This quality book clearly demonstrates that, in order to solve a complex problem, one must look at it from multiple perspectives. It will take a number of combined initiatives to drive the change needed to move forward in the reduction of medical errors, as the field has been stagnant for over two decades with the ideas currently in place.
ROBERT L. WEARS, MD, (1947-2017) was Professor in the Department of Emergency Medicine at the University of Florida and Visiting Professor in the Clinical Safety Research Unit at Imperial College London. His research focused on technical work studies, joint cognitive systems, and understanding the nature of safety and resilience in complex socio-technical systems, including medicine and healthcare.
KATHLEEN M. SUTCLIFFE, PhD, is Bloomberg Distinguished Professor at Johns Hopkins University with appointments in the Carey Business School, School of Medicine, and the Armstrong Institute for Patient Safety and Quality. Her interests lie in understanding how high-hazard organizations and systems manage for the unexpected and how they can be designed to be more reliable and resilient.