@BOOK{NAP author = "Institute of Medicine", editor = "Ann Page", title = "Keeping Patients Safe: Transforming the Work Environment of Nurses", isbn = "978-0-309-18736-7", abstract = "Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands.\n\nLicensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform \u2013 monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis \u2013 provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. \n\nDuring the past two decades, substantial changes have been made in the organization and delivery of health care \u2013 and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. \n\nThis newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.\n\n", url = "https://nap.nationalacademies.org/catalog/10851/keeping-patients-safe-transforming-the-work-environment-of-nurses", year = 2004, publisher = "The National Academies Press", address = "Washington, DC" } @BOOK{NAP author = "Institute of Medicine", editor = "Philip Aspden and Janet M. Corrigan and Julie Wolcott and Shari M. Erickson", title = "Patient Safety: Achieving a New Standard for Care", isbn = "978-0-309-09077-3", abstract = "Americans should be able to count on receiving health care that is safe. \n\nTo achieve this, a new health care delivery system is needed \u2014 a system that both prevents errors from occurring, and learns from them when they do occur. The development of such a system requires a commitment by all stakeholders to a culture of safety and to the development of improved information systems for the delivery of health care. This national health information infrastructure is needed to provide immediate access to complete patient information and decision-support tools for clinicians and their patients. In addition, this infrastructure must capture patient safety information as a by-product of care and use this information to design even safer delivery systems. Health data standards are both a critical and time-sensitive building block of the national health information infrastructure. \n\nBuilding on the Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Patient Safety puts forward a road map for the development and adoption of key health care data standards to support both information exchange and the reporting and analysis of patient safety data.\n\n\n", url = "https://nap.nationalacademies.org/catalog/10863/patient-safety-achieving-a-new-standard-for-care", year = 2004, publisher = "The National Academies Press", address = "Washington, DC" }