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| 1. |  Multi-use Website: Patient Safety Organizations. |
| | Agency for Healthcare Research and Quality. |
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| 2. | Book/Report: Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. |
| | Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2008. ISBN: 9780309127721. |
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| 3. | Study: Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. |
| | Wachter RM, Flanders SA, Fee C, Pronovost PJ. Ann Intern Med. 2008;149:29-32. |
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| 4. | Book/Report: Advances in Patient Safety: New Directions and Alternative Approaches. |
| | Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-4). |
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| 5. | Commentary: The wisdom and justice of not paying for "preventable complications." |
| | Pronovost PJ, Goeschel CA, Wachter RM. JAMA. 2008;299:2197-2199. |
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| 6. | Commentary: Medicare's decision to withhold payment for hospital errors: the devil is in the details. |
| | Wachter RM, Foster NE, Dudley RA. Jt Comm J Qual Patient Saf. 2008;34:116-123. |
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| 7. | Study: Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement. |
| | Mello MM, Studdert DM, Thomas EJ, Yoon CS, Brennan TA. J Empirical Leg Stud. 2007;4:835–860. |
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| 8. | Study: Effective implementation of work-hour limits and systemic improvements. |
| | Landrigan CP, Czeisler CA, Barger LK, et al. Jt Comm J Qual Patient Saf. 2007;33(suppl 1):19-29. |
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| 9. | Commentary: The tension between needing to improve care and knowing how to do it. |
| | Auerbach AD, Landefeld CS, Shojania KG. N Engl J Med. 2007;357:608-613. |
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| 10. | Book/Report: Serious Reportable Events in Healthcare 2006 Update: A Consensus Report. |
| | Washington, DC: National Quality Forum; 2007. ISBN 1933875089. |
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| 11. | Review: Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. |
| | Chaudhry B, Wang J, Wu S, et al. Ann Intern Med. 2006;144:742-752. |
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| 12. | Study: The long road to patient safety: a status report on patient safety systems. |
| | Longo DR, Hewett JE, Ge B, Schubert S. JAMA. 2005;294:2858-2865. |
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| 13. | Commentary: Accidental deaths, saved lives, and improved quality. |
| | Brennan TA, Gawande A, Thomas E, Studdert D. N Engl J Med. 2005;353:1405-1409. |
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| 14. | Commentary: Five years after 'To Err is Human': what have we learned? |
| | Leape LL, Berwick DM. JAMA. 2005;293:2384-2390. |
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| 15. | Book/Report: Patient Safety: Achieving a New Standard of Care. |
| | Aspden P, Corrigan JM, Wolcott J, Erickson SM, eds for the Committee for Data Standards for Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2004. ISBN: 030909776. |
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| 16. | Study: Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. |
| | Morey JC, Simon R, Jay GD, et al. Health Serv Res. 2002;37:1553-1581. |
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| 17. | Commentary: The end of the beginning: patient safety five years after 'To Err Is Human.' |
| | Wachter RM. Health Aff. 2004 Jul-Dec;Suppl Web Exclusives:W4-534-545. |
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| 18. | Commentary: Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. |
| | Gaba DM. Calif Manage Rev. 2000;43:1-20. |
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| 19. | Commentary: Risk mitigation in large scale systems: lessons from high reliability organizations. |
| | Grabowski M, Roberts KH. Calif Manage Rev. 1997;39:152-162. |
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| 20. | Commentary: Organizational culture as a source of high reliability. |
| | Weick KE. Calif Manage Rev. 1987;29:112-127. |
