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STUDY
Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers.
Kachalia A, Gandhi TK, Puopolo AL, et al. Ann Emerg Med. Ann Emerg Med. 2007;49:196-205.
STUDY
Insufficient communication about medication use at the interface between hospital and primary care.
Glintborg B, Andersen SE, Dalhoff K. Qual Saf Health Care. 2007;16:34-39.
STUDY
Doctors' thinking about 'the system' as a threat to patient safety.
Waring JJ. Health (London). 2007;11:29-46.
CONGRESSIONAL TESTIMONY
Oversight hearing on recent patient safety issues.
Subcommittee on Oversight and Investigations, 109th Cong, 2nd Sess (June 15, 2006). (Testimony of James P. Bagian, MD, PE; John D. Daigh, Jr., MD; Daniel Schultz, MD; Laurie Ekstrand).
STUDY
The effect of the fit between organizational culture and structure on medication errors in medical group practices.
Kaissi A, Kralewski J, Dowd B, Heaton A. Health Care Manage Rev. 2007;32:12-21.
REVIEW
Interruptions during nurses' work: a state-of-the-science review.
Hopkinson SG, Jennings BM. Res Nurs Health. 2013;36:38-53.
REVIEW
Nature of human error: implications for surgical practice.
Cuschieri A. Ann Surg. 2006;244:642-648.
STUDY
System weaknesses as contributing causes of accidents in health care.
Ternov S, Akselsson R. Int J Qual Health Care. 2005;17:5-13.
STUDY
Patient safety culture in home care: experiences of home-care nurses.
Berland A, Holm AL, Gundersen D, Bentsen SB. J Nurs Manag. 2012;20:794-801.
REVIEW
Overriding of drug safety alerts in computerized physician order entry.
van der Sijs H, Aarts J, Vulto A, Berg M. J Am Med Inform Assoc. 2006;13:138-147.
NEWSPAPER/MAGAZINE ARTICLE
Ding-a-ling-a-ling: ambulances can be dangerous places.
Meisel Z. Slate. November 8, 2005.
STUDY
Complexity of medication-related verbal orders.
Wakefield DS, Ward MM, Groath D, et al. Am J Med Qual. 2008;23:7-17. 
COMMENTARY
Diagnostic errors—The next frontier for patient safety.
Newman-Toker DE, Pronovost PJ. JAMA. 2009;301:1060-1062.
COMMENTARY
In Conversation with...Allan Frankel, MD
AHRQ WebM&M [serial online]. July 2006.
COMMENTARY
Reason's accident causation model: application to adverse events in acute care.
Elliott M, Page K, Worrall-Carter L. Contemp Nurse. 2012;43:22-28.
COMMENTARY
Complexity and safety.
Carrillo RA. J Saf Res. 2011;42:293-300.
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