Patient safety now : applying concepts, theories, and ideas for creating a safe environment

DedicationAcknowledgementsAbout the AuthorIntroductionPart 1: How Did We Get Here?What is Safety-I?Policies and ProceduresWork as Done VersusWorkaroundOur Attitude to ErrorIt was 1980 SomethingPersonalizationExpertiseTeamsClinical Risk and RegulationThere is a Science to This!The 10%An Organization with a MemoryIncident ReportingIncident Analysis and InvestigationGlobal ChallengesAll ChangeSign Up to SafetyStill Not SafePart 2: Where Do We Want to Be?What is Safety-II?Risk ResilienceHuman FactorsComplex Adaptive SystemsPart 3: How Do We Get There?Safety-I and Safety-IIStudy the Mundane, the OrdinaryLearning From ExcellenceMind Your LanguageUnderstanding the Impact of IncivilityThinking About CultureInvestigating DifferentlyMoving Towards a Restorative Just CultureLearning about a Psychologically Safe EnvironmentImplementing the 4 Stages of Psychological SafetyImproving How We Talk to Each OtherDrawing Lessons from Change ManagementCaring For the People that CareLearning from COVID-19ConclusionReferences