John Nance's book tells the story of a fictional US hospital that undergoes a major transformation to become an institute entirely focused on safety and quality. John Nance created this hospital to offer healthcare an "experimental laboratory where vision, ideas, dialogue and action connect synergistically to illustrate what healthcare could, and ultimately must, do to achieve the ultimate in patient safety and quality care". According to Nance's figures, "at least 10 per cent of patients admitted to hospitals are harmed by things that go wrong in their care". It is a worthwhile read for anyone working in or with hospitals, and will hopefully open up a more meaningful dialogue between all departments in hospitals - from nurses, doctors and administrators to the C-suite - to collaborate rather than delegate an effective patient safety formula.
It has provided guidance on how to break free from the destructive cultural underpinnings of the past, and a thorough education on the realities of what it takes to make America's hospitals the safest and most reliable organisations in the world. This book describes six guidelines for improving hospital safety and offers a fictionalised account of a hospital that integrates these principles as a prototype of an idealised safety culture. Although the characters and the hospital John Nance has created are fictional, the problems they face and the solutions they develop and adopt are all too real. From the cockpit to the hospital floor Nance is a former professional pilot and one of the founding members of the National Patient Safety Foundation.
It's a story that all health systems and hospitals need to hear, says John Nance, author of "Why Hospitals Should Fly - The Ultimate Flight Plan to Patient Safety and Quality Care". If you want to fix patient safety in hospitals, you have to start by transforming the interaction between staff, Nance argues. Just look at the revisions to CMS rules that place the burden of payments for so-called "never events" such as bed falls and MRSA infections on hospitals themselves. In "Why Hospitals Should Fly," Nance uses the example of aviation to move into a discussion of the disconnect between doctors, nurses and the staff working around them, and the hospital itself.
Physicians in particular resonate deeply with his powerful messages about leadership and the human propensity to make mistakes even among the most senior professionals, and his extensive experience working with hospitals and clinics across the country has been devoted to the urgency of improving healthcare from patient safety to practice satisfaction. Even a decade after the Institute of Medicine's infamous "To Err is Human" report, hospitals are only now realising that their established practices are not producing satisfactory patient safety results.