Still Not Safe: Patient Safety and the Middle-Managing of American Medicine

Wears R, Sutcliffe K. Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. New York, NY: Oxford University Press; 2019.

The modern patient safety movement has struggled to achieve the goals set forth in To Err Is Human. This book surveys the evolution of the collective error reduction effort in health care. The authors analyze the experience through social, legal, market, psychological and medical practice trends. They submit that the clinician-driven focus of improvement is reducing the momentum needed for lasting change. The publication provides recommendations to generate the improvement needed do minimize patient harm, notably the involvement of safety scientists.