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Case Studies in Patient Safety
Foundations for Core Competencies
Julie K. Johnson, MSPH, PhD, Professor, Department of Surgery Center for Healthcare Studies
Institute for Public Health and Medicine Feinburg School of Medicine Northwestern University,
Chicago, IL
Helen W. Haskell, MA, President, Mothers Against Medical Error, Columbia, SC
Paul R. Barach, MD, MPH, Guest Professor, School of Medicine, University of Oslo, Oslo
ISBN: 978-1-4496-8154-8 • Paperback • 325 pages • © 2016
This unique compendium of case studies on patient safety—told from the
perspective of the patient and family—illustrates 24 stories of preventable health
care errors that led to irreparable patient harm. The reader is guided through a
structured analysis of the events, eliciting lessons learned and strategies for preventing similar events in the
future. Learning objectives for each case facilitate the reader’s development of a set of core competencies
related to improving safety and quality of health care.
Students of the health professions including medicine, nursing, pharmacy, health administration, public
health, as well as practicing professionals such as patient safety officers, chief quality officers, risk managers,
and health service researchers will gain valuable insight into the real-world of medical errors and a better
understanding of how they can be prevented through practical, actionable methods.

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  • 1.
    Jones & BartlettLearning 5 Wall Street Burlington, MA 01803 PRESORT FIRST CLASS U.S. Postage PAID Permit No. 6 Hudson, MA Tearreplycardalongperforationandplaceinmailbox.NopostagenecessaryifmailedintheUS.IfmailedfromoutsideoftheUS,pleaseincludeappropriatereturnpostage. YES!Pleasesendmeacomplimentary*reviewcopyofthefollowingforcourseadoptionconsideration: CaseStudiesinPatientSafety:FoundationsforCoreCompetencies,ISBN-13:978-1-4496-8154-8 Pleaseprovidetheinformationrequestedbelow. Name: School/TrainingSite: Department: Address: City: State: Zip: Country: Telephone: OfficeHours: Email: PleasehavemyAccountSpecialistcontactmevia:qPhoneqEmail qPleasedonotsendmeEmailupdatesaboutJones&BartlettLearningtitles. CourseName: CourseNumber: Enrollment: SemesterTaught: CurrentTexts: CommitteeDecision?Y/N DecisionDate: DoYouUseTechnologyinYourCourse?Y/N *Jones&BartlettLearningreservestherighttoevaluaterequestsforcomplimentaryreviewcopies. SourceCode:JHSPCSTS15 orscanthisimagewithyoursmartphone Visitgo.jblearning.com/Haskell REQUESTYOURCOMPLIMENTARYREVIEWCOPYBYCLICKING Explore 24 First-Person Accounts of Preventable Health Care Errors NEW
  • 2.
    Qualified Instructors: RequestYour Complimentary Review Copy Today! Visit www.jblearning.com, call your Account Specialist at 1-800-832-0034, or fill out the attached pre-paid reply card. ORADDITIONALINFORMATION LEASECONTACTTHEUSPOSTALSERVICE EPRESENTATIVEBELOW: RMPOSTCARDSIZEONLY ONESANDBARTLETTLEARNING WALLST URLINGTONMA01803-9820 ID901066211 ALIGN WITH UPPER RIGHT CORNER ALIGN WITH LOWER RIGHT CORNER CAUTION: USEONLYFORADDRESSBEARINGTHEZIP+4CODE ABOVE.SEEPUBLICATION25FORPRINTING REQUIREMENTS. HISPOSITIVEPREPAREDFOR:JONESANDBARTLETTLEARNING 5WALLST BURLINGTONMA01803-9820 TOBEUSEDONLYWITHFIM-C(BusinessReplyMail) ANDZIPCODE: 01803-9820CK=9 c)1989-2011EnvelopeManagerversion3.021.005.CreatedJuly25,201110:46AM seEnvelopeManager'sDAZzleDesignertocreateacompletecourtesyorbusinessreplymailartworkinminutes! ww.EnvelopeManager.com(800)576-3279 ww.PictureItPostage.comCustomizedColorPostageStamps! ********************************************************************************* IZE:FIM&BARCODEAREACTUALSIZE:DONOTENLARGEORREDUCE! LACEMENT:SpecialcarealsomustbetakentoensureFIMsand arcodesareplacedproperlyonthemailpiece.Impropersizeor lacementensuresthemailpiecewillnotmeetUSPSregulationsand ORADDITIONALINFORMATION LEASECONTACTTHEUSPOSTALSERVICE EPRESENTATIVEBELOW: RMPOSTCARDSIZEONLY ONESANDBARTLETTLEARNING WALLST URLINGTONMA01803-9820 ID901066211 ALIGN WITH UPPER RIGHT CORNER ALIGN WITH LOWER RIGHT CORNER CAUTION: USEONLYFORADDRESSBEARINGTHEZIP+4CODE ABOVE.SEEPUBLICATION25FORPRINTING REQUIREMENTS. HISPOSITIVEPREPAREDFOR:JONESANDBARTLETTLEARNING 5WALLST BURLINGTONMA01803-9820 TOBEUSEDONLYWITHFIM-C(BusinessReplyMail) ANDZIPCODE: 01803-9820CK=9 c)1989-2011EnvelopeManagerversion3.021.005.CreatedJuly25,201110:46AM seEnvelopeManager'sDAZzleDesignertocreateacompletecourtesyorbusinessreplymailartworkinminutes! ww.EnvelopeManager.com(800)576-3279 ww.PictureItPostage.comCustomizedColorPostageStamps! ********************************************************************************* IZE:FIM&BARCODEAREACTUALSIZE:DONOTENLARGEORREDUCE! JONES&BARTLETTLEARNING 40TALLPINEDRIVE SUDBURYMA01776-9848 NOPOSTAGE NECESSARY IFMAILED INTHE UNITEDSTATES BUSINESSREPLYMAIL FIRST-CLASSMAILSUDBURYMA PERMITNO.40 POSTAGEWILLBEPAIDBYADDRESSEE ArtworkforUserDefined(4"x6") Layout:sampleBRMEnvelope.lyt November28,2009 ProducedbyDAZzleDesigner,Version9.0.05 (c)1993-2009,Endicia,www.Endicia.com U.S.PostalService,Serial# BUSINESSREPLYMAIL fIRStcLASSMAIL PoStAgEwILLBEPAIdBYAddRESSEE JoNES&BARtLEttLEARNINg 5wALLSt BURLINgtoNMA01803-9820 BURLINgtoN,MA PERMItNo.129 Case Studies in Patient Safety Foundations for Core Competencies Julie K. Johnson, MSPH, PhD, Professor, Department of Surgery Center for Healthcare Studies Institute for Public Health and Medicine Feinburg School of Medicine Northwestern University, Chicago, IL Helen W. Haskell, MA, President, Mothers Against Medical Error, Columbia, SC Paul R. Barach, MD, MPH, Guest Professor, School of Medicine, University of Oslo, Oslo ISBN: 978-1-4496-8154-8 • Paperback • 325 pages • © 2016 This unique compendium of case studies on patient safety—told from the perspective of the patient and family—illustrates 24 stories of preventable health care errors that led to irreparable patient harm. The reader is guided through a structured analysis of the events, eliciting lessons learned and strategies for preventing similar events in the future. Learning objectives for each case facilitate the reader’s development of a set of core competencies related to improving safety and quality of health care. Students of the health professions including medicine, nursing, pharmacy, health administration, public health, as well as practicing professionals such as patient safety officers, chief quality officers, risk managers, and health service researchers will gain valuable insight into the real-world of medical errors and a better understanding of how they can be prevented through practical, actionable methods.