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| Medical Competence and Patient Safety | |
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| Competence as Individual Virtue or Systems Issue? | |
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| Why the Difference in Competence Assumptions? | |
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| Good Doctoring and the Pursuit of Perfection | |
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| Standardization and the Fear of Scientific-Bureaucratic Medicine | |
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| The Expectation of Perfection versus the Inevitability of Mistake | |
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| Key Points | |
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| References | |
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| The Problem of "Human Error" in Healthcare | |
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| Numbers Are Strong | |
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| The Human Factors Approach | |
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| Human Error as Attribution and Starting Point | |
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| "I Knew This Could Happen!" | |
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| The Local Rationality Principle | |
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| Key Points | |
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| References | |
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| Cognitive Factors of Healthcare Work | |
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| Attentional Dynamics | |
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| Knowledge Factors | |
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| Strategic Factors | |
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| Key Points | |
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| References | |
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| New Technology, Automation, and Patient Safety | |
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| The Substitution Myth | |
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| Data Overload | |
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| Automation Surprises | |
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| Evaluating and Testing Medical Technology | |
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| Key Points | |
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| References | |
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| Safety Culture and Organizational Risk | |
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| Safety Culture and Drifting into Failure | |
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| Risk as Energy to Be Contained | |
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| Risk as Complexity | |
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| Risk as the Gradual Acceptance of the Abnormal | |
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| Risk as a Managerial or Control Problem | |
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| Key Points | |
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| References | |
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| Practical Tools for Creating Safety | |
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| Safety Reporting and Organizational Learning | |
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| Adverse Event Investigations | |
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| Human Factors and Resource Management Training | |
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| Briefings and Checklists | |
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| Key Points | |
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| References | |
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| Accountability and Learning from Failure | |
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| Learning and Accountability-Just Culture | |
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| Criminalization of Medical Error: A Growing Problem? | |
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| The Second Victim | |
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| Key Points | |
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| References | |
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| New Frontiers in Patient Safety: Complexity and Systems Thinking | |
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| Complicated versus Complex | |
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| Newton, Components, and Complexity | |
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| The Cartesian-Newtonian Worldview and Adverse Events | |
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| Key Points | |
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| References | |
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| Index | |