The patient safety handbook / edited by Barbara J. Youngberg, Martin Hatlie.

Includes bibliographical references and index.

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