Ross Koppel is on the faculty of the Sociology Department and School of Medicine at the University of Pennsylvania, holds a faculty position at the RAND Corporation, and is the internal evaluator at Harvard Medical School as well as holding other professional affiliations. He is the author of several seminal publications on health IT in JAMA and other leading scientific journals. Suzanne Gordon is Visiting Professor at the University of Maryland School of Nursing and was program leader of the Robert Wood Johnson–funded Nurse Manager in Action Program. She is the author of Life Support and Nursing against the Odds, coauthor of Safety in Numbers and From Silence to Voice, editor of When Chicken Soup Isn't Enough, and coeditor of The Complexities of Care, all from Cornell.

• Introduction1. The Data Model That Nearly Killed Me2. Too Mean to Clean: How We Forgot to Clean Our Hospitals3. What Goes without Saying in Patient Safety4. Health Care Information Technology to the Rescue5. A Day in the Life of a Nurse6. Excluded Actors in Patient Safety7. Nursing as Patient Safety Net: Systems Issues and Future Directions8. Physicians, Sleep Deprivation, and Safety9. Sleep-deprived Nurses: Sleep and Schedule Challenges in Nursing10. Wounds That Don't Heal: Nurses' Experience with Medication Errors11. On Teams, Teamwork, and Team IntelligenceConclusion: Twenty-seven Paradoxes, Ironies, and Challengesof Patient Safety

"First, Do Less Harm does an excellent job of detailing major system and cultural barriers confronting patient safety. Its authors discuss the important issues that we all face as frontline providers trying to deliver the best health care we can."

Ross Koppel is on the faculty of the Sociology Department and School of Medicine at the University of Pennsylvania, holds a faculty position at the RAND Corporation, and is the internal evaluator at Harvard Medical School as well as holding other professional affiliations. He is the author of several seminal publications on health IT in JAMA and other leading scientific journals. Suzanne Gordon is Visiting Professor at the University of Maryland School of Nursing and was program leader of the Robert Wood Johnson–funded Nurse Manager in Action Program. She is the author of Life Support and Nursing against the Odds, coauthor of Safety in Numbers and From Silence to Voice, editor of When Chicken Soup Isn't Enough, and coeditor of The Complexities of Care, all from Cornell.

• Introduction1. The Data Model That Nearly Killed Me2. Too Mean to Clean: How We Forgot to Clean Our Hospitals3. What Goes without Saying in Patient Safety4. Health Care Information Technology to the Rescue5. A Day in the Life of a Nurse6. Excluded Actors in Patient Safety7. Nursing as Patient Safety Net: Systems Issues and Future Directions8. Physicians, Sleep Deprivation, and Safety9. Sleep-deprived Nurses: Sleep and Schedule Challenges in Nursing10. Wounds That Don't Heal: Nurses' Experience with Medication Errors11. On Teams, Teamwork, and Team IntelligenceConclusion: Twenty-seven Paradoxes, Ironies, and Challengesof Patient Safety

"First, Do Less Harm does an excellent job of detailing major system and cultural barriers confronting patient safety. Its authors discuss the important issues that we all face as frontline providers trying to deliver the best health care we can."

Ross Koppel is on the faculty of the Sociology Department and School of Medicine at the University of Pennsylvania, holds a faculty position at the RAND Corporation, and is the internal evaluator at Harvard Medical School as well as holding other professional affiliations. He is the author of several seminal publications on health IT in JAMA and other leading scientific journals. Suzanne Gordon is Visiting Professor at the University of Maryland School of Nursing and was program leader of the Robert Wood Johnson–funded Nurse Manager in Action Program. She is the author of Life Support and Nursing against the Odds, coauthor of Safety in Numbers and From Silence to Voice, editor of When Chicken Soup Isn't Enough, and coeditor of The Complexities of Care, all from Cornell.

• Introduction1. The Data Model That Nearly Killed Me2. Too Mean to Clean: How We Forgot to Clean Our Hospitals3. What Goes without Saying in Patient Safety4. Health Care Information Technology to the Rescue5. A Day in the Life of a Nurse6. Excluded Actors in Patient Safety7. Nursing as Patient Safety Net: Systems Issues and Future Directions8. Physicians, Sleep Deprivation, and Safety9. Sleep-deprived Nurses: Sleep and Schedule Challenges in Nursing10. Wounds That Don't Heal: Nurses' Experience with Medication Errors11. On Teams, Teamwork, and Team IntelligenceConclusion: Twenty-seven Paradoxes, Ironies, and Challengesof Patient Safety

"First, Do Less Harm does an excellent job of detailing major system and cultural barriers confronting patient safety. Its authors discuss the important issues that we all face as frontline providers trying to deliver the best health care we can."