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001			2452540
003			OSt
005			20171125115427.0
008			991222s2000 dcu b 001 0 eng
010			_a 99088993
020			_a0309068371
035			_a(OCoLC)43207082
035			_a(OCoLC)ocm43207082
035			_a(NNC)2452540
040			_aDLC _cDLC _dDLC _dNNC _dOrLoB-B
042			_apcc
050	0	0	_aR729.8 _b.T6 2000
082	0	0	_a362.1 _221
245	0	0	_aTo err is human : _bbuilding a safer health system / _cLinda T. Kohn, Janet M. Corrigan, and Molla S. Donaldson, editors.
260			_aWashington, D.C. : _bNational Academy Press, _c2000.
263			_a0003
300			_axxi, 287 p. ; _c24 cm
365			_2Rs. _a5099.60
504			_aIncludes bibliographical references and index.
505	0	0	_g1. _tA Comprehensive Approach to Improving Patient Safety -- _g2. _tErrors in Health Care: A Leading Cause of Death and Injury -- _g3. _tWhy Do Errors Happen? -- _g4. _tBuilding Leadership and Knowledge for Patient Safety -- _g5. _tError Reporting Systems -- _g6. _tProtecting Voluntary Reporting Systems from Legal Discovery -- _g7. _tSetting Performance Standards and Expectations for Patient Safety -- _g8. _tCreating Safety Systems in Health Care Organizations -- _gApp. A. _tBackground and Methodology -- _gApp. B. _tGlossary and Acronyms -- _gApp. C. _tLiterature Summary -- _gApp. D. _tCharacteristics of State Adverse Event Reporting Systems -- _gApp. E. _tSafety Activities in Health Care Organizations.
520	1		_a"To Err is Human breaks the silence that has surrounded medical errors and their consequences - but not by pointing fingers at caring health care professionals who make honest mistakes. Instead, this book sets forth a national agenda - with state and local implications - for reducing medical errors and improving patient safety through the design of a safer health system." "This volume reveals the truth of medical error and the disparity between the incidence of error and public perception of it. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided and then looks at the handling of medical mistakes." "Using a detailed case study, the book reviews the current understanding of why these mistakes happen. Recognizing that legitimate liability concerns may discourage reporting of errors, the book asks, "How can we learn from our mistakes?"" "Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents recommendations for improving patient safety in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care." "This book will be important to federal, state, and local health policymakers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health care-givers, health journalists, patient advocates - as well as patients themselves."--BOOK JACKET.
650		0	_aMedical errors _xPrevention.
700	1		_aKohn, Linda T.
700	1		_aCorrigan, Janet.
700	1		_aDonaldson, Molla S.
900			_bTOC
942			_2ddc _cB
948	2		_a20080912 _ba _crad1 _dMPS
948	2		_a20080912 _ba _crad1 _dMPS
999			_c247057 _d247057