Healthcare Risk Management Library

Academic Resource Portfolio

Risk Management in Healthcare Institutions

30 essential books, from the profession’s core handbooks and enterprise risk frameworks to the classics of human error, high reliability and just culture. Each record gives the bibliographic data, a cover, a short rationale and the full table of contents.

30Books
9Thematic categories
533Contents entries
1984–2024Edition years
Selection criteria. Titles were chosen for (1) adoption on healthcare risk management, patient safety and safety science syllabi at leading US, UK and Australian universities and in ASHRM, IRM and CHSP professional training, (2) canonical status in the field (AHRQ PSNet “classics”, foundational concepts such as the Swiss cheese model, normal accidents, normalization of deviance, high reliability and Safety-II), and (3) strong, sustained reader reception, including large Amazon readerships for the trade titles. The latest edition is listed where one exists. The record tagged ≈ contents was compiled from a translated edition and may differ slightly in wording; confirm against the publisher page before citing.

Core Healthcare Risk Management Texts

The standard textbooks and reference handbooks of the healthcare risk management profession: program design, claims, risk financing, clinical and business risk.

Cover of Risk Management in Health Care Institutions 01
Core Healthcare Risk Management TextsTextbook

Risk Management in Health Care Institutions

Limiting Liability and Enhancing Care

Florence Kavaler & Raymond S. Alexander

  • Publisher Jones & Bartlett Learning
  • Edition 3rd ed., 2014
  • ISBN-13 9781449645656

The textbook whose title matches this course: a primer for governing boards, administrators and risk managers covering the risk management program, regulation, malpractice, risk financing and high-risk settings from ambulatory care to long-term care and office-based surgery.

Table of Contents17 entries
  • Part I: Risk Management Administrative Issues
  • Risk Management Dynamics
  • Regulatory Environment
  • Risk Management in Employment
  • Communication to Reduce Risk
  • Financing Risk
  • Ethical Issues for Risk Managers
  • Assuring Safety and Security in Health Care Institutions
  • Part II: Managing Risks in Clinical Services
  • Patient Safety Tools: Integrating Quality and Managing Risk
  • Medical Malpractice
  • Strategies to Reduce Liability
  • High Risk Areas
  • Risk Management for Infection Control Programs
  • Risk Management in Psychiatry
  • Telemedicine
  • Part III: Managing Risks in Other Health Care Venues
  • Risk Management in Ambulatory Care Settings
  • Risk Management in Long Term Care Institutions and Services
  • Risk Management in Office-Based Surgery
Cover of Risk Management Handbook for Health Care Organizations 02
Core Healthcare Risk Management TextsHandbook

Risk Management Handbook for Health Care Organizations

3-Volume Set (ASHRM)

Ed. Roberta Carroll (series), with Peggy L. B. Nakamura, Sylvia M. Brown & Glenn T. Troyer

  • Publisher Jossey-Bass / American Society for Healthcare Risk Management
  • Edition 6th ed., 2011
  • ISBN-13 9780470620809

ASHRM's official reference and the de facto standard of the profession: Volume 1 covers the essentials (ERM, legal concepts, governance, claims, risk financing, insurance), Volume 2 clinical risk by specialty, and Volume 3 business, legal, regulatory and technology risk.

Table of Contents60 entries
  • Volume 1: The Essentials
  • Basics of Enterprise Risk Management in Healthcare
  • Healthcare Legal Concepts
  • Governance of the Healthcare Organization
  • Development of a Risk Management Program
  • The Healthcare Risk Management Professional
  • Early Warning Systems for the Identification of Organizational Risks
  • Basic Claims Administration
  • Introduction to Risk Financing
  • Insurance: Basic Principles and Coverages
  • Patient Safety Organizations
  • Risk Management's Role in Performance Improvement
  • Using Data as a Risk Management Tool
  • The Clinical Record
  • Physician and Allied Health Professional Credentialing
  • Interpersonal Communication Skills
  • Ethics in Patient Care
  • A Contract Review Primer for Risk Management Professionals
  • Information Technologies and Risk Management
  • Emergency Management
  • Occupational Safety, Health, and Environmental Impairment
  • Volume 2: Clinical Risk Management
  • Patient Safety and the Risk Management Professional: New Challenges and Opportunities
  • The Risk Management Professional and Medication Safety
  • The Risk Management Professional and Biomedical Technology
  • Informed Consent as a Loss Control Process
  • Clinical Research: Institutional Review Boards
  • Patient Safety in Surgery: The Essential Continuum
  • Managing Risks and Improving Safety in the Intensive Care Unit
  • Management of Risk: Promoting Perinatal Patient Safety
  • Pediatric Risk Management
  • Risk Management in the Laboratory
  • Managing Clinical Risk and Enhancing Patient Safety in Radiology
  • Emergency Department Risk Management: Promoting Quality and Safety in a Chaotic Environment
  • Prehospital Emergency Medical Services
  • Risk Management and Behavioral Health
  • Managing Risk in the Ambulatory Environment
  • Complementary and Alternative Medicine
  • Risk Management Considerations in Home Healthcare
  • Risk Management for Retail Clinics
  • Managing the Obese Patient: Risk Across the Continuum of Care
  • Risk Management and Patient Safety in Oncology
  • Seniors Housing and Long-Term Care
  • Volume 3: Business Risk: Legal, Regulatory, and Technology Issues
  • Statutes, Standards, and Regulations
  • Accreditation, Licensure, Certification, and Surveying Bodies
  • Managed Care
  • Corporate Compliance: A Risk Management Framework
  • Advertising Liability: A Growing Risk Management Concern
  • Employment Practices Liability
  • Emerging Liabilities in Partnerships, Joint Ventures, and Other Collaborative Relationships
  • Mergers, Acquisitions, and Divestitures
  • Request for Proposals
  • Cost of Risk
  • Risk Financing Techniques
  • Claims and Litigation Management
  • Workers' Compensation Programs in Healthcare Organizations
  • Occupational and Environmental Risk Exposures for Healthcare Facilities
  • Telemedicine: Frontier to Forefront
  • HIPAA: Privacy and Security
  • Medicare Recovery Audit Contractor Program: Preparing for an Escalating Trend
  • Medical Tourism
  • Absence and Productivity Management
Cover of Principles of Risk Management and Patient Safety 03
Core Healthcare Risk Management TextsTextbook

Principles of Risk Management and Patient Safety

Ed. Barbara J. Youngberg

  • Publisher Jones & Bartlett Learning
  • Edition 2011
  • ISBN-13 9780763774059

Successor to The Risk Manager's Desk Reference, organized around the three domains of the risk manager's job (claims management, risk financing and proactive loss control) and their integration with patient safety; written largely by ASHRM-affiliated authors and used in graduate courses.

Table of Contents33 entries
  • Section 1: The Integration of Risk Management and Patient Safety
  • Risk Management and Patient Safety: The Synergy and the Tension
  • Integrating Risk Management, Quality Management, and Patient Safety into the Organization
  • Benchmarking in Risk Management
  • Risk Management Strategic Planning for a Changed Healthcare Delivery System
  • Setting Up a Risk Management Department
  • Patient Safety: The Past Decade
  • Using "Never Events" to Reduce Risk and Advance Patient Safety
  • The Patient Safety and Quality Improvement Act: Tension Between Improving Quality of Care and Acknowledging Responsibility for Error
  • The Role of Governance in Hospital Risk Management and Patient Safety
  • The Culture of Medicine, Legal Opportunism, and Patient Safety
  • Section 2: Risk Financing Issues
  • Enterprise Risk Management: The Impact on Healthcare Organizations
  • Developing a Request for Proposal and Working with Insurance Providers
  • The Importance of Developing a Medical Liability Cost-Allocation System
  • Managing the Risks of Workers' Compensation
  • Section 3: Claims Management Issues: The Aftermath of Error
  • Guidelines for In-House Claims Management
  • Principles for Strategic Discovery
  • Full Disclosure as a Risk Management Imperative
  • The Development of Full-Disclosure Programs: Case Studies of Programs That Have Demonstrated Value
  • Developing Early-Offer Programs Following Disclosure
  • Criminalization of Healthcare Negligence
  • Preparing for and Limiting Potential Liability for Medical Care Provided During Disaster Events
  • Section 4: Proactive Loss Control
  • Creating Systemic Mindfulness: Anticipating, Assessing, and Reducing Risks of Health Care
  • Risk Management in Selected High-Risk Hospital Departments
  • Improving Risk Manager Performance and Promoting Patient Safety with High-Reliability Principles
  • The Benefits of Using Simulation in Risk Management and Patient Safety
  • Creating a Mindfulness of Patient Safety Among Physicians Through Education
  • Managing Patient Expectations Through Informed Consent
  • Improving Health Literacy to Advance Patient Safety
  • The Impact of Fatigue on Error and Patient Safety
  • Managing the Failures of Communication in Healthcare Settings
  • Improving Hand off Procedures in Health Care to Reduce Risk and Promote Safety
  • The Risks and Benefits of Using E-mail to Facilitate Communication Between Providers and Patients
  • Risk Management for Research
Cover of Clinical Risk Management 04
Core Healthcare Risk Management TextsClassic

Clinical Risk Management

Enhancing Patient Safety

Ed. Charles Vincent

  • Publisher BMJ Books
  • Edition 2nd ed., 2001
  • ISBN-13 9780727913920

The founding British text that moved clinical risk management from litigation control toward patient safety; opens with James Reason on human error and runs from specialty-based risk reduction to incident reporting, investigation, complaints and claims. An AHRQ PSNet 'classic'.

Table of Contents28 entries
  • Part I: Principles of Risk Management
  • Understanding Adverse Events
  • Errors and Adverse Events in Medicine
  • The Development of Risk Management
  • Clinical Governance
  • Part II: Reducing Risk in Clinical Practice
  • Reducing Risks in Obstetrics
  • Reducing Risks in Paediatrics
  • Risk Management in Anaesthesia
  • Risk Management in Surgery
  • Risk Management in A&E Medicine
  • Reducing Risks in Hospital General Medicine
  • Risk Management in Clinical Oncology
  • Risk Management in Psychiatry
  • Risk Management in General Practice
  • Part III: The Conditions of Safe Practice
  • Communicating Risk
  • Guidelines and Pathways
  • The Role of Human Factors Engineering
  • Working Time, Stress and Fatigue
  • Training and Supervision
  • Teams, Culture and Managing Risk
  • Creating and Maintaining Safe Systems
  • Part IV: Implementation of Risk Management
  • Implementation of Risk Management
  • Clinical Incident Reporting
  • Investigation and Analysis of Adverse Events
  • Caring for Patients Harmed by Treatment
  • Supporting Staff
  • Dealing with Complaints
  • Resolving Disputes
  • Claims Management

Enterprise Risk Management, Standards and Hazard Control

Organization-wide risk frameworks aligned with ISO 31000 and COSO, plus the reference text for facility hazard control in hospitals.

Cover of Fundamentals of Risk Management 05
Enterprise Risk Management, Standards and Hazard ControlTextbook

Fundamentals of Risk Management

Understanding, Evaluating and Implementing Effective Enterprise Risk Management

Kate Boothroyd & Clive Thompson (originated by Paul Hopkin)

  • Publisher Kogan Page / Institute of Risk Management
  • Edition 7th ed., 2024
  • ISBN-13 9781398618657

The Institute of Risk Management's core text and the most widely used general ERM textbook internationally; aligned with ISO 31000, COSO ERM and the UK Orange Book. The 7th edition adds resilience, sustainability and strategic risk, which healthcare boards now report on.

Table of Contents44 entries
  • Section 1: Introduction to Risk Management
  • What is Risk and Why is it Important?
  • Risk as an Opportunity as well as a Threat
  • Risk Management Standards
  • The Four Steps of Risk Management
  • Section 2: Enterprise Risk Management
  • Risk Management in Context
  • Enterprise Risk Management
  • The Background, Aims and Principles of Risk Management
  • Risk Architecture and Strategy
  • Roles, Responsibilities, and Documentation
  • Implementing Enterprise Risk Management
  • Processes for Risk Management
  • Section 3: Defining Context and Objectives and Assessing Risk
  • The Context for ERM
  • Setting Objectives for ERM
  • Assessing Risks: Risk Identification, Considerations, Causes, and Consequences
  • Classifying Risks
  • Assessing Risks: Risk Analysis
  • Different Lenses for Considering Risk
  • Assessing Risks: Risk Evaluation
  • Section 4: Risk Response: Monitor, Review, and Report
  • Managing and Responding to Risk
  • Controlling Downside Risk
  • Risk Treatment Controls for Threats
  • Controlling Upside Risk
  • Ongoing Monitoring and Review
  • Reporting on Risk Management
  • Section 5: Decision Making: Risk Culture, Appetite and Tolerance
  • Culture and Behaviours
  • Risk Appetite and Tolerance
  • Section 6: Corporate Governance and Assurance
  • Introducing Corporate Governance
  • Stakeholders, Ethics, and Corporate Social Responsibility
  • Different Approaches to Risk Management
  • The Control Environment
  • Internal Audit Activities
  • Risk Assurance Techniques
  • Section 7: Organisational Environment: Resilience and Sustainability
  • Strategy and the Risk Environment
  • The Organization's Business Model, Visions and Values
  • Resilience
  • Surviving Shocks and Disruption: ERM, BCP and Resilience
  • Sustainability
  • Section 8: Different Approaches
  • Insurance
  • Banking, Legal, Supply Chain, and IT Approaches to Risk Management
  • New Approaches to the Four Steps of Risk Management
  • Section 9: Adding Value
  • How Risk Management Adds Value
  • Maturity and Continual Improvement
  • Risk Practitioner Competencies
  • How Risk Practitioners Add Value
Cover of Enterprise Risk Management 06
Enterprise Risk Management, Standards and Hazard ControlProfessional text

Enterprise Risk Management

From Incentives to Controls

James Lam

  • Publisher Wiley Finance
  • Edition 2nd ed., 2014
  • ISBN-13 9781118413616

By the first-ever Chief Risk Officer; the classic statement of ERM governance, the CRO role, risk appetite, maturity models, board oversight and dashboard reporting. Widely used in MBA and executive programs and the conceptual source of ERM adoption in health systems.

Table of Contents25 entries
  • Section One: Risk Management in Context
  • Introduction
  • Lessons Learned
  • Concepts and Processes
  • What is ERM?
  • Section Two: The Enterprise Risk Management Framework
  • Corporate Governance
  • Line Management
  • Portfolio Management
  • Risk Transfer
  • Risk Analytics
  • Data and Technology
  • Stakeholder Management
  • Section Three: Risk Management Applications
  • Credit Risk Management
  • Market Risk Management
  • Operational Risk Management
  • Business Applications
  • Financial Institutions
  • Energy Firms
  • Non-Financial Corporations
  • Section Four: A Look to the Future
  • Predictions
  • Everlast Financial
  • Section Five: ERM Implementation
  • ERM Implementation
  • Role of the Board
  • Risk Assessment
  • Risk-Based Decision Making
  • Dashboard Reporting
Cover of Healthcare Hazard Control and Safety Management 07
Enterprise Risk Management, Standards and Hazard ControlReference

Healthcare Hazard Control and Safety Management

James T. Tweedy

  • Publisher CRC Press
  • Edition 3rd ed., 2014
  • ISBN-13 9781482206555

The primary study reference for the Certified Healthcare Safety Professional examination; covers the environment-of-care side of hospital risk: hazard control programs, accident causation, emergency management, hazardous materials, infection control, fire safety and department-level safety.

Table of Contents15 entries
  • Healthcare Hazard Control
  • Understanding Accidents
  • Leadership and Management
  • Federal Agencies, Standards Organizations, and Voluntary Associations
  • Facility Safety
  • Emergency Management
  • Hazardous Materials
  • Infection Control and Prevention
  • Fire Safety Management
  • Environmental Services and Food/Dietary Department Safety
  • Support Department Safety
  • Nursing and Clinical Area Safety Topics
  • Patient Safety
  • Radiation, Laboratory, and Pharmacy Safety
  • Appendices: Hazard Control Evaluation Scoring System, Worker Perception Survey, Sample Policies and Plans

Patient Safety as Clinical Risk Management

The leading patient safety textbooks that recast clinical risk management as the prevention and mitigation of harm across the care pathway.

Cover of Understanding Patient Safety 08
Patient Safety as Clinical Risk ManagementTextbook

Understanding Patient Safety

Robert M. Wachter & Kiran Gupta

  • Publisher McGraw-Hill Education (Lange)
  • Edition 3rd ed., 2018
  • ISBN-13 9781259860249

The bestselling patient safety primer in US medical, nursing and health administration programs (UCSF); its chapters on reporting systems, RCA, malpractice, accountability, accreditation and organizing a safety program map directly onto the risk manager's remit.

Table of Contents24 entries
  • Section I: An Introduction to Patient Safety and Medical Errors
  • The Nature and Frequency of Medical Errors and Adverse Events
  • Basic Principles of Patient Safety
  • Safety, Quality, and Value
  • Section II: Types of Medical Errors
  • Medication Errors
  • Surgical Errors
  • Diagnostic Errors
  • Human Factors and Errors at the Person-Machine Interface
  • Transition and Handoff Errors
  • Teamwork and Communication Errors
  • Healthcare-Associated Infections
  • Other Complications of Healthcare
  • Patient Safety in the Ambulatory Setting
  • Section III: Solutions
  • Information Technology
  • Reporting Systems, Root Cause Analysis, and Other Methods of Understanding Safety Issues
  • Creating a Culture of Safety
  • Workforce Issues
  • Education and Training Issues
  • The Malpractice System
  • Accountability
  • Accreditation and Regulations
  • The Role of Patients
  • Organizing a Safety Program
  • Conclusion
  • Section IV: Appendices
  • Key Books, Reports, Series, and Websites; AHRQ PSNet Glossary; Milestones; NPSGs; PSIs; NQF Serious Reportable Events; Safe Practices; Medicare 'No Pay for Errors' List; Questions Patients Can Ask
Cover of Patient Safety 09
Patient Safety as Clinical Risk ManagementTextbook

Patient Safety

Charles Vincent

  • Publisher Wiley-Blackwell / BMJ Books
  • Edition 2nd ed., 2010
  • ISBN-13 9781405192217

The leading international textbook by a founder of the field (Imperial College, Oxford); bridges error science and organizational practice, including caring for harmed patients, supporting staff after incidents and building safe organizations.

Table of Contents20 entries
  • Section 1: The Evolution of Patient Safety
  • Medical Harm: A Brief History
  • The Emergence of Patient Safety
  • Integrating Safety and Quality
  • Section 2: Understanding Error and Harm in Healthcare
  • The Nature and Scale of Error and Harm
  • Reporting and Learning Systems
  • Measuring Safety
  • Section 3: Understanding How Things Go Wrong
  • Human Error and Systems Thinking
  • Understanding How Things Go Wrong
  • Section 4: The Aftermath
  • Caring for Patients Harmed by Treatment
  • Supporting Staff after Serious Incidents
  • Section 5: Creating Safe Healthcare
  • Clinical Interventions and Process Improvement
  • Design for Patient Safety
  • Using Information Technology to Reduce Error
  • Section 6: People Create Safety
  • Creating a Culture of Safety
  • Patient Involvement in Patient Safety
  • Procedures, Violations, and Migrations
  • Safety Skills
  • Teams Create Safety
  • Section 7: Safe Organisations and Systems
  • Safe Organisations: Bringing It All Together
  • High Performing Healthcare Systems
Cover of Safer Healthcare 10
Patient Safety as Clinical Risk ManagementMonograph

Safer Healthcare

Strategies for the Real World

Charles Vincent & René Amalberti

  • Publisher Springer (Open Access)
  • Edition 2016
  • ISBN-13 9783319255576

Freely available open-access book that explicitly recasts patient safety as the management of risk over time and across settings; its five strategy families (safety as best practice, improvement, risk control, monitoring/adaptation, mitigation) are a ready framework for hospital risk programs.

Table of Contents12 entries
  • Progress and Challenges for Patient Safety
  • The Ideal and the Real
  • Approaches to Safety: One Size Does Not Fit All
  • Seeing Safety Through the Patient's Eyes
  • The Consequences for Incident Analysis
  • Strategies for Safety
  • Safety Strategies in Hospitals
  • Safety Strategies for Care in the Home
  • Safety Strategies in Primary Care
  • New Challenges for Patient Safety
  • A Compendium of Safety Strategies and Interventions
  • Managing Risk in the Real World

Human Error and Organizational Accidents

James Reason's canon: error types, latent conditions, the Swiss cheese model, safety culture and the human as hero as well as hazard.

Cover of Human Error 11
Human Error and Organizational AccidentsClassic

Human Error

James Reason

  • Publisher Cambridge University Press
  • Edition 1990
  • ISBN-13 9780521314190

The foundational theory of slips, lapses and mistakes (the Generic Error-Modelling System) and of latent versus active failures; required reading in human factors and risk management programs worldwide.

Table of Contents9 entries
  • Preface
  • The Nature of Error
  • Studies of Human Error
  • Performance Levels and Error Types
  • Cognitive Under-specification and Error Forms
  • A Design for a Fallible Machine
  • The Detection of Errors
  • Latent Errors and Systems Disasters
  • Assessing and Reducing the Risks Associated with Human Error
Cover of Managing the Risks of Organizational Accidents 12
Human Error and Organizational AccidentsClassic

Managing the Risks of Organizational Accidents

James Reason

  • Publisher Ashgate (now Routledge)
  • Edition 1997
  • ISBN-13 9781840141054

Source of the Swiss cheese model in its organizational form and of the 'informed, reporting, just, flexible and learning' components of safety culture; the conceptual backbone of incident reporting and RCA in hospitals.

Table of Contents10 entries
  • Hazards, Losses and Defences
  • Defeating the Defences
  • Dangerous Defences
  • The Human Contribution
  • Maintenance Can Seriously Damage Your System
  • Navigating the Safety Space
  • A Practical Guide to Error Management
  • The Regulator's Unhappy Lot
  • Engineering a Safety Culture
  • Reconciling the Different Approaches to Safety Management
Cover of The Human Contribution 13
Human Error and Organizational AccidentsMonograph

The Human Contribution

Unsafe Acts, Accidents and Heroic Recoveries

James Reason

  • Publisher Ashgate (now CRC Press)
  • Edition 2008
  • ISBN-13 9780754674023

Reason's synthesis of person and system models, error traps and recurrent accidents, and the 'heroic recoveries' that point toward resilience and mindfulness; a bridge from Safety-I to Safety-II thinking.

Table of Contents14 entries
  • Part I: Introduction
  • The Human Contribution: Hazard and Hero
  • A Mind User's Guide
  • Part II: Unsafe Acts
  • The Nature and Varieties of Human Error
  • Violations and the Varieties of Rule-related Behaviour
  • Perceptions of Unsafe Acts
  • Part III: Accidents
  • Error Traps and Recurrent Accidents
  • Significant Accident Investigations
  • Part IV: Heroic Recoveries
  • Training, Discipline and Leadership
  • Sheer Unadulterated Professionalism
  • Skill and Luck
  • Inspired Improvisations
  • The Ingredients of Heroic Recovery
  • Part V: Achieving Resilience
  • Individual and Collective Mindfulness
  • In Search of Safety

Complex Systems, Normal Accidents and Drift

Sociological and systems-engineering accounts of why accidents happen in tightly coupled organizations: normal accidents, STAMP, drift and the normalization of deviance.

Cover of Normal Accidents 14
Complex Systems, Normal Accidents and DriftClassic

Normal Accidents

Living with High-Risk Technologies (Updated Edition)

Charles Perrow

  • Publisher Princeton University Press
  • Edition Updated ed., 1999 (orig. 1984)
  • ISBN-13 9780691004129

Yale sociologist's classic on interactive complexity and tight coupling: why some accidents are 'normal' in high-risk systems and why adding safeguards can add risk. The counterpoint every high-reliability syllabus pairs with Weick.

Table of Contents13 entries
  • Abnormal Blessings
  • Introduction
  • Normal Accident at Three Mile Island
  • Nuclear Power as a High-Risk System: Why We Have Not Had More TMIs, But Will Soon
  • Complexity, Coupling, and Catastrophe
  • Petrochemical Plants
  • Aircraft and Airways
  • Marine Accidents
  • Earthbound Systems: Dams, Quakes, Mines, and Lakes
  • Exotics: Space, Weapons, and DNA
  • Living with High-Risk Systems
  • Afterword
  • Postscript: The Y2K Problem
Cover of Engineering a Safer World 15
Complex Systems, Normal Accidents and DriftMonograph

Engineering a Safer World

Systems Thinking Applied to Safety

Nancy G. Leveson

  • Publisher MIT Press (Open Access)
  • Edition 2011 (pbk. 2016)
  • ISBN-13 9780262533690

MIT's systems-theoretic accident model (STAMP) and its methods STPA for hazard analysis and CAST for accident analysis, now increasingly applied to patient safety and medical devices; freely available from MIT Press.

Table of Contents16 entries
  • Part I: Foundations
  • Why Do We Need Something Different?
  • Questioning the Foundations of Traditional Safety Engineering
  • Systems Theory and Its Relationship to Safety
  • Part II: STAMP: An Accident Model Based on Systems Theory
  • A Systems-Theoretic View of Causality
  • A Friendly Fire Accident
  • Part III: Using STAMP
  • Engineering and Operating Safer Systems Using STAMP
  • Fundamentals
  • STPA: A New Hazard Analysis Technique
  • Safety-Guided Design
  • Integrating Safety into System Engineering
  • Analyzing Accidents and Incidents (CAST)
  • Controlling Safety during Operations
  • Managing Safety and the Safety Culture
  • SUBSAFE: An Example of a Successful Safety Program
  • Epilogue
  • Appendixes: Definitions; Friendly Fire Analysis; Walkerton Water Contamination; Vioxx Analysis
Cover of Drift into Failure 16
Complex Systems, Normal Accidents and DriftMonograph

Drift into Failure

From Hunting Broken Components to Understanding Complex Systems

Sidney Dekker

  • Publisher Ashgate (now CRC Press)
  • Edition 2011
  • ISBN-13 9781409422211

Complexity-theory account of how systems slide into failure through many locally rational decisions under goal conflict; reframes risk management away from finding the broken component and toward monitoring drift.

Table of Contents8 entries
  • Preface
  • Failure is Always an Option
  • Features of Drift
  • The Legacy of Newton and Descartes
  • The Search for the Broken Component
  • Theorizing Drift
  • What is Complexity and Systems Thinking?
  • Managing the Complexity of Drift
Cover of The Challenger Launch Decision 17
Complex Systems, Normal Accidents and DriftClassic

The Challenger Launch Decision

Risky Technology, Culture, and Deviance at NASA (Enlarged Edition)

Diane Vaughan

  • Publisher University of Chicago Press
  • Edition Enlarged ed., 2016 (orig. 1996)
  • ISBN-13 9780226346823

The historical ethnography that coined 'normalization of deviance' and 'structural secrecy', two concepts now standard in healthcare risk and patient safety teaching; the new preface extends the analysis to Columbia.

Table of Contents13 entries
  • Preface to the 2016 Edition
  • Preface
  • The Eve of the Launch
  • Learning Culture, Revising History
  • Risk, Work Group Culture, and the Normalization of Deviance
  • The Normalization of Deviance, 1981-84
  • The Normalization of Deviance, 1985
  • The Culture of Production
  • Structural Secrecy
  • The Eve of the Launch Revisited
  • Conformity and Tragedy
  • Lessons Learned
  • Appendices: Cost/Safety Trade-Offs; Supporting Charts and Documents; On Theory Elaboration, Organizations, and Historical Ethnography

High Reliability and Resilience

High reliability organizing, resilience engineering and the Safety-II perspective as applied to healthcare.

Cover of Managing the Unexpected 18
High Reliability and ResilienceClassic

Managing the Unexpected

Sustained Performance in a Complex World

Karl E. Weick & Kathleen M. Sutcliffe

  • Publisher Wiley / Jossey-Bass
  • Edition 3rd ed., 2015
  • ISBN-13 9781118862414

The source of the five principles of high reliability organizing (preoccupation with failure, reluctance to simplify, sensitivity to operations, commitment to resilience, deference to expertise) adopted by The Joint Commission and hospital HRO programs; a long-running management bestseller.

Table of Contents10 entries
  • Preface
  • Mismanaging the Unexpected
  • The Infrastructure of Mindful Organizing
  • Principle 1: Preoccupation with Failure
  • Principle 2: Reluctance to Simplify
  • Principle 3: Sensitivity to Operations
  • Principle 4: Commitment to Resilience
  • Principle 5: Deference to Expertise
  • Organizational Culture and Reliability
  • Sustaining Sustained Performance
Cover of Resilient Health Care 19
High Reliability and ResilienceEdited volume

Resilient Health Care

Ed. Erik Hollnagel, Jeffrey Braithwaite & Robert L. Wears

  • Publisher Ashgate (now CRC Press)
  • Edition 2013
  • ISBN-13 9781409469780

The book that launched the Resilient Health Care network; introduces Safety-II to healthcare and treats the health system as a complex adaptive system, with chapters on ICUs, robotic surgery, regulation and standardization.

Table of Contents20 entries
  • Preface: On the Need for Resilience in Health Care
  • Part I: Health Care as a Multiple Stakeholder, Multiple Systems Enterprise
  • Making Health Care Resilient: From Safety-I to Safety-II
  • Resilience, the Second Story, and Progress on Patient Safety
  • Resilience and Safety in Health Care: Marriage or Divorce?
  • What Safety-II Might Learn from the Socio-cultural Critique of Safety-I
  • Looking at Success versus Looking at Failure: Is Quality Safety? Is Safety Quality?
  • Health Care as a Complex Adaptive System
  • Part II: The Locus of Resilience: Individuals, Groups, Systems
  • Resilience in Intensive Care Units: The HUG Case
  • Investigating Expertise, Flexibility and Resilience in Socio-technical Environments: A Case Study in Robotic Surgery
  • Reconciling Regulation and Resilience in Health Care
  • Re-structuring and the Resilient Organisation: Implications for Health Care
  • Relying on Resilience: Too Much of a Good Thing?
  • Mindful Organising and Resilient Health Care
  • Part III: The Nature and Practice of Resilient Health Care
  • Separating Resilience from Success
  • Adaptation versus Standardisation in Patient Safety
  • The Use of PROMs to Promote Patient Empowerment and Improve Resilience in Health Care Systems
  • Resilient Health Care
  • Safety-II Thinking in Action: 'Just in Time' Information to Support Everyday Activities
  • Mrs Jones Can't Breathe: Can a Resilience Framework Help?
  • Epilogue: How to Make Health Care Resilient
Cover of Safety-I and Safety-II 20
High Reliability and ResilienceMonograph

Safety-I and Safety-II

The Past and Future of Safety Management

Erik Hollnagel

  • Publisher Ashgate (now CRC Press)
  • Edition 2014
  • ISBN-13 9781472423054

The concise statement of the shift from preventing what goes wrong (Safety-I) to ensuring that as much as possible goes right (Safety-II); a fixture of contemporary patient safety and risk syllabi and of WHO and NHS safety strategies.

Table of Contents9 entries
  • The Issues
  • The Pedigree
  • The Current State
  • The Myths of Safety-I
  • The Deconstruction of Safety-I
  • The Need to Change
  • The Construction of Safety-II
  • The Way Ahead
  • Final Thoughts

Incident Analysis and Risk Reduction Methods

Practical guides for root cause analysis, proactive risk assessment, error-proofing and 'human error' investigations.

Cover of Root Cause Analysis in Health Care 21
Incident Analysis and Risk Reduction MethodsPractice guide

Root Cause Analysis in Health Care

A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events

The Joint Commission / Joint Commission Resources

  • Publisher Joint Commission Resources
  • Edition 7th ed., 2020
  • ISBN-13 9781635851618

The accreditor's own step-by-step method for sentinel event RCA and corrective action planning (21 steps), including JCI policy and the link to FMEA; the working manual of hospital risk and quality departments.

Table of Contents9 entries
  • Introduction
  • Getting Started: Understanding Sentinel Events
  • Digging Deeper: The Basics of Root Cause Analysis
  • Preparing for Root Cause Analysis (Steps 1-3: Organize a Team; Define the Problem; Study the Problem)
  • Determining Proximate and Underlying Causes (Steps 4-8)
  • Identifying Root Causes (Steps 9-11)
  • Designing and Implementing a Corrective Action Plan for Improvement (Steps 12-21)
  • Appendix
  • Glossary
Cover of Error Reduction in Health Care 22
Incident Analysis and Risk Reduction MethodsTextbook

Error Reduction in Health Care

A Systems Approach to Improving Patient Safety

Ed. Patrice L. Spath (foreword by Lucian L. Leape)

  • Publisher Jossey-Bass
  • Edition 2nd ed., 2011
  • ISBN-13 9780470502402

One of the few comprehensive methods texts: measuring safety performance, prioritizing projects, accident investigation and anticipatory failure analysis, MTO/DEB and deductive analysis, error-proofing (by Croteau and Schyve of The Joint Commission), Lean and teamwork systems.

Table of Contents15 entries
  • Part One: The Basics of Patient Safety
  • A Formula for Errors: Good People + Bad Systems
  • The Human Side of Medical Mistakes
  • High Reliability and Patient Safety
  • Part Two: Measure and Evaluate Patient Safety
  • Measuring Patient Safety Performance
  • Analyzing Patient Safety Performance
  • Using Performance Data to Prioritize Safety Improvement Projects
  • Part Three: Reactive and Proactive Safety Investigations
  • Accident Investigation and Anticipatory Failure Analysis
  • MTO and DEB Analysis Can Find System Breakdowns
  • Using Deductive Analysis to Examine Adverse Events
  • Part Four: How to Make Health Care Processes Safer
  • Proactively Error-Proofing Health Care Processes
  • Reducing Errors Through Work System Improvements
  • Improve Patient Safety with Lean Techniques
  • Part Five: Focused Patient Safety Initiatives
  • How Information Technology Can Improve Patient Safety
  • A Structured Teamwork System to Reduce Clinical Errors
  • Medication Safety Improvement
Cover of The Field Guide to Understanding 'Human Error' 23
Incident Analysis and Risk Reduction MethodsPractice guide

The Field Guide to Understanding 'Human Error'

Sidney Dekker

  • Publisher Ashgate (now CRC Press)
  • Edition 3rd ed., 2014
  • ISBN-13 9781472439055

The most widely read practitioner guide to the 'new view' of human error and to conducting second-story investigations; frequently assigned in incident investigation and risk manager training.

Table of Contents10 entries
  • Preface
  • Two Views of 'Human Error'
  • Containing Your Reactions to Failure
  • Doing a 'Human Error' Investigation
  • Explaining the Patterns of Breakdown
  • Understanding Your Accident Model
  • Creating an Effective Safety Department
  • Building a Safety Culture
  • Abandoning the Fallacy of a Quick Fix
  • Epilogue: Speaking for the Dead

Landmark Reports and Widely Read Works

The reports and trade books that put medical error on the public agenda and are read far beyond the profession, with very large Amazon readerships.

Cover of To Err Is Human 27
Landmark Reports and Widely Read WorksLandmark report

To Err Is Human

Building a Safer Health System

Institute of Medicine; Ed. Linda T. Kohn, Janet M. Corrigan & Molla S. Donaldson

  • Publisher National Academy Press
  • Edition 2000
  • ISBN-13 9780309068376

The report that estimated 44,000 to 98,000 annual US deaths from medical error and launched the patient safety movement; its chapters on reporting systems and legal protection of reporting remain central to risk management.

Table of Contents10 entries
  • Executive Summary
  • A Comprehensive Approach to Improving Patient Safety
  • Errors in Health Care: A Leading Cause of Death and Injury
  • Why Do Errors Happen?
  • Building Leadership and Knowledge for Patient Safety
  • Error Reporting Systems
  • Protecting Voluntary Reporting Systems from Legal Discovery
  • Setting Performance Standards and Expectations for Patient Safety
  • Creating Safety Systems in Health Care Organizations
  • Appendices: Glossary and Acronyms; Literature Summary; Characteristics of State Adverse Event Reporting Systems; Safety Activities in Health Care Organizations
Cover of Improving Diagnosis in Health Care 28
Landmark Reports and Widely Read WorksLandmark report

Improving Diagnosis in Health Care

National Academies of Sciences, Engineering, and Medicine; Ed. Erin P. Balogh, Bryan T. Miller & John R. Ball

  • Publisher National Academies Press
  • Edition 2015
  • ISBN-13 9780309377690

The sequel to To Err Is Human for the largest malpractice claim category, diagnostic error; its chapter on reporting, medical liability and payment links diagnostic safety directly to institutional risk management.

Table of Contents11 entries
  • Summary
  • Introduction
  • The Diagnostic Process
  • Overview of Diagnostic Error in Health Care
  • Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis
  • Technology and Tools in the Diagnostic Process
  • Organizational Characteristics, the Physical Environment, and the Diagnostic Process: Improving Learning, Culture, and the Work System
  • The External Environment Influencing Diagnosis: Reporting, Medical Liability, and Payment
  • A Research Agenda for the Diagnostic Process and Diagnostic Error
  • The Path to Improve Diagnosis and Reduce Diagnostic Error
  • Appendices: Glossary; Committee Biographies; Previous Diagnostic Error Frameworks; Examples of Diagnostic Error
Cover of The Checklist Manifesto 29
Landmark Reports and Widely Read WorksTrade bestseller

The Checklist Manifesto

How to Get Things Right

Atul Gawande

  • Publisher Picador / Metropolitan Books
  • Edition Pbk., 2010 (orig. 2009)
  • ISBN-13 9780312430009

New York Times bestseller and one of the most-reviewed healthcare books on Amazon; tells the story of the WHO Surgical Safety Checklist and makes the case for checklists as a risk control in complex work.

Table of Contents10 entries
  • Introduction
  • The Problem of Extreme Complexity
  • The Checklist
  • The End of the Master Builder
  • The Idea
  • The First Try
  • The Checklist Factory
  • The Test
  • The Hero in the Age of Checklists
  • The Save
Cover of Black Box Thinking 30
Landmark Reports and Widely Read WorksTrade bestseller

Black Box Thinking ≈ contents

Why Most People Never Learn from Their Mistakes, But Some Do

Matthew Syed

  • Publisher Portfolio / Penguin
  • Edition 2015
  • ISBN-13 9781591848226

International bestseller with a very large Amazon readership; contrasts aviation's learning culture with healthcare's through the Elaine Bromiley case and covers cognitive dissonance, the blame game and the second victim. Widely used to open risk and safety courses.

Table of Contents15 entries
  • Part I: The Logic of Failure
  • A Routine Operation
  • United Airlines 173
  • The Paradox of Success
  • Part II: Cognitive Dissonance
  • Wrongful Convictions
  • Intellectual Contortions
  • Reforming Criminal Justice
  • Part III: Confronting Complexity
  • The Nozzle Paradox
  • Scared Straight?
  • Part IV: Small Steps and Giant Leaps
  • Marginal Gains
  • How Failure Drives Innovation
  • Part V: The Blame Game
  • The Downing of Libyan Arab Airlines Flight 114
  • The Second Victim
  • Part VI: Creating a Growth Culture
  • The Beckham Effect
  • Redefining Failure
  • Coda: The Bigger Picture
No books match your search.
Risk Management in Healthcare Institutions · Book Portfolio
Compiled by Prof. Dr. Mehmet Nurullah Kurutkan · Düzce University, Faculty of Business, Department of Health Management · healthtopic.org
Bibliographic data and contents compiled from publisher pages (Jones & Bartlett Learning, Wiley/Jossey-Bass, Kogan Page, CRC Press/Routledge, McGraw-Hill, Springer, Cambridge University Press, Princeton University Press, MIT Press, University of Chicago Press, National Academies Press, Joint Commission Resources) and library catalogs.

More on this topic: Risk Management articles · Reading guides · Knowledge Graph