Table of contents

  1. Front Matter
    Pages i-xiii
  2. Introduction

    1. Front Matter
      Pages 1-1
    2. Walter Ricciardi, Fidelia Cascini
      Pages 3-18 Open Access
    3. Riccardo Tartaglia
      Pages 19-28 Open Access
    4. Helen Higham, Charles Vincent
      Pages 29-44 Open Access
    5. Peter Lachman
      Pages 45-52 Open Access
    6. Liam Donaldson
      Pages 53-66 Open Access
    7. Susan Sheridan, Heather Sherman, Allison Kooijman, Evangelina Vazquez, Katrine Kirk, Nagwa Metwally et al.
      Pages 67-79 Open Access
    8. Pascale Carayon, Peter Kleinschmidt, Bat-Zion Hose, Megan Salwei
      Pages 81-89 Open Access
  3. Background

    1. Front Matter
      Pages 91-91
    2. Neelam Dhingra-Kumar, Silvio Brusaferro, Luca Arnoldo
      Pages 93-98 Open Access
    3. Anna L. Costa, Gaetano Pierpaolo Privitera, Giorgio Tulli, Giulio Toccafondi
      Pages 99-116 Open Access
    4. Elena Beleffi, Paola Mosconi, Susan Sheridan
      Pages 117-127 Open Access
    5. Tommaso Bellandi, Adriana Romani-Vidal, Paulo Sousa, Michela Tanzini
      Pages 129-142 Open Access
    6. Giulia Dagliana, Sara Albolino, Zewdie Mulissa, Jonathan Davy, Andrew Todd
      Pages 143-157 Open Access
  4. Patient Safety in the Main Clinical Specialties

    1. Front Matter
      Pages 159-159
    2. S. Damiani, M. Bendinelli, Stefano Romagnoli
      Pages 161-175 Open Access
    3. Francesco Venneri, Lawrence B. Brown, Francesca Cammelli, Elliott R. Haut
      Pages 177-188 Open Access
    4. Riccardo Pini, Maria Luisa Ralli, Saravanakumar Shanmugam
      Pages 189-203 Open Access
    5. Antonio Ragusa, Shin Ushiro, Alessandro Svelato, Noemi Strambi, Mariarosaria Di Tommaso
      Pages 205-212 Open Access
    6. Micaela La Regina, Alessandra Vecchié, Aldo Bonaventura, Domenico Prisco
      Pages 213-252 Open Access
    7. Adriano Marcolongo, Glauco Cristofaro, Aldo Mariotto, Maurizio Mascarin, Fabio Puglisi
      Pages 253-273 Open Access
    8. Guido Barneschi, Francesco Raspanti, Rodolfo Capanna
      Pages 275-286 Open Access
    9. Alessandro Cuomo, Despoina Koukouna, Lorenzo Macchiarini, Andrea Fagiolini
      Pages 287-298 Open Access
    10. Sara Albolino, Marco De Luca, Antonino Morabito
      Pages 299-308 Open Access
    11. Mahdieh Montazeran, Davide Caramella, Mansoor Fatehi
      Pages 309-318 Open Access
    12. Adriano Peris, Jessica Bronzoni, Sonia Meli, Juri Ducci, Erjon Rreka, Davide Ghinolfi et al.
      Pages 319-323 Open Access
    13. Mario Plebani, Ada Aita, Laura Sciacovelli
      Pages 325-338 Open Access
    14. Myrta Lippera, Jacques Bijon, Chiara Eandi, Gianni Virgili
      Pages 339-361 Open Access
  5. Healthcare Organization

    1. Front Matter
      Pages 363-363
    2. Elisabetta Alti, Alessandro Mereu
      Pages 365-374 Open Access
    3. Jeffrey Braithwaite, Louise A. Ellis, Kate Churruca, Janet C. Long, Peter Hibbert, Robyn Clay-Williams
      Pages 375-391 Open Access
    4. Michela Tanzini, Johanna I. Westbrook, Stefano Guidi, Neroli Sunderland, Mirela Prgomet
      Pages 393-402 Open Access
    5. Giovanni Costa, Eleonora Tommasi, Leonardo Giovannini, Nicola Mucci
      Pages 403-412 Open Access
    6. Stavros Prineas, Kathleen Mosier, Claus Mirko, Stefano Guicciardi
      Pages 413-434 Open Access
    7. Hooi Cheng Soon, Pierangelo Geppetti, Chiara Lupi, Boon Phiaw Kho
      Pages 435-453 Open Access
    8. Francesco Ranzani, Oronzo Parlangeli
      Pages 455-464 Open Access
    9. Michela Tanzini, Elisa Romano, Aldo Bonaventura, Alessandra Vecchié, Micaela La Regina
      Pages 485-496 Open Access

About this book


Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems.

The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties.  

This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.


patient safety clinical risk management medical errors reliability organization ergonomics and human factors patient engagement open access

Editors and affiliations

  • Liam Donaldson
    • 1
  • Walter Ricciardi
    • 2
  • Susan Sheridan
    • 3
  • Riccardo Tartaglia
    • 4
  1. 1.London School of Hygiene and Tropical MedicineLondonUK
  2. 2.Department of Hygiene and Public HealthCatholic University of the Sacred HeartRomeItaly
  3. 3.The Society to Improve Diagnosis in MedicineEvanstonUSA
  4. 4.Italian Network for Safety in HealthcareFlorenceItaly

About the editors

Liam Donaldson is an honorary graduate of the University of Leicester and was formerly a lecturer at the university's Department of Community Health before becoming a Senior Lecturer in Epidemiology in 1981, when he also gained his MD. He served as the Chief Medical Officer of the Health Protection Agency (UK) and has been the chairman of the National Patient Safety Agency. He trained as a surgeon and went on to take up teaching and research posts at the University of Leicester. He is Chancellor of Newcastle University and Professor of Health Policy at Imperial College, London. He is a member of the International Advisory Council at APCO Worldwide Inc. and has received the Picker Institute Award for Excellence and the World Health Executive Forum Distinguished Leader Award.

Walter Ricciardi is a Professor of Hygiene and Public Health at the Catholic University of the Sacred Heart in Rome and is past president of the European Public Health Association (EUPHA) and of the of the Italian National Institute of Health. He was a member of the Ministry of Health’s Higher Health Council and the Italian Minister of Health appointed him chair of the Public Health Section of the Council. He was appointed member of the Expert Panel on Effective Ways of Investing in Health (European Commission, DG – SANTE) and member of the Steering Committee of the Center for Global Health Research and Studies at the Medical School, Catholic University of the Sacred Heart. He was appointed director of the WHO Collaborating Centre for Health Policy, Governance and Leadership at the Institute of Public Health at the same university.

Sue Sheridan was the director of Patient Engagement for the Patient-Centered Outcomes Research Institute (PCORI). Before that she was the external lead of the Patients for Patient Safety program at the World Health Organization (WHO). Sheridan is a co-founder and  past president of Parents of Infants and Children with Kernicterus (brain damage from jaundice), and was involved in implementing a new  standard of care in jaundice management.  She is also  a co-founder of Consumers Advancing Patient Safety. 

Riccardo Tartaglia, MD, specialized in occupational medicine, hygiene and public health and is certified as an ergonomist by Centre for Registration European Ergonomist. He is currently a partner & healthcare manager of the research and design studio “BSD - By Strategic Design” and an affiliate professional at the Institute of Management at the School of Advanced Studies Sant’Anna - Pisa, where, for more than ten years he has also been the scientific coordinator of the advanced course in Clinical Risk Management. He is president of the Italian Network for Safety in Health Care.  Since 2003 he has been director of the Centre for Clinical Risk Management and Patient Safety - Tuscany Region (WHO CC) and he has been coordinator of the Patient Safety Committee of Italian Regions for ten years. He is currently a member of the National Observatory for Safety Practices (AGENAS). He was president of the Italian Ergonomics and Human Factors Society. In 2017 he was appointed ISQua Expert, and in 2018 he was made a fellow of the International Ergonomic Association.

Bibliographic information