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Suggested Citation:"Front Matter." Institute of Medicine. 2004. The Richard and Hinda Rosenthal Lectures 2003: Keeping Patients Safe -- Transforming the Work Environment of Nurses. Washington, DC: The National Academies Press. doi: 10.17226/11151.
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THE RICHARD AND HINDA ROSENTHAL LECTURES 2003

Keeping Patients Safe

Transforming the Work Environment of Nurses

INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS
Washington, D.C.
www.nap.edu

Suggested Citation:"Front Matter." Institute of Medicine. 2004. The Richard and Hinda Rosenthal Lectures 2003: Keeping Patients Safe -- Transforming the Work Environment of Nurses. Washington, DC: The National Academies Press. doi: 10.17226/11151.
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THE NATIONAL ACADEMIES PRESS
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NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.

Support for this project was provided by the Richard and Hinda Rosenthal Foundation.

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International Standard Book Number 0-309-54643-5 (PDF)

Copies of this report are available from the
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Addtional copies of this report are available from the Office of Reports and Communication, Institute of Medicine, 500 Fifth St. N.W., Washington, DC 20001.

For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu.

Copyright 2005 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America.

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.

Suggested Citation:"Front Matter." Institute of Medicine. 2004. The Richard and Hinda Rosenthal Lectures 2003: Keeping Patients Safe -- Transforming the Work Environment of Nurses. Washington, DC: The National Academies Press. doi: 10.17226/11151.
×

“Knowing is not enough; we must apply.

Willing is not enough; we must do.”

—Goethe

INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES

Adviser to the Nation to Improve Health

Suggested Citation:"Front Matter." Institute of Medicine. 2004. The Richard and Hinda Rosenthal Lectures 2003: Keeping Patients Safe -- Transforming the Work Environment of Nurses. Washington, DC: The National Academies Press. doi: 10.17226/11151.
×

THE NATIONAL ACADEMIES

Advisers to the Nation on Science, Engineering, and Medicine

The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Bruce M. Alberts is president of the National Academy of Sciences.

The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Wm. A. Wulf is president of the National Academy of Engineering.

The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine.

The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Bruce M. Alberts and Dr. Wm. A. Wulf are chair and vice chair, respectively, of the National Research Council.

www.national-academies.org

Suggested Citation:"Front Matter." Institute of Medicine. 2004. The Richard and Hinda Rosenthal Lectures 2003: Keeping Patients Safe -- Transforming the Work Environment of Nurses. Washington, DC: The National Academies Press. doi: 10.17226/11151.
×

Foreword

In 1988, an exciting and important new program was launched at the Institute of Medicine. Through the generosity of the Richard and Hinda Rosenthal Foundation, a lecture series was established to bring to greater attention some of the critical health policy issues facing our nation today. Each year a subject of particular relevance is addressed through three lectures presented by experts in the field. The lectures are published at a later date for national dissemination.

The Rosenthal lectures have attracted an enthusiastic following among health policy researchers and decision makers, both in Washington, D.C., and across the country. Our speakers are the leading experts on the subjects under discussion and our audience includes many of the major policy makers charged with making the U.S. health care system more effective and humane. The lectures and associated remarks have engendered lively and productive dialogue. The Rosenthal lecture included in this volume captures a panel discussion on the IOM report Keeping Patients Safe: Transforming the Work Environment of Nurses. There is much to learn from the informed and real-world perspectives provided by the contributors to this book.

I would like to give special thanks to Donald M. Steinwachs for moderating the November 2001 lecture. In addition, I would like to express my appreciation to Bronwyn Schrecker, Jennifer Bitticks, Jennifer Otten, Hallie Wilfert, Leah Small, and Shira Fischer for ably handling the many details associated with the lecture programs and the publication. No introduction to this volume would be complete, however, without a special expression of gratitude to the late Richard Rosenthal and to Hinda

Suggested Citation:"Front Matter." Institute of Medicine. 2004. The Richard and Hinda Rosenthal Lectures 2003: Keeping Patients Safe -- Transforming the Work Environment of Nurses. Washington, DC: The National Academies Press. doi: 10.17226/11151.
×

Rosenthal for making this valuable and important education effort possible and whose keen interest in the themes under discussion further enriches this valuable IOM activity.

Harvey V. Fineberg, M.D., Ph.D.

President

Institute of Medicine

Suggested Citation:"Front Matter." Institute of Medicine. 2004. The Richard and Hinda Rosenthal Lectures 2003: Keeping Patients Safe -- Transforming the Work Environment of Nurses. Washington, DC: The National Academies Press. doi: 10.17226/11151.
×

Contents

 

 

Introduction
Harvey Fineberg, M.D., Ph.D., Moderator

 

1

 

 

Overview
Donald M. Steinwachs, Ph.D., Committee Chair

 

3

 

 

Management Practices, Work Force Capability, Work Processes, and Organizational Culture
Ada Sue Hinshaw, Ph.D., R.N., F.A.A.N.

 

6

 

 

Evidenced-Based Management and a Culture of Safety
William C. Rupp, M.D.

 

14

 

 

Discussion

 

19

 

 

Biosketches

 

31

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Suggested Citation:"Front Matter." Institute of Medicine. 2004. The Richard and Hinda Rosenthal Lectures 2003: Keeping Patients Safe -- Transforming the Work Environment of Nurses. Washington, DC: The National Academies Press. doi: 10.17226/11151.
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Suggested Citation:"Front Matter." Institute of Medicine. 2004. The Richard and Hinda Rosenthal Lectures 2003: Keeping Patients Safe -- Transforming the Work Environment of Nurses. Washington, DC: The National Academies Press. doi: 10.17226/11151.
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Suggested Citation:"Front Matter." Institute of Medicine. 2004. The Richard and Hinda Rosenthal Lectures 2003: Keeping Patients Safe -- Transforming the Work Environment of Nurses. Washington, DC: The National Academies Press. doi: 10.17226/11151.
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Suggested Citation:"Front Matter." Institute of Medicine. 2004. The Richard and Hinda Rosenthal Lectures 2003: Keeping Patients Safe -- Transforming the Work Environment of Nurses. Washington, DC: The National Academies Press. doi: 10.17226/11151.
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Suggested Citation:"Front Matter." Institute of Medicine. 2004. The Richard and Hinda Rosenthal Lectures 2003: Keeping Patients Safe -- Transforming the Work Environment of Nurses. Washington, DC: The National Academies Press. doi: 10.17226/11151.
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Suggested Citation:"Front Matter." Institute of Medicine. 2004. The Richard and Hinda Rosenthal Lectures 2003: Keeping Patients Safe -- Transforming the Work Environment of Nurses. Washington, DC: The National Academies Press. doi: 10.17226/11151.
×
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Suggested Citation:"Front Matter." Institute of Medicine. 2004. The Richard and Hinda Rosenthal Lectures 2003: Keeping Patients Safe -- Transforming the Work Environment of Nurses. Washington, DC: The National Academies Press. doi: 10.17226/11151.
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Suggested Citation:"Front Matter." Institute of Medicine. 2004. The Richard and Hinda Rosenthal Lectures 2003: Keeping Patients Safe -- Transforming the Work Environment of Nurses. Washington, DC: The National Academies Press. doi: 10.17226/11151.
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Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine. 2004. The Richard and Hinda Rosenthal Lectures 2003: Keeping Patients Safe -- Transforming the Work Environment of Nurses. Washington, DC: The National Academies Press. doi: 10.17226/11151.
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Through the generosity of the Rosenthal Family Foundation (formerly the Richard and Hinda Rosenthal Foundation), a discussion series was created to bring greater attention to some of the significant health policy issues facing our nation today. Each year a major health topic is addressed through remarks and conversation between experts in the field. The Institute of Medicine (IOM) later publishes the proceedings from this event for the benefit of a wider audience. This volume summarizes an engaging discussion on the IOM 2002 report, Keeping Patients Safe: Transforming the Work Environment of Nurses.

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