Table of Contents:
  • Front Matter
  • Section One: The Evolution of Patient Safety. Medical Harm: A Brief History
  • The Emergence of Patient Safety
  • Integrating Safety and Quality
  • Section Two: The Hazards of Healthcare. The Nature and Scale of Error and Harm
  • Reporting and Learning Systems
  • Measuring Safety
  • Section Three: From Accident Analysis to System Design. Human Error and Systems Thinking
  • Understanding How Things go Wrong
  • Section Four: The Aftermath. Caring for Patients Harmed by Treatment
  • Supporting Staff after Serious Incidents
  • Section Five: Design, Technology and Standardization. Clinical Interventions and Process Improvement
  • Design for Patient Safety
  • Using Information Technology to Reduce Error
  • Section Six: People Create Safety. Creating a Culture of Safety
  • Patient Involvement in Patient Safety
  • Procedures, Violations and Migrations
  • Safety Skills
  • Teams Create Safety
  • Section Seven: The Journey to Safety. Safe Organizations: Bringing it all together
  • High Performing Healthcare Systems
  • Index.