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PSNet: Patient Safety Network
Book/Report

Organizing Patient Safety: Failsafe Fantasies and Pragmatic Practices.

Pedersen KZ.

The book suggests that though a systems orientation to safety improvement is the correct approach, it can be complex and difficult to operationalize. The author explores the unintended influences of blame-free methodologies, challenges the belief that fixing the system will prevent all error, and cautions health care to moderate patient engagement efforts.