Account/Shopping Cart (0 items $0.00)
JCR products and services are based on U.S. standards and regulations

The Value of Close Calls in Improving Patient Safety

Prevent today's close call from turning into tomorrow's catastrophic event!

January 2011. 200 pages.

Product Description

Product Description

Edited by Albert W. Wu, MD, MPH, Johns Hopkins University, a world-renown expert in patient safety
Foreword by James Reason, PhD
Because close calls, often termed near misses, don't raise the same concerns about malpractice liability and may be less emotionally charged than errors that cause serious harm, they are a unique source of learning for individuals and organizations striving to keep patients safe. This book tells how to take advantage of these lessons to prevent today's close call from turning into tomorrow's catastrophic event. 
Health care, by its very nature, makes slips, lapses, and mistakes highly likely. Yet health care professionals—and physicians in particular—are taught very little about the varieties of human fallibility and the conditions likely to provoke them. They are raised in a culture of trained perfectibility. The Value of Close Calls in Improving Patient Safety: Learning How to Avoid and Mitigate Patient Harm consists of two parts. Part 1 (Chapters 1–5) provides a guide to what the literature tells us about the concept of close calls and their identification, relationship with errors, and use in assessing and improving the safety and reliability of health care. Part II (Chapters 6–20) provides 15 detailed case studies from a variety of clinical disciplines and specialties to show how the health care organizations in which the close calls occurred used them to identify, investigate, and solve patient safety problems.
Praise for The Value of Close Calls in Improving Patient Safety: Learning How to Avoid and Mitigate Patient Harm
“Wu and colleagues present the art and science of analyzing close calls--cases in which we could have harmed or killed a patient but didn't through some combination of good luck and good catches–in a clear and accessible manner. This superb book tells us why analyzing close calls is so important to patient safety and shows us how to do it. It should be on the bookshelf of everyone interested in keeping patients safe.”
—Robert M. Wachter, M.D., University of California, San Francisco
“This succinct and focused book, which demonstrates how close calls have been used to solve safety problems, is a must read for anyone with responsibility for patient safety.”
—Evan M. Benjamin, M.D., F.A.C.P., Senior Vice President for Healthcare Quality, Baystate Health, Springfield, Massachusetts.
“Learning from close calls is critical to safety but hard to do in practice. This book brings the concepts and ideas to life in rich examples that reveal the errors, the system failures, the heroic recoveries, and the many roads to system safety. It is invaluable for all clinical teams as they seek to put principles into practice to ensure the safety of their patients.”
—Charles Vincent, Ph.D., Professor of Clinical Safety Research, Imperial College of Science, Technology and Medicine, London
Key Topics: 
  • Concept of close calls and how to identify them
  • Reporting close calls
  • Using close calls to identify and solve larger patient safety problems 
  • Human factors applications
Key Features: 
  • Forward by human error expert James Reason, Ph.D.
  • Authoritative tutorials based on the literature 
  • Detailed case studies from a variety of clinical disciplines and specialties
Standards: Related to Leadership (LD)
Setting: All accreditation settings
Key Audience: Medical directors, patient safety officers, risk managers, performance improvement professionals, physicians, physician assistants, nurses, nurse practitioners, pharmacists
Pay by Check or Wire Transfer

Pay by Check or Wire Transfer

All Joint Commission Resources products require pre-payment. For your convenience, if you do not have a credit card available, we offer a sales quote/proforma invoice option to assist with initiating your payment.

To take advantage of this option:

  1. Choose your item(s) and add them to your shopping cart. Select "Proceed to Secure Checkout or Create Proforma Invoice."
  2. Enter your billing and shipping details. Select "Continue."
  3. The next screen will be a full summary of your order.
    1. On the bottom right, there is a section titled "Create Proforma Invoice."
    2. Click the "Proforma Invoice" button. (See image below.) 
    3. Within 5 minutes, a sales quote will be sent to your email address with details about how to complete a check or wire transfer payment.

Or contact Customer Service at 877.223.6866 (+1 770 238 0454 outside the US) or via email at to have a proforma invoice created and emailed directly to you.