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Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition.
Wachter R, Shojania K. New York, NY: Rugged Land; 2005. ISBN: 1590710738.
Wachter and Shojania adapted many of the
cases
they previously published in the academic literature, some cases previously described in the lay literature (eg, the Duke transplant mix-up and the death of Betsy Lehman at Dana-Farber Cancer Institute), and other cases never previously reported to provide a dramatic account of medical errors and the field of patient safety. Dr. Lucian Leape wrote that
Internal Bleeding
"shows how cognitive psychology and
human factors
engineering provide the way out by shifting attention from blaming individuals to fixing faulty systems." The book, now in its fourth printing, continues to be a popular choice for anyone with an interest in patient safety.
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Mayer CM, Cluff L, Lin WT, et al. Jt Comm J Qual Patient Saf. 2011;37:365-374.
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Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.
Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.
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Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital.
Riley W, Davis S, Miller K, Hansen H, Sainfort F, Sweet R. Jt Comm J Qual Patient Saf. 2011;37:357-364.
MULTI-USE WEBSITE
Impact Case Studies and Knowledge Transfer Case Studies: Patient Safety.
Agency for Healthcare Research and Quality; November 2011.
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Resource Type
Book/Report
Setting of Care
Hospitals
Target Audience
Health Care Providers
Health Care Executives and Administrators
Quality and Safety Professionals
Non-Health Care Professionals
Error Types
Epidemiology of Errors and Adverse Events
Approach to Improving Safety
Teamwork Training
Culture of Safety
Education and Training
Teamwork Training
Origin/Sponsor
Agency for Healthcare Research and Quality (AHRQ)