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To Err Is Human: Building a Safer Health System

by: Kohn, Linda T.; Corrigan, Janet; Corrigan, Janet; Donaldson, Molla S.

To Err Is Human: Building a Safer Health System

by: Kohn, Linda T.; Corrigan, Janet; Corrigan, Janet; Donaldson, Molla S.

ISBN 13:
9780309068376
ISBN 10:
0309068371
Edition: 1st
Format: Hardcover
Copyright: 03/01/2000
Publisher: Natl Academy Pr
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Summary

Committee on Quality of Health Care in America. Reveals the truth of medical error and the disparity between the incidence of error and public perception. Examines how surrounding forces of legislation, regulation, and market activity influence the quality of care provided and handling medical mistakes. For policymakers, regulators, and clinicians.

EXECUTIVE SUMMARY

(272)

A Comprehensive Approach to Improving Patient Safety

(9)

Patient Safety: A Critical Component of Quality

(3)

Organization of the Report

(5)

Errors in Health Care: A Leading Cause of Death and Injury

(23)

Introduction

(2)

How Frequently Do Errors Occur?

(6)

Factors That Contribute to Errors

(5)

The Cost of Errors

(2)

Public Perceptions of Safety

(7)

Why Do Errors Happen?

(20)

Why Do Accidents Happen?

(7)

Are Some Types of Systems More Prone to Accidents?

(5)

Research on Human Factors

(2)

Summary

(4)

Building Leadership and Knowledge for Patient Safety

(17)

Recommendations

(1)

Why a Center for Patient Safety Is Needed

(1)

How Other Industries Have Become Safer

(4)

Options for Establishing a Center for Patient Safety

(3)

Functions of the Center for Patient Safety

(4)

Resources Required for a Center for Patient Safety

(4)

Error Reporting Systems

(23)

Recommendations

(3)

Review of Existing Reporting Systems in Health Care

(11)

Discussion of Committee Recommendations

101

(8)

Protecting Voluntary Reporting Systems from Legal Discovery

109

(23)

Recommendation

111

(1)

Introduction

112

(1)

The Basic Law of Evidence and Discoverability of Error-Related Information

113

(4)

Legal Protections Against Discovery of Information About Errors

117

(4)

Statutory Protections Specific to Particular Reporting Systems

121

(3)

Practical Protections Against the Discovery of Data on Errors

124

(3)

Summary

127

(5)

Setting Performance Standards and Expectations for Patient Safety

132

(23)

Recommendations

133

(3)

Current Approaches for Setting Standards in Health Care

136

(1)

Performance Standards and Expectations for Health Care Organizations

137

(4)

Standards for Health Professionals

141

(7)

Standards for Drugs and Devices

148

(3)

Summary

151

(4)

Creating Safety Systems in Health Care Organizations

155

(118)

Recommendations

156

(2)

Introduction

158

(4)

Key Safety Design Concepts

162

(3)

Principles for the Design of Safety Systems in Health Care Organizations

165

(17)

Medication Safety

182

(15)

Summary

197

(8)

APPENDIXES

A Background and Methodology

205

(5)

B Glossary and Acronyms

210

(5)

C Literature Summary

215

(39)

D Characteristics of State Adverse Event Reporting Systems

254

(12)

E Safety Activities in Health Care Organizations

266

(7)

Index

273

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To Err Is Human: Building a Safer Health System

To Err Is Human: Building a Safer Health System

9780309068376

0309068371

Summary

Table of Contents

Supplemental Materials

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Amazon no longer offers textbook rentals. We do!

To Err Is Human: Building a Safer Health System

To Err Is Human: Building a Safer Health System

9780309068376

0309068371

Summary

Table of Contents

Supplemental Materials

Write a Review

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