Formatted contents note |
Table of content<br/>Chapter 1 Understanding the First Institute of Medicine Report and Its Impact on Patient Safety<br/>Marcia Regenstein, PhD<br/>Chapter 2 The Second Report on Safety from the Institute of Medicine: Crossing the Quality ChasmEllen Flynn, BSN, MBA, JD<br/>Chapter 3 Interpersonal Relationships: The "Soft Stuff" of Patient Safety<br/>Irwin Rubin, PhD<br/>Chapter 4 An Organization Development Framework for Transformational Change in Patient Safety: A Guide for Hospital Senior Leaders<br/>Raj Behal, MD, MBA<br/>Chapter 5 Toward a Philosophy of Patient Safety: Expanding the Systems Approach to Medical Error <br/>David Resnik, PhD<br/>Chapter 6 The Fallacy of the Body Count: Why the Interest in Patient Safety and Why Now? <br/>Dennis S. O'Leary, MD<br/>Jerod M. Loeb, PhD<br/>Chapter 7 Fallacies About Counting Errors<br/>David D. Woods, PhD<br/>Richard I. Cook, MD<br/>Chapter 8 The Investigation and Analysis of Clinical Incidents <br/>Charles Vincent<br/>David Hewett<br/>Chapter 9 Patient Safety and Error Reduction Standards: The JCAHO Response to the IOM Report<br/>Larry Poniatowski, RN<br/>Chapter 10 Applying Epidemiology to Patient Safety <br/>Mark Keroack, MD, MBA<br/>Emily Rhinehart, RN, MPH, CIC, CPHQ<br/>Chapter 11 Patient Safety Is an Organizational Systems Issue: Lessons from a Variety of Industries <br/>Karlene H. Roberts, PhD<br/>Kuo Yu<br/>Daved Van Stralen<br/>Chapter 12 Admitting Imperfections: Revelations from the Cockpit for the World of Medicine <br/>John J. Nance, JD<br/>Chapter 13 Reporting and Preventing Medical Mishaps: Safety Lessons Learned from Nuclear Power <br/>George Apostolakis, PhD<br/>Paul Barach, MD, MPH<br/>Chapter 14 Trial and Error in My Quest to be a Partner in My Health Care: A Patient's Story <br/>Roxanne Goeltz<br/>Martin J. Hatlie, JD<br/>Chapter 15 Health Care Literacy and Patient Safety: The New Paradox <br/>Candice Moore, BSN, JD<br/>Chapter 16 Using Root Cause Analysis Process to Analyze Issues of Safety <br/>Sue Korth, BSN,MPH, PhD<br/>Chapter 17 The Leadership Role of the Chief Operating Officer in Aligning Strategy and Operations to Create Patient Safety <br/>Julianne M. Morath, RN, MS<br/>Chapter 18 The Successful Quality Professional: Framework, Attributes, and Roles <br/>K. Bobbi Traber, MD, MBA<br/>Chapter 19 The Role of the Risk Manager in Creating Patient Safety <br/>Grena G. Porto<br/>Chapter 20 Reducing Medical Errors: The Role of the Physician <br/>Roy Magnusson, MS, FACEP<br/>Chapter 21 Engaging General Counsel in the Pursuit of Safety <br/>Barbara J. Youngberg, BSN, MSW, JD<br/>Chapter 22 Growing Nursing Leadership in the Field of Patient Safety <br/>Mary L. Salisbury, RN, MSN<br/>Robert Simon, EdD, CPE<br/>Chapter 23 Engaging the Board of Directors and Creating a Governance <br/>Kevin Roberg<br/>Chapter 24 Teamwork, Communication, and Training <br/>Richard Lauve, MD<br/>Chapter 25 Teamwork: The Fundamental Building Block of High Reliability Organizations and Patient Safety <br/>G. Eric Knox, MD<br/>Kathleen Rice Simpson, PhD, RN, FAAN<br/>Chapter 26 Moving Beyond Blame to Create an Environment that Rewards Reporting <br/>Doni Hass<br/>Chapter 27 Addressing Clinician Performance Problems as a Systems Issue <br/>John A. Fromson, MD<br/>Chapter 28 Advancing Patient and Health Care Worker Safety by Preventing Infections <br/>Tammy Lundstrom, MD<br/>Judene Bartley, MS, MPH, CIC<br/>Gina Pugliese, RN, MS<br/>Chapter 29 The Baldridge Approach to Patient Safety <br/>Diane R. Weber, RN, BSN, MHA<br/>Chapter 30 Outlining the Business Case for Patient Safety <br/>James E. Vance, MD, MBA<br/>Nancy Wilson, MD, MPH<br/>Chapter 31 The Economics of Patient Safety <br/>Pamela K. Gavin<br/>Peter L. Salstonstall<br/>Chapter 32 The Role of Ethics and Ethics Services in Patient Safety <br/>Erin A. Egan, MD <br/>Chapter 33 How We Started Patient Safety in Israel - Without a Budget <br/>Yoel Donchin, MD<br/>Chapter 34 Public Legislation and Professional Self Regulation: Quality and Safety Efforts in Norwegian Health Care Geir Sverre Braut, MD, DPH<br/>Chapter 35 The Handling of a Catastrophic Medical Error Event: A Case Study in the Use of a Systemic Mindful Approach to Error Reduction <br/>Victoria L. Rich, PhD, RN<br/>Chapter 36 Why, What and How Ought Harmed Parties Be Told? The Art, Mechanics, and Ambiguities of Error Disclosure<br/>John D. Banja, PhD<br/>Chapter 37 Disclosure of Medical Error: Liability, Insurance and Risk Management Implications <br/>Grena G. Porto<br/>Chapter 38 Medical Error and Patient Safety: Communicating with the Media <br/>Stephen E. Littlejohn<br/>Chapter 39 Using Best Practices to Improve Medication Safety <br/>Ken Farbstein<br/>Chapter 40 Improving the Safety of the Medication Use Process <br/>David A. Ehlert, PharmD<br/>Steven S. Rough, MS<br/>Chapter 41 Designing a Safer System for Medications: A Case Study <br/>Lynne S. Nemeth, MS, RN<br/>Pamela F. Cipriano, PhD, FAAN<br/>Paul W. Bush, PharmD, MBA<br/>Chapter 42 One Organization's Advocacy Effort for Error Prevention: The Institute for Safe Medication Practices <br/>Michael R. Cohen, RPh, MS, DSc<br/>and Judy L. Smetzer, RN, BSN<br/>Chapter 43 The Role of the Laboratory in Patient Safety<br/>Lee H. Hilborne, MD, MPH<br/>Chapter 44 Partnership and Collaboration on Patient Safety with Health Care Suppliers <br/>Charles R. Denham, MD<br/>Chapter 45 Patient Safety Training and New Technology <br/>Carson Porter, JD<br/>Chapter 46 No Fault Compensation for Medical Injuries: The Prospect for Error Prevention <br/>David M Studdert, LLB, ScD, MPH<br/>Troyen A. Brennan, MD, JD, MPH<br/>Chapter 47 The Criminalization of Health Care: When is Medical Malpractice a Crime? <br/>Karin J. Lindgren<br/>Chapter 48 What Does the Leapfrog Group Portend for Health Care Providers? <br/>Arnold Milstein MD, MPH<br/>Chapter 49 The Future of Patient Safety: Reflections on History, the Data, and What It Will Take to Succeed <br/>Christopher Cassirer, PhD<br/>Deborah Anderson<br/> <br/><br/> |