Part I.  IN THE BEGINNING

  1.  The Hidden Epidemic    The Harvard Medical Practice Study    

  2.  It''s Not Bad People       Error in Medicine   

  3.  Changing the System    The Adverse Drug Events Study

  4.  Coming Together         The Annenberg Conference  

  5.  A Home of Our Own     The National Patient Safety Foundation

Part II.  INSTITUTIONAL RESPONSES

  6. We Can Do This   The Institute for Healthcare Improvement Adverse Drug Events  

    Collaborative

  7. Who Will Lead?   The Executive Session  

  8. A Community of Concern   The Massachusetts Coalition for the Prevention of

      Medical Errors

  9.  When the IOM Speaks    IOM Quality of Care Committee and Report

10. The Government Responds   The Agency for Healthcare Research and Quality

11. Setting Standards    The National Quality Forum

12. Enforcing Standards  The Joint Commission

13. Partners in Progress    Patient Safety in the United Kingdom

14. Going Global    The World Health Organization

15. Just Do It    The Surgical Checklist

16. Spreading the Word   The Salzburg Seminar

17. Publish or Perish   British Medical Journal Theme issue, New England Journal of Medicine Series

Part III. GETTING TO WORK      Key issues and how they were dealt with

18. Sleepy Doctors   Work hours and the Accreditation Council for Graduate Medical Education  

19. A Conspiracy of Silence   Disclosure, Apology, and Restitution 

20. Who Can I Trust?    Ensuring physician competence

21. Everyone Counts   Building a culture of respect  

Part IV. CREATING A CULTURE OF SAFETY

22. Make No Little Plans   The Lucian Leape Institute