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Approach to Improving Safety
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BOOK/REPORT
Medical Error.
National Patient Safety Agency, the Medical Defence Union and Medical Protection Society. London, England: NPSA; 2005
STUDY
Junior doctors' reflections on patient safety.
Ahmed M, Arora S, Carley S, Sevdalis N, Neale G. Postgrad Med J. 2012;88:125-129.
COMMENTARY
Measuring perinatal patient safety: review of current methods.
Simpson KR. J Obstet Gynecol Neonatal Nurs. 2006;35:432-442.
TOOLKIT
Engaging Clinicians.
National Patient Safety Agency. London, England: NHS; 2005.
BOOK/REPORT
Learning to Use Patient Stories.
Cardiff, UK: NHS Wales; April 2010.
COMMENTARY
Getting Into Patient Safety: A Personal Story
Cooper JB. AHRQ WebM&M [serial online]. August 2006.
COMMENTARYclassic
Fixing healthcare from the inside, today.
Spear SJ. Harv Bus Rev. September 2005;83:78-91.
MULTI-USE WEBSITE
The VA GAPS Center: Stories.
The VA Getting at Patient Safety (GAPS) Center.
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.
COMMENTARY
Flaws in clinical reasoning: a common cause of diagnostic error.
Wellbery C. Am Fam Physician. 2011;84:1042-1048.
NEWSLETTER/JOURNAL
Patient Safety Link.
Joint Commission International Center for Patient Safety.
COMMENTARYclassic
Organizational culture as a source of high reliability.
Weick KE. Calif Manage Rev. 1987;29:112-127.
BOOK/REPORT
Misadventures in Health Care: Inside Stories.
Bogner MS, ed. Mahwah, NJ: Lawrence Erlbaum Associates; 2004. ISBN: 0805833781.
COMMENTARY
A web-based tool for the Comprehensive Unit-based Safety Program (CUSP).
Pronovost PJ, King J, Holzmueller CG, et al. Jt Comm J Qual Patient Saf. 2006;32:119-129.
BOOK/REPORT
VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities.
US Government Accountability Office. Washington, DC: US Government Accountability Office; 2004. Publication GAO-05-83.
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