Making Health Care Safer: A Critical Analysis of Patient Safety Practices

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List of Contributors

Editorial Board
Kaveh G. Shojania, M.D. Assistant Professor Department of Medicine University of California, San Francisco San Francisco, CA	Kathryn M. McDonald, M.M. Executive Director Center for Primary Care & Outcomes Research Stanford University Stanford, CA
Bradford W. Duncan, M.D. AHRQ Patient Safety Fellow Center for Primary Care & Outcomes Research Stanford University Stanford, CA	Robert M. Wachter, M.D. Professor and Associate Chairman Department of Medicine University of California, San Francisco San Francisco, CA
Contributors
Joseph V. Agostini, M.D. Robert Wood Johnson Clinical Scholar Yale University School of Medicine New Haven, CT Chapters 26-30	Jennifer Kleinbart, M.D. Assistant Professor of Medicine Emory University School of Medicine Atlanta, GA Chapter 31
Andrew D. Auerbach, M.D., M.P.H. Assistant Professor of Medicine University of California, San Francisco San Francisco, CA Chapters 18-20, 22-25	Sunil Kripalani, M.D. Instructor of Medicine Emory University School of Medicine Division of General Medicine Grady Memorial Hospital Atlanta, Georgia Chapter 35
Dorothy I. Baker, Ph.D., RNCS Research Scientist, Chronic Disease Epidemiology Department of Epidemiology and Public Health Associate Director, Claude Pepper Older Americans Independence Center Yale University School of Medicine New Haven, CT Chapters 26-30	Ebbing Lautenbach, M.D., M.P.H., MSCE Assistant Professor of Medicine and Epidemiology University of Pennsylvania School of Medicine Hospital Epidemiologist, Presbyterian Medical Center Philadelphia, PA Chapters 12-14
David W. Bates, M.D., M.Sc. Associate Professor of Medicine Harvard Medical School Chief, Division of General Internal Medicine Brigham and Women's Hospital Boston, MA Chapters 6-9, 41, 42, 45, and 46	Susana B. Martins, M.D., M.Sc. Fellow, Institute for Health Policy Studies University of California, San Francisco Foster City, CA Chapter 47
Sidney T. Bogardus, Jr., M.D. Assistant Professor of Medicine Yale University School of Medicine Medical Director, Adler Geriatric Assessment Center Yale-New Haven Hospital New Haven, CT Chapters 26-30	Harvey J. Murff, M.D. Fellow, Division of General Internal Medicine Brigham and Women's Hospital Boston, MA Chapters 23, 41 and 42
Erica Brownfield, M.D. Assistant Professor of Medicine Emory University School of Medicine Grady Memorial Hospital Atlanta, GA Chapter 37	Michael D. Murray, Pharm.D., M.P.H. Professor of Pharmacy Purdue University School of Pharmacy Scientist, Regenstrief Institute for Healthcare Indianapolis, Indiana Chapters 10 and 11
Harold R. Collard, M.D. Fellow in Pulmonary & Critical Care Medicine University of Colorado Health Sciences Center Denver, CO Chapter 17	David B. Nash, M.D., M.B.A. Associate Dean and Director Office of Health Policy and Clinical Outcomes Thomas Jefferson University Philadelphia, PA Chapters 40, 44, 48 and 50
Lorenzo Di Francesco, M.D. Assistant Professor of Medicine Emory University School of Medicine Department of Medicine Grady Memorial Hospital Atlanta, GA Chapter 32	Steven Z. Pantilat, M.D. Assistant Professor of Medicine University of California, San Francisco Project on Death in America Faculty Scholar San Francisco, CA Chapter 49
Daniel D. Dressler, M.D. Instructor of Medicine Emory University School of Medicine Hospital Medicine Fellow Grady Memorial Hospital Atlanta, GA Chapter 34	Laura T. Pizzi, Pharm.D. Project Director Office of Health Policy and Clinical Outcomes Thomas Jefferson University Philadelphia, PA Chapters 40, 44, 48 and 50
Bradford W. Duncan, M.D. AHRQ Patient Safety Fellow Center for Health Policy Center for Primary Care & Outcomes Research Stanford University Stanford, CA Chapters 45 and 46	Jeffrey M. Rothschild, M.D., M.P.H. Instructor in Medicine Harvard Medical School Division of General Medicine Brigham and Women's Hospital Boston, MA Chapters 21 and 38
Scott Flanders, M.D. Assistant Professor Department of Medicine University of California, San Francisco San Francisco, CA Chapter 36	Kimberly Rask, M.D., Ph.D. Assistant Professor of Medicine and Health Policy Emory University Schools of Medicine and Public Health Grady Memorial Hospital Atlanta, GA Chapters 31,34, and 35
Tejal K. Gandhi, M.D., M.P.H. Instructor in Medicine Harvard Medical School Director of Patient Safety Brigham and Women's Hospital Boston, MA Chapters 8 and 9	Sanjay Saint, M.D., M.P.H. Assistant Professor of Medicine Director, Patient Safety Enhancement Program University of Michigan School of Medicine Research Scientist Ann Arbor VA Health Services Research & Development Field Program Ann Arbor, MI Chapters 15-17
Nina S. Garas, M.D. Assistant Professor of Medicine Emory University School of Medicine Grady Memorial Hospital Atlanta, GA Chapter 49	Jean Ann Seago, Ph.D., R.N. Assistant Professor of Nursing University of California, San Francisco Research Fellow Center for California Health Workforce Studies San Francisco, CA Chapter 39
Verna C. Gibbs, M.D. Associate Professor of Clinical Surgery University of California, San Francisco Staff Surgeon and Chair, Surgical Service Quality Improvement San Francisco VA Medical Center San Francisco, CA Chapters 19 and 22	Kaveh G. Shojania, M.D. Assistant Professor Department of Medicine University of California, San Francisco San Francisco, CA Chapters 4, 5, 9, 10, 43, and 47
Neil I. Goldfarb Program Director for Special Projects Office of Health Policy and Clinical Outcomes Thomas Jefferson University Philadelphia, PA Chapters 40, 44, 48 and 50	Robert Trowbridge, M.D. Clinical Instructor Department of Medicine University of California, San Francisco San Francisco, CA Chapters 51-55
John Gosbee, M.D., MS Director, Patient Safety Information Systems Department of Veterans Affairs National Center for Patient Safety Ann Arbor, MI Chapter 41	Robert M. Wachter, M.D. Professor and Associate Chairman Department of Medicine University of California, San Francisco Chief of the Medical Service Moffitt-Long Hospitals San Francisco, CA Chapter 55
Sharon K. Inouye, M.D., M.P.H. Associate Professor of Medicine Yale University School of Medicine Investigative Medicine Program New Haven, CT Chapters 28 and 29	Heidi Wald, M.D. Assistant Professor in Medicine University of Pennsylvania Director, Penn Hospital Care Group Hospital of the University of Pennsylvania Philadelphia, PA Chapters 4,5 and 43
Salim D. Islam, M.D. Assistant Clinical Professor Department of Anesthesia and Perioperative Care University of California, San Francisco San Francisco VA Medical Center San Francisco, CA Chapters 23 and 24	Scott Weingarten, M.D., M.P.H. Associate Professor of Medicine University of California, Los Angeles Director, Health Services Research Cedars-Sinai Health System Beverly Hills, CA Chapters 51-54
Ashish K. Jha, M.D. Assistant Professor of Medicine University of California, San Francisco Division of General Internal Medicine San Francisco VA Medical Center San Francisco, CA Chapters 45 and 46	Mark V. Williams, M.D. Associate Professor of Medicine Director, Hospital Medicine Unit Emory University School of Medicine Medical Director, Center for Clinical Effectiveness Grady Memorial Hospital Atlanta, GA Chapters 31-35
Rainu Kaushal, M.D., M.P.H. Instructor in Medicine Harvard Medical School Division of General Internal Medicine Brigham and Women's Hospital Boston, MA Chapter 6 and 7	Neil Winawer, M.D. Assistant Professor of Medicine Emory University School of Medicine Grady Memorial Hospital Atlanta, GA Chapter 33

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List of Contributors

Editorial Board

Contributors