AHRQ Patient Safety Network

Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of Engineering. Washington, DC: The National Academies Press; 2011. ISBN: 9780309120647.

COMMENTARY

Is yours a learning organization?

Garvin DA, Edmondson AC, Gino F. Harv Bus Rev. 2008;86:109-116.

NEWSPAPER/MAGAZINE ARTICLE

Hospital takes a page from Toyota.

Connolly C. MSNBC News. June 3, 2005.

COMMENTARY

Creating complex health improvement programs as mindful organizations: from theory to action.

Issel LM, Narasimha KM. J Health Organ Manag. 2007;21:166-183.

BOOK/REPORT

Acting Locally: Working in Clinical Microsystems CD-ROM.

Oakbrook Terrace, IL: Joint Commission Resources; 2005. ISBN: 0866889868.

NEWSPAPER/MAGAZINE ARTICLE

The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and our organizations?

Hofmann PB. Healthc Exec. 2012 May-Jun;27:64,66-67.

STUDY

Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts.

Kennerly DA, Saldaña M, Kudyakov R, da Graca B, Nicewander D, Compton J. J Patient Saf. 2013 Jan 30; [Epub ahead of print].

BOOK/REPORT classic

The Fifth Discipline.

Senge PM. New York, NY: Random House; 1990.

STUDY

Building a learning organization.

Garvin DA. Harv Bus Rev. 1993;71:271-282.

MEETING/CONFERENCE PROCEEDINGS

Health Literacy and Patient Safety Conference.

American Medical Association (AMA) Foundation. November 16-17, 2006; Rosemont, IL.

COMMENTARY

Creating a safer health care system: finding the constraint.

Pauker SG, Zane EM, Salem DN. JAMA. 2005;294:2906-2908.

COMMENTARY

Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare.

Dotan DB. J Clin Eng. 2009;34:142-146.

COMMENTARY

Event reporting: the value of a nonpunitive approach.

Youngberg BJ. Clin Obstet Gynecol. 2008;51:647-655.

COMMENTARY

The Safe Tables Collaborative: a statewide experience.

Wagner CA, Cecchettini D, Fletcher J. Jt Comm J Qual Patient Saf. 2011;37:206-210.

NEWSPAPER/MAGAZINE ARTICLE

Arresting death: saving 100,000 lives.

Meyers S. Trustee. January 2007;60:6-10.

STUDY

Teaching but not learning: how medical residency programs handle errors.

Hoff TJ, Pohl H, Bartfield J. J Org Behav. 2006;27:869-896.

STUDY

Quality improvement for patient safety: project-level versus program-level learning.

Rivard PE, Parker VA, Rosen AK. Health Care Manage Rev. 2013;38:40-50.

COMMENTARY

Seeing systems in health care organizations.

Friedman LH, King JB, Bella D. Physician Exec. Jul-Aug 2007;33:20-29.

STUDY

Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods.

Raab SS, Andrew-Jaja C, Condel JL, Dabbs DJ. Am J Obstet Gynecol. 2006;194:57-64.

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