Textbook of Patient Safety and Clinical Risk Management

Part I. Introduction.- 1. Guidelines and Safety Practices for Improving Patient Safety.- 2. Brief story of a clinical risk manager.- 3. Human Error and Patient Safety.- 4. Looking forward to the future.- 5. Safer care: shaping the future.- 6. Patients for Patient Safety.- 7. Human Factors and Ergonomics in Health Care and Patient Safety from the Perspective of Medical Residents.- Part II. Background.- 8. Patient Safety in the World.- 9. Infection Prevention and Control.- 10. The patient journey.- 11. Adverse event investigation and risk assessment.- 12. From theory to real world integration: implementation science and beyond.- Part III. Patient safety in the main clinical specialties.- 13. Intensive care and anesthesiology.- 14. "Safe Surgery Saves Lives" .- 15. Emergency Department Clinical Risk.- 16. Obstetric Safety Patient.- 17. Patient Safety in the main clinical specialties.- 18. Risks in Oncology and Radiation Therapy.- 19. Orthopaedics and Traumatology.- 20.Patient Safety & Risk Management in Mental Health.- 21. Pediatrics.- 22. Patient safety in the main clinical specialties: Radiology.- 23. Organ Donor Risk Stratification in Italy.- 24. Patient Safety in Laboratory Medicine.- 25. Ophthalmology.- IV Healthcare organization.- 26. Community and Primary Care.-  27. Complexity science as a frame for understanding the management and delivery of high quality and safer care.- 28. Measuring clinical workflow to improve quality and safety.- 29. Shiftwork Organization.- 30. Non Technical Skills in Healthcare.- 31. Medication safety.- 32. Digital technology and usabililty and ergonomics of medical devices.- 33. Lessons learned from the Japan Obstetric Compensation System for Cerebral Palsy: A novel system of data aggregation, investigation, amelioration, and no-fault compensation.- 34. Coping with the COVID -19 pandemic: roles and responsibilities for preparedness.

Liam Donaldson is an honorary graduate of the University of Leicester and was formerly a lecturer at the university's Department of Community Health before becoming a Senior Lecturer in Epidemiology in 1981, when he also gained his MD. He served as the Chief Medical Officer of the Health Protection Agency (UK) and has been the chairman of the National Patient Safety Agency. He trained as a surgeon and went on to take up teaching and research posts at the University of Leicester. He is Chancellor of Newcastle University and Professor of Health Policy at Imperial College, London. He is a member of the International Advisory Council at APCO Worldwide Inc. and has received the Picker Institute Award for Excellence and the World Health Executive Forum Distinguished Leader Award.

Walter Ricciardi is a Professor of Hygiene and Public Health at the Catholic University of the Sacred Heart in Rome and is past president of the European Public Health Association (EUPHA) and of the of the Italian National Institute of Health. He was a member of the Ministry of Health's Higher Health Council and the Italian Minister of Health appointed him chair of the Public Health Section of the Council. He was appointed member of the Expert Panel on Effective Ways of Investing in Health (European Commission, DG - SANTE) and member of the Steering Committee of the Center for Global Health Research and Studies at the Medical School, Catholic University of the Sacred Heart. He was appointed director of the WHO Collaborating Centre for Health Policy, Governance and Leadership at the Institute of Public Health at the same university.

Sue Sheridan was the director of Patient Engagement for the Patient-Centered Outcomes Research Institute (PCORI). Before that she was the external lead of the Patients for Patient Safety program at the World Health Organization (WHO). Sheridan is a co-founder and past president of Parents of Infants and Children with