The Patient Safety Handbook, Second Edition
Barbara Youngberg
Transition Guide
Transition Guide
Chapter 1 — Understanding the First Institute of Medicine Report and its Impact on Patient
Safety
Marsha Regenstein, PhD, MCP

Unchanged from Chapter 1 of previous edition
Chapter 2 — The Patient Safety Movement: The Progress and the Work that Remains
Manisha Shaw, MBA, RCP & Miller

Completely New
Chapter 3 — Accelerating Patient Safety Improvement
Thomas R. Krause, Ph.D. and John Hidley, M.D.

Completely New
Chapter 4 — The Importance of Leadership to Advance Patient Safety
Barbara Balik

Completely New
Chapter 5 — An Organizational Development Framework for Transformational Change in
Patient Safety: A Guide for Organizational Leaders
Raj Behal, MD, MBA

Unchanged from chapter 4 of previous edition
Chapter 6 — The Role of the Board of Directors in Advancing Patient Safety
Sarah Mick , JD, LLM and Shawn Mathis JD, LLM

Completely New
© 2013 Jones & Bartlett Learning, LLC.
1
The Patient Safety Handbook, Second Edition
Barbara Youngberg
Transition Guide
Chapter 7 — Toward A Philosophy Of Patient Safety: Expanding The Systems Approach To
Medical Error
David Resnick, JD, PhD

Unchanged from chapter 5 of previous edition
Chapter 8 — Mistaking Error
David D. Woods, Phd And Richard I. Cook, MD

Unchanged from chapter 7 of previous edition
Chapter 9 — The Investigation And Analysis of Clinical Incidents
Charles Vincent and David Hewett, MD

Unchanged from chapter 8 of 1st edition
Chapter 10 — Applying Epidemiology to Patient Safety
Mark Keroack, MD, MPH and Emily Rhinehart, RN, MPH, CIC, CPHQ

Unchanged from chapter 10 of 1st edition
Chapter 11 — Patient Safety Is an Organizational Systems Issue: Lessons from a Variety of
Industries
Karlene H. Roberts, PhD, Kuo Yu, And Daved Van Stralen, MD

Unchanged from chapter 11 of 1st edition
Chapter 12 — Admitting Imperfections: Revelations from the Cockpit for the World of
Medicine
John J. Nance, JD

Unchanged from chapter 12 of 1st edition
Chapter 13 — Creating a Just Culture: A Non-punitive Approach to Medical Error
Laura Ashpole
© 2013 Jones & Bartlett Learning, LLC.
2
The Patient Safety Handbook, Second Edition
Barbara Youngberg
Transition Guide

Completely new chapter
Chapter 14 — Addressing Clinician Performance problems as a Systems Issue
John Fromson, MD

Unchanged from Chapter 27 of 1st edition
Chapter 15 — Health Care Literacy and Patient Safety
Carolyn Chapman, JD

Edited version of chapter 28 from Principles of Risk Management and Patient Safety
Chapter 16 — The Leadership Role of the Chief Operating Officer in Aligning Strategy and
Operations to Create Patient Safety
Julianne Morath, RN, MS

Unchanged from chapter 17 of 1st edition
Chapter 17 — The Role of the Risk Manager in Advancing Patient Safety
Grena Porto

Unchanged from chapter 19 of 1st edition
Chapter 18 — Reducing Medical Errors: The Role of the Physician
Roy Magnusson, MD, MS, FACEP

Unchanged from chapter 20 of 1st edition
Chapter 19 — Engaging General Counsel in the Pursuit of Safety
Barbara J. Youngberg, JD, MSW, BSN, FASHRM

Unchanged from chapter 21 of 1st edition
Chapter 20 — Growing Nursing Leadership in the Field of Patient Safety
Mary Salisbury, RN, MSN and Robert Simon, EdD, CPE

Unchanged from chapter 22 of 1st edition
© 2013 Jones & Bartlett Learning, LLC.
3
The Patient Safety Handbook, Second Edition
Barbara Youngberg
Transition Guide
Chapter 21 — Teamwork, Communication and Training
Richard Lauve, MD

Unchanged from chapter 24 of 1st edition
Chapter 22 — Teamwork: The Fundamental Building Block of High Reliability Organizations
and Patient Safety
G. Eric Knox, MD and Kathleen Rice Simpson, PhD, RNC, FAAN

Unchanged from chapter 25 of 1st edition
Chapter 23 — Health Information Technology and Patient Safety
Laura B. Morgan

Completely new chapter
Chapter 24 — Sleep Deprivation in Health Care Professionals: The Impact on Patient Safety
Mahendr S. Kochar, MD, MS, MBA, JD and Barbara A. Connelly, RN, MJ

Completely new chapter
Chapter 25 — Supporting Healthcare Providers Impacted by Adverse Medical Events
Allison Caravana Lilly, MSW, LICSW, CEAP

Completely new chapter
Chapter 26 — Patient Handoffs – Peril and Opportunity
George R. Cybulski, M.D.,F.A.C.S.

Completely new chapter
Chapter 27 — When Employees are Safe, Patients are Safer
Kathy Gerwig

Completely new chapter
Chapter 28 — Addressing Behavior Characteristics of Providers that Cause Liability Claims and
© 2013 Jones & Bartlett Learning, LLC.
4
The Patient Safety Handbook, Second Edition
Barbara Youngberg
Transition Guide
Erode a Safety Culture
Gerry Hickson, MD and James Pichert, PhD.

Completely new chapter
Chapter 29 — Medical Malpractice Litigation: Conventional Wisdom vs. Reality
Marina Karp

Completely new chapter
Chapter 30 — Quality and Safety Education for Nurses: Integrating Quality and Safety
Competencies into Nursing Education
Gwen Sherwood, PhD, RN, FAAN, Louise LaFramboise, PhD, RN, Connie Miller, PhD, RN,
Bethany Robertson, DNP, CNM, NM

Completely new chapter
Chapter 31 — Supporting a Culture of Safety: The Magnet® Recognition Program
Katherine A. Pischke-Winn, Karen M. Stratton, Kathleen Ferket and Wendy Tuzik Micek

Completely new chapter
Chapter 32 — Improving the Safety of the Medication Use Process
David A. Ehlert, PharmD and Steven Rough, MS

Unchanged from chapter 41 of the 1st edition
Chapter 33 — Unmet Needs: Teaching Physicians to Provide Safe Patient Care
Dennis O’Leary, MD and Lucian Leape, MD

Completely new chapter
Chapter 34 — Using Simulation to Advance Patient Safety
Keshia Carswell

Completely new chapter
© 2013 Jones & Bartlett Learning, LLC.
5
The Patient Safety Handbook, Second Edition
Barbara Youngberg
Transition Guide
Chapter 35 — The Importance of Shared Decision Making in Patient Safety
Shannon Flaherty

Completely new chapter
Chapter 36 — Trust, Disclosure and Apology: How we act when things go wrong has an impact
on Patient Safety
Keith Siddel MBA JD PhD

Completely new chapter
Chapter 37 — Why, What and How Ought Harmed Parties Be Told? The Art, Mechanics, and
Ambiguities of Err or Disclosure
John Banja, PhD

Unchanged from chapter 37 of 1st edition
Chapter 38 — Moving Beyond Blame to a Culture that Rewards Reporting
Doni Hass

Unchanged from chapter 26 of 1st edition
Chapter 39 — The Role of Ethics and Ethics Services in Patient Safety
Erin Egan, MD, JD

Unchanged from chapter 32 in 1st edition
Chapter 40 — Telemedicine and Patient Safety
John Blum, JD, MPH and Doni

Completely new chapter
Chapter 41 — The Criminalization of Healthcare: It’s Impact in Patient Safety
Laverne Largie

Completely new chapter
© 2013 Jones & Bartlett Learning, LLC.
6
The Patient Safety Handbook, Second Edition
Barbara Youngberg
Transition Guide
Chapter 42 — Aligning Patients, Payors and Providers: Bringing Quality and Safety into the
Reimbursement Equation
Caitlin Podbielski

Completely new chapter
© 2013 Jones & Bartlett Learning, LLC.
7