http://www.nap.edu/html/to_err_is_human/
Linda Kohn, Janet Corrigan, and Molla Donaldson, Editors
Committee on Quality of Health Care in America
INSTITUTE OF MEDICINE
NATIONAL ACADEMY PRESS
Washington, D.C. 1999
Front Matter -- PDF file
Executive Summary -- PDF file
1 A Comprehensive Approach to
Improving Patient Safety -- PDF file
2 Errors in Health Care: A Leading
Cause of Death and Injury -- PDF file
3 Why Do Errors Happen? -- PDF file
4 Building Leadership and Knowledge
for Patient Safety -- PDF file
5 Error Reporting Systems -- PDF file
6 Protecting Voluntary Reporting
Systems from Legal Discovery -- PDF file
7 Setting Performance Standards and
Expectations for Patient Safety -- PDF file
8 Creating Safety Systems in Health
Care Organizations -- PDF file
Appendix A Background and Methodology
-- PDF file
Appendix B Glossary and Acronyms -- PDF file
Appendix C Literature Summary -- PDF file
Appendix D Characteristics of State
Adverse Event Reporting Systems -- PDF file
Appendix E Safety Activities in Health
Care Organizations -- PDF file
ALL
INFORMATION, DATA, AND MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR
GENERAL INFORMATION PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE
KNOWLEDGE OR OPINIONS OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED
AS PROVIDING MEDICAL OR LEGAL ADVICE. THE DECISION WHETHER OR NOT TO
VACCINATE IS AN IMPORTANT AND COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU
ALONE, IN CONSULTATION WITH YOUR HEALTH CARE PROVIDER.