Ch. 1. A Formula for Errors: Good People + Bad Systems / Susan McClanahan, Susan T. Goodwin and Frank Houser -- Ch. 2. Measuring Performance of High-Risk Processes / Karen Ferraco and Patrice L. Spath -- Ch. 3. The Human Side of Medical Mistakes / Sven Ternov -- Ch. 4. Accident Investigation and Anticipatory Failure Analysis in Hospitals / Sanford E. Feldman and Douglas W. Roblin -- Ch. 5. Automating Root Cause Analysis / Robert J. Latino -- Ch. 6. One Hospital's View of Software Facilitation of Root Cause Analysis / Kenneth A. Hirsch and Dennis T. Wallace -- Ch. 7. Proactively Error-Proofing Health Care Processes / Richard J. Croteau and Paul M. Schyve -- Ch. 8. Reducing Errors through Work System Improvements / Patrice L. Spath -- Ch. 9. A Structured Teamwork System of Reduce Clinical Errors / Daniel T. Risser, Robert Simon and Matthew M. Rice / [et al.]