HS HEALTH CAR Leadership Guide to Patient Safety The Unique Role of Boards and Senior Leaders in Patient Safety

HS HEALTH CAR Leadership Guide to Patient Safety The Institute for Healthcare Improvement (IHI) would like to thank the following individuals for their contributions to the work: Donald M. Berwick, MD, MPP, FRCP, President and CEO, IHI Donald Goldmann, MD, Senior Vice President, IHI Frances A. Griffin, RRT, MPA, Director, IHI Julianne Morath, RN, MS, Chief Operating, Children’s Hospitals and Clinics of Minnesota Gail A. Nielsen, BSHCA, Clinical Performance Improvement Education Administrator, Iowa Health System, and IHI George W. Merck Fellow 2004–2005 Thomas Nolan, PhD, Statistician, Associates in Process Improvement, and IHI Senior Fellow James L. Reinertsen, MD, President, The Reinertsen Group, and IHI Senior Fellow Roger K. Resar, MD, Assistant Professor of Medicine at the Mayo Clinic School of Medicine and Change Agent for Luther Midelfort and Mayo Foundation; IHI Senior Fellow William C. Rupp, MD, President and CEO, Immanuel St. Joseph’s – Mayo Health System John Whittington, MD, Patient Safety Officer and Medical Director of Knowledge Management, OSF Healthcare System