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STUDY
The need for organizational change in patient safety initiatives.
Anderson JG, Ramanujam R, Hensel D, Anderson MM, Sirio CA. Int J Med Inform. 2006;75:809-817.
COMMENTARY
Patient safety in an interprofessional learning environment.
Horsburgh M, Merry AF, Seddon M. Med Educ. 2005;39:512-513.
NEWSPAPER/MAGAZINE ARTICLE
Harmful errors: how will your facility respond?
ISMP Medication Safety Alert! Acute Care Edition. October 5, 2006;11:1-2.
STUDY
Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative.
Potylycki MJ, Kimmel SR, Ritter M, et al. J Nurs Adm. 2006;36:370-376.
COMMENTARY
In Conversation with...Allan Frankel, MD
AHRQ WebM&M [serial online]. July 2006.
REVIEW
What is patient safety culture? A review of the literature.
Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. J Nurs Scholarsh. 2010;42:156-165.
NEWSPAPER/MAGAZINE ARTICLE
The dawn of the robo-docs.
Weber DO. Hosp Health Netw. March 14, 2006.
STUDYclassic
Disclosing medical errors to patients: it's not what you say, it's what they hear.
Wu AW, Huang IC, Stokes S, Pronovost PJ. J Gen Intern Med. 2009;24:1012-1017.
COMMENTARY
Key Issues in Developing a Successful Hospital Safety Program
Whittington J. AHRQ WebM&M [serial online]. July 2006.
NEWSPAPER/MAGAZINE ARTICLE
Our long journey towards a safety-minded just culture. Part I: Where we've been.
ISMP Medication Safety Alert! Acute Care Edition. September 7, 2006;11:1-3.
NEWSPAPER/MAGAZINE ARTICLE
Ounce of prevention: to reduce errors, hospitals prescribe innovative designs.
Naik G. The Wall Street Journal. May 8, 2006:A1.
BOOK/REPORT
Framework for a High Performance Health System for the United States.
The Commonwealth Fund Commission on a High Performance Health System. New York, NY: The Commonwealth Fund; August 2006.
ORGANIZATIONAL POLICY/GUIDELINES
Safely implementing health information and converging technologies.
Sentinel Event Alert. December 11, 2008;(42):1-4.
NEWSPAPER/MAGAZINE ARTICLE
If safety is your yardstick, measuring culture from the top down must be a priority.
ISMP Medication Safety Alert! Acute Care Edition. March 22, 2007;12:1-2.
STUDY
Organizational and cultural changes for providing safe patient care.
Odwazny R, Hasler S, Abrams R, McNutt R. Qual Manag Health Care. 2005;14:132-143.
COMMENTARY
Critical conversations: a call for a nonprocedural "time out."
Sehgal NL, Fox M, Sharpe BA, Vidyarthi AR, Blegen M, Wachter RM. J Hosp Med. 2011;6:157-162.
NEWSPAPER/MAGAZINE ARTICLE
No bad apples.
Thrall TH. Hosp Health Netw. December 2008.
NEWSPAPER/MAGAZINE ARTICLE
What pilots can teach hospitals about patient safety.
Murphy K. New York Times. October 31, 2006:F5.
COMMENTARYclassic
Fixing healthcare from the inside, today.
Spear SJ. Harv Bus Rev. September 2005;83:78-91.
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