be viewed with the same importance as a traditional liberal arts education. Principles of Systems Science contains many graphs, illustrations, side bars, examples, and problems to enhance understanding. From basic principles of organization, complexity, abstract representations, and behavior (dynamics) to deeper aspects such as the relations between information, knowledge, computation, and system control, to higher order aspects such as auto-organization, emergence and evolution, the book provides an integrated perspective on the comprehensive nature of systems. It ends with practical aspects such as systems analysis, computer modeling, and systems engineering that demonstrate how the knowledge of systems can be used to solve problems in the real world. Each chapter is broken into parts beginning with qualitative descriptions that stand alone for students who have taken intermediate algebra. The second part presents quantitative descriptions that are based on pre-calculus and advanced algebra, providing a more formal treatment for students who have the necessary mathematical background. Numerous examples of systems from every realm of life, including the physical and biological sciences, humanities, social sciences, engineering, pre-med and pre-law, are based on the fundamental systems concepts of boundaries, components as subsystems, processes as flows of materials, energy, and messages, work accomplished, functions performed, hierarchical structures, and more. Understanding these basics enables further understanding both of how systems endure and how they may become increasingly complex and exhibit new properties or characteristics. Serves as a textbook for teaching systems fundamentals in any discipline or for use in an introductory course in systems science degree programs Addresses a wide range of audiences with different levels of mathematical sophistication Includes open-ended questions in special boxes intended to stimulate integrated thinking and class discussion Describes numerous examples of systems in science and society Captures the trend towards interdisciplinary research and problem solving

Crossing the Quality Chasm

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2001-08-19

Total Pages: 360

ISBN-13: 0309072808

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Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Health Systems Thinking

Author: James A. Johnson

Publisher: Jones & Bartlett Learning

Published: 2018-10-18

Total Pages: 149

ISBN-13: 1284167143

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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.

The Learning Healthcare System

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2007-06-01

Total Pages: 374

ISBN-13: 0309133939

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As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of health care options and decisions. The Learning Healthcare System considers how health care is structured to develop and to apply evidence-from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement-and highlights opportunities for the creation of a sustainable learning health care system that gets the right care to people when they need it and then captures the results for improvement. This book will be of primary interest to hospital and insurance industry administrators, health care providers, those who train and educate health workers, researchers, and policymakers. The Learning Healthcare System is the first in a series that will focus on issues important to improving the development and application of evidence in health care decision making. The Roundtable on Evidence-Based Medicine serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care.

Systems Science and Population Health

Author: Abdulrahman M. El-Sayed

Publisher: Oxford University Press

Published: 2017

Total Pages: 241

ISBN-13: 0190492392

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Reductionism at the dawn of population health / Kristin Heitman -- Wrong answers : when simple interpretations create complex problems / David S. Fink, Katherine M. Keyes -- Complexity : the evolution towards 21st century science / Anton Palma, David W. Lounsbury -- Systems thinking in population health research and policy / Stephen Mooney -- Generation of systems maps: mapping complex systems of population health / Helen de Pinho -- Systems dynamics model / Eric Lofgren -- Agent-based modeling / Brandon Marshall -- Microsimulation / Sanjay Basu -- Social network analysis : the ubiquity of social networks and their importance for population health / Douglas A. Luke, Amar Dhand, Bobbi J. Carothers -- Machine learning / James H. Faghmous -- Systems science and the social determinants of population health / David S. Fink, Katherine M. Keyes, Magdalena Cerdá -- Systems approaches to understanding how the environment influences population health and population health interventions / Melissa Tracy -- Systems of behavior and population health / Mark Orr, Kathryn Ziemer, Daniel Chen -- Systems under your skin / Karina Standahl Olsen, Hege Bøvelstad, Eiliv Lund -- Frontiers in health modeling / Nathaniel Osgood -- Systems science and population health / Abdulrahman M. El-Sayed, Sandro Galea

Facets of Systems Science

Author: George J. Klir

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 728

ISBN-13: 1461513316

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This book has a rather strange history. It began in spring 1989, thirteen years after our Systems Science Department at SUNY-Binghamton was established, when I was asked by a group of students in our doctoral program to have a meeting with them. The spokesman of the group, Cliff Joslyn, opened our meeting by stating its purpose. I can closely paraphrase what he said: "We called this meeting to discuss with you, as Chairman of the Department, a fundamental problem with our systems science curriculum. In general, we consider it a good curriculum: we learn a lot of concepts, principles, and methodological tools, mathematical, computational, heu ristic, which are fundamental to understanding and dealing with systems. And, yet, we learn virtually nothing about systems science itself. What is systems science? What are its historical roots? What are its aims? Where does it stand and where is it likely to go? These are pressing questions to us. After all, aren't we supposed to carry the systems science flag after we graduate from this program? We feel that a broad introductory course to systems science is urgently needed in the curriculum. Do you agree with this assessment?" The answer was obvious and, yet, not easy to give: "I agree, of course, but I do not see how the situation could be alleviated in the foreseeable future.

Health Systems Science E-Book

Author: Richard E. Hawkins

Publisher: Elsevier Health Sciences

Published: 2016-11-30

Total Pages: 238

ISBN-13: 0702070378

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Developed by the American Medical Association’s Accelerating Change in Medical Education Consortium, Health Systems Science is the first text that focuses on providing a fundamental understanding of how health care is delivered, how health care professionals work together to deliver that care, and how the health system can improve patient care and health care delivery. Along with basic and clinical science, Health Systems Science (HSS) is rapidly becoming a crucial "third pillar" of medical science, requiring a practical, standardized curriculum with an emphasis on understanding the role of human factors, systems engineering, leadership, and patient improvement strategies that will help transform the future of health care and ensure greater patient safety. Complete coverage of the evolving field of HSS includes patient safety, quality improvement, evidence-based medicine, value in health care, interprofessional teamwork, stewardship of health care resources, population management, clinical informatics, care coordination, leadership, and health care financing/reform. Patient improvement strategies incorporates checklists, information technology, team training, and more. A consistent chapter template provides clear coverage of each topic, including Learning Objectives, Chapter Outline, Core Chapter Content, Summary, Questions for Reflection, and Annotated Bibliography and References. Highly relevant content applicable to today’s evolving health care delivery written by experts in key, emerging areas of HSS. Developed in partnership with the AMA’s Accelerating Change in Medical Education Consortium, at the forefront of change and innovation in medical education.