In most organizations, errors - although common and unavoidable - are rarely mentioned bottom-up. Using this example of the high risk aviation industry this book assess how active error management can work and lead to success. Using academic research and 10 actual aviation accidents cases, this book will provide compelling and informative reading.

In most organizations, errors - although common and unavoidable - are rarely mentioned bottom-up. Using this example of the high risk aviation industry this book assess how active error management can work and lead to success. Using academic research and 10 actual aviation accidents cases, this book will provide compelling and informative reading.

Parenting today’s teens is not for cowards. Your teenager is facing unprecedented and confusing pressures, temptations, and challenges in today’s culture. Mark Gregston has helped teens and their parents through every struggle imaginable, and now he shares his biblical, practical insights with you in bite-size pieces. Punctuated with Scriptures, prayers, and penetrating questions, these one-page devotions will give you the wisdom and assurance you need to guide your teen through these years and reach the other side with relationships intact.

You Don't Have to Learn This the Hard Way... Anyone involved in leadership knows that it's tough and mistakes are bound to happen. But some mistakes are more costly than others and can result in the end of effectiveness, the loss of important relationships, and disqualification from ministry. Using the story of a fictitious church team to demonstrate the problems, principles, and practice of finding solutions, leadership expert Dave Kraft uncovers the top 10 critical mistakes leaders make and shows you how to avoid them so you can have ministry and relationships that last.

Sarah Dessen meets Adam Silvera in the debut YA romance everyone is talking about! “A breathtaking tour de force of angst and longing. Heartbreaking, painfully romantic, and deeply human.” —STEPHANIE GARBER, #1 bestselling author of Caraval “A novel you can make yourself at home in, with characters so real it feels like you’ve known them for ages.” —JENNA EVANS WELCH, bestselling author of Love & Gelato “This book comes with its own aching heartbeat. Be forewarned, it’s stronger than it looks.” —STACEY LEE, award-winning author of The Downstairs Girl Ellis and Easton have been inseparable since childhood. But when a rash decision throws Ellis’s life—and her relationship with Easton—into chaos, she’s forced to move halfway across the country, far from everything she’s ever known. Now Ellis hasn’t spoken to Easton in a year, and maybe it’s better that way; maybe eventually the Easton-shaped hole in her heart will heal. But when Easton’s mom invites her home for a visit, Ellis finds herself tangled up in the web of heartache, betrayal, and anger she left behind . . . and with the boy she never stopped loving.

Each year, hospital-acquired infections, prescribing and treatment errors, lost documents and test reports, communication failures, and other problems have caused thousands of deaths in the United States, added millions of days to patients' hospital stays, and cost Americans tens of billions of dollars. Despite (and sometimes because of) new medical information technology and numerous well-intentioned initiatives to address these problems, threats to patient safety remain, and in some areas are on the rise. In First, Do Less Harm, twelve health care professionals and researchers plus two former patients look at patient safety from a variety of perspectives, finding many of the proposed solutions to be inadequate or impractical. Several contributors to this book attribute the failure to confront patient safety concerns to the influence of the "market model" on medicine and emphasize the need for hospital-wide teamwork and greater involvement from frontline workers (from janitors and aides to nurses and physicians) in planning, implementing, and evaluating effective safety initiatives. Several chapters in First, Do Less Harm focus on the critical role of interprofessional and occupational practice in patient safety. Rather than focusing on the usual suspects-physicians, safety champions, or high level management-these chapters expand the list of "stakeholders" and patient safety advocates to include nurses, patient care assistants, and other staff, as well as the health care unions that may represent them. First, Do Less Harm also highlights workplace issues that negatively affect safety: including sleeplessness, excessive workloads, outsourcing of hospital cleaning, and lack of teamwork between physicians and other health care staff. In two chapters, experts explain why the promise of health care information technology to fix safety problems remains unrealized, with examples that are at once humorous and frightening. A book that will be required reading for physicians, nurses, hospital administrators, public health officers, quality and risk managers, healthcare educators, economists, and policymakers, First, Do Less Harm concludes with a list of twenty-seven paradoxes and challenges facing everyone interested in making care safe for both patients and those who care for them.

The first comprehensive reference work on error management, blending the latest thinking with state of the art industry practice on how organizations can learn from mistakes. Even today the reality of error management in some organizations is simple: “Don’t make mistakes. And if you do, you’re on your own unless you can blame someone else.” In most, it has moved on but it is still often centered around quality control, with Six Sigma Black Belts seeking to eradicate errors with an unattainable goal of zero. But the best organizations have gone further. They understand that mistakes happen, be they systemic or human. They have realized that rather than being stigmatized, errors have to be openly discussed, analyzed, and used as a source for learning. In How Could This Happen? Jan Hagen collects insights from the leading academics in this field – covering the prerequisites for error reporting, such as psychological safety, organizational learning and innovation, safety management systems, and the influence of senior leadership behavior on the reporting climate. This research is complemented by contributions from practitioners who write about their professional experiences of error management. They provide not only ideas for implementation but also offer an inside view of highly demanding work environments, such as flight operations in the military and operating nuclear submarines. Every organization makes mistakes. Not every organization learns from them. It’s the job of leaders to create the culture and processes that enable that to happen. Hagen and his team show you how.