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Approach to Improving Safety
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BOOK/REPORT
Adverse Health Events in Minnesota: Eleventh Annual Public Report.
St. Paul, MN: Minnesota Department of Health; February 2015.
NEWSPAPER/MAGAZINE ARTICLE
'Never' land.
Carpenter D. Hosp Health Netw. November 2007;81:34-38.
BOOK/REPORT
Never Events: Framework 2009/10.
National Patient Safety Agency. London, UK: National Reporting and Learning Service; 2009.
COMMENTARY
Listen to the Family.
Campbell D Jr. AHRQ WebM&M [serial online]. June 2004.
NEWSPAPER/MAGAZINE ARTICLE
Reused devices, surgery's deadly suspects.
Klein A. The Washington Post. December 30, 2005:A3.
NEWSPAPER/MAGAZINE ARTICLE
No pay for "never event" errors becoming standard.
O'Reilly KB. American Medical News. January 7, 2008.
BOOK/REPORTclassic
Serious Reportable Events in Healthcare—2011 Update.
Washington, DC: National Quality Forum; 2011. ISBN: 9780982842188.
NEWSPAPER/MAGAZINE ARTICLE
Organ donor's surgery death sparks questions.
Cohen E. CNN. April 9, 2012.
STUDY
Errors with concentrated epinephrine in otolaryngology.
Shah RK, Hoy E, Roberson DW, Nielsen D. Laryngoscope. 2008;118:1928-1930.
COMMENTARY
Developing a medication patient safety program — infrastructure and strategy.
Mark SM, Weber RJ. Hosp Pharm. 2007;42:149-156.
NEWSPAPER/MAGAZINE ARTICLE
Seeking a safer surgery: some states crack down on doctors who perform unregulated outpatient procedures.
Landro L. Wall Street Journal. July 21, 2009:D1.
BOOK/REPORT
To Err Is Human — To Delay Is Deadly.
Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009.
NEWSPAPER/MAGAZINE ARTICLE
Disuse of system is cited in gaps in soldiers' care.
Urbina I, Nixon R. New York Times. March 30, 2007;National Desk section:1. 
COMMENTARY
Drill down with root cause analysis.
McDonald A, Leyhane T. Nurs Manage. 2005;36:26-32.
COMMENTARY
The challenges to transparency in reporting medical errors.
Paterick ZR, Paterick BB, Waterhouse BE, Paterick TE. J Patient Saf. 2009;5:205-209.
COMMENTARY
Our broken health care system and how to fix it: an essay on health law and policy.
Jost TS. Wake Forest Law Rev. 2006;41:537-618.
NEWSPAPER/MAGAZINE ARTICLE
Spike in MR imaging accidents underscores need for regulation.
Radiological Society of North America. RSNA News; October 2010.
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