**Meet the editors**

Dr. Stanislaw P. Stawicki is the Chair and Network Medical Director of the Department of Research and Innovation at St. Luke's University Health Network (spanning 10 hospitals across eastern Pennsylvania and western New Jersey). He specializes in general surgery, trauma/surgical critical care, and neurocritical care. He co-authored more than 510 scholarly publications,

including seven books, and is a member of numerous editorial boards. Dr. Stawicki serves on important medical and surgical leadership governing committees at local, national, and international levels. Beyond his clinical practice, he is an expert in patient safety, healthcare applications of blockchain technology, academic leadership, medical education and curriculum development, organizational design, and international health security.

Dr. Michael S. Firstenberg is a board-certified thoracic surgeon actively practicing adult cardiac surgery at the Medical Center of Aurora and Rose Hospital in Aurora, Colorado. He currently holds adjunct appointments in the Colleges of Medicine and Graduate Studies at Northeast Ohio Medical University. He attended Case Western Reserve University Medical School, received his

general surgery training at university hospitals in Cleveland, and completed a Fellowship in Thoracic Surgery at the Ohio State University. He also obtained advanced training in heart failure surgical therapies at the Cleveland Clinic. Dr. Firstenberg has lectured worldwide and written more than 100 peer-reviewed articles, several textbook chapters, and edited several books. In addition, he is active in numerous professional societies, clinical research projects, and multidisciplinary leadership committees.

Contents

**Preface VII**

**Coordination 1**

**Healthcare 13**

**Cycles" 33** Michael Buist

**Opportunities 77**

Mohamed Ben Dhiab

**Patient Safety 107**

Chapter 1 **Introductory Chapter: Medical Error and Associated Harm - The The Critical Role of Team Communication and**

Chapter 2 **Defining Adverse Events and Determinants of Medical Errors in**

**"Hierarchal Referral Model of Care and Clinical Futile**

Maryam Saeed, Mamta Swaroop, Daniel Ackerman, Diana Tarone,

Julia C. Tolentino, Jenny Schadt, Benjamin Bird, Franz S. Yanagawa,

Vasiliki Kapaki and Kyriakos Souliotis

Chapter 3 **Adverse Events in Hospitals: "Swiss Cheese" Versus the**

Chapter 4 **Fact versus Conjecture: Exploring Levels of Evidence in the Context of Patient Safety and Care Quality 53**

Chapter 5 **Patient Safety Culture in Tunisia: Defining Challenges and**

Manel Mallouli, Wiem Aouicha, Mohamed Ayoub Tlili and

Chapter 6 **Learning of Patient Safety in Health Professions Education 89** Shimaa ElAraby, Rabab Abdel Ra'oof and Rania Alkhadragy

Chapter 7 **Adverse Events during Intrahospital Transfers: Focus on**

Thomas B. Zanders and Stanislaw P. Stawicki

Jaclyn Rowbotham and Stanislaw P. Stawicki

Alyssa Green, Stanislaw P. Stawicki and Michael S. Firstenberg
