Chapter 1 Understanding the First Institute of Medicine Report and its Impact on Patient Safety
Chapter 2 The Patient Safety Movement: The Progress and the Work that Remains
Chapter 3 Accelerating Patient Safety Improvement
Chapter 4 The Importance of Leadership to Advance Patient Safety
Chapter 5 An Organizational Development Framework for Transformational Change in Patient Safety: A Guide for Organizational Leaders
Chapter 6 The Role of the Board of Directors in Advancing Patient Safety
Chapter 7 Toward A Philosophy Of Patient Safety: Expanding The Systems Approach To Medical Error
Chapter 8 Mistaking Error
Chapter 9 The Investigation and Analysis of Clinical Incidents
Chapter 10 Applying Epidemiology to Patient Safety
Chapter 11 Patient Safety Is An Organizational Systems Issue: Lessons From a Variety of Industries
Chapter 12 Admitting Imperfections: Revelations from the Cockpit for the World of Medicine
Chapter 13 Creating a Just Culture: A Non-punitive Approach to Medical Error
Chapter 14 Addressing Clinician Performance problems as a Systems Issue
Chapter 15 Health Care Literacy and Patient Safety
Chapter 16 The Leadership Role of the Chief Operating Officer in Aligning Strategy and Operations to Create Patient Safety
Chapter 17 The Role of the Risk Manager in Advancing Patient Safety
Chapter 18 Reducing Medical Errors: The Role of the Physician
Chapter 19 Engaging General Counsel in the Pursuit of Safety
Chapter 20 Growing Nursing Leadership in the Field of Patient Safety
Chapter 21 Teamwork, Communication and Training
Chapter 22 Teamwork: The Fundamental Building Block of High Reliability Organizations and Patient Safety
Chapter 23 Health Information Technology and Patient Safety
Chapter 24 Deprivation in Health Care Professionals: The Impact On Patient Safety
Chapter 25 Supporting Healthcare Providers Impacted by Adverse Medical Events
Chapter 26 Patient Handoffs – Peril and Opportunity
Chapter 27 When Employees are Safe, Patients are Safer
Chapter 28 Addressing Behavior Characteristics of Providers that Cause Liability Claims and Erode a Safety Culture
Chapter 29 Medical Malpractice Litigation: Conventional Wisdom vs. Reality
Chapter 30 Quality and Safety Education for Nurses: Integrating Quality and Safety Competencies into Nursing Education
Chapter 31 Supporting a Culture of Safety: The Magnet® Recognition Program
Chapter 32 Improving the Safety of the Medication Use Process
Chapter 33 Unmet Needs: Teaching Physicians to Provide Safe Patient Care
Chapter 34 Using Simulation to Advance Patient Safety
Chapter 35 The Importance of Shared Decision Making in Patient Safety
Chapter 36 Trust, Disclosure and Apology--How we act when things go wrong has an impact on Patient Safety
Chapter 37 Why, What and How Ought Harmed Parties Be Told? The Art, Mechanics, and Ambiguities of Err or Disclosure
Chapter 38 Moving Beyond Blame to a Culture that Rewards Reporting
Chapter 39 The Role of Ethics and Ethics Services in Patient Safety
Chapter 40 Telemedicine and Patient Safety
Chapter 41 The Criminalization of Healthcare: Its Impact in Patient Safety
Chapter 42 Aligning Patients, Payors and Providers: Bringing Quality and Safety into the Reimbursement Equation
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