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| 1. |  Book/Report: Safe Practices 2009. |
| | National Quality Forum. Washington, DC: National Quality Forum; 2009. |
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| 2. | Study: Patient safety climate in US hospitals: variation by management level. |
| | Singer SJ, Falwell A, Gaba DM, Baker LC. Med Care. 2008;46:1149-1156. |
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| 3. | Study: A survey of the impact of disruptive behaviors and communication defects on patient safety. |
| | Rosenstein AH, O'Daniel M. Jt Comm J Qual Patient Saf. 2008;34:464-471. |
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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: Paying the piper: investing in infrastructure for patient safety. |
| | Pronovost PJ, Rosenstein BJ, Paine L, et al. Jt Comm J Qual Patient Saf. 2008;34:342-348. |
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| 6. | Study: Improving patient safety in intensive care units in Michigan. |
| | Pronovost PJ, Berenholtz SM, Goeschel C, et al. J Crit Care. 2008;23:207-221. |
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| 7. | Book/Report: Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report. |
| | Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; March 2008. AHRQ Publication No. 08-0039. |
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| 8. | Newspaper/Magazine Article: The checklist. |
| | Gawande A. The New Yorker. December 10, 2007;83:86-95. |
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| 9. | Study: Organizational factors associated with high performance in quality and safety in academic medical centers. |
| | Keroack MA, Youngberg BJ, Cerese JL, Krsek C, Prellwitz LW, Trevelyan EW. Acad Med. 2007;82:1178-1186. |
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| 10. | Commentary: Is hospital patient care becoming safer? A conversation with Lucian Leape. |
| | Buerhaus PI. Health Affairs. 2007;26:w687-w696. |
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| 11. | Study: Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions. |
| | Davenport DL, Henderson WG, Mosca CL, Khuri SF, Mentzer RM Jr. J Am Coll Surg. 2007;205:778-784. |
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| 12. | Book/Report: Managing the Unexpected: Assuring High Performance in an Age of Complexity, 2nd edition. |
| | Weick KE, Sutcliffe KM. San Francisco, CA: John Wiley & Sons; 2007. ISBN: 9780787996499 |
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| 13. | Book/Report: Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report. |
| | Rockville, MD: Agency for Healthcare Research and Quality; April 2007. AHRQ Publication No. 07-0025. |
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| 14. | Book/Report: Safe Practices for Better Healthcare: 2006 Update. |
| | National Quality Forum. Washington, DC: National Quality Forum; 2007. |
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| 15. | Fact Sheet/FAQs: 10 Patient Safety Tips for Hospitals. |
| | Rockville, MD: Agency for Healthcare Research and Quality; 2007. AHRQ Publication No. 07-P004. |
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| 16. | Study: Perceptions of safety culture vary across the intensive care units of a single institution. |
| | Huang DT, Clermont G, Sexton JB, et al. Crit Care Med. 2007;35:165-176. |
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| 17. | Study: Measuring safety culture in the ambulatory setting: The Safety Attitudes Questionnaire—Ambulatory Version. |
| | Modak I, Sexton JB, Lux TR, Helmreich RL, Thomas EJ. J Gen Intern Med. 2007;22:1-5. |
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| 18. | Study: An intervention to decrease catheter-related bloodstream infections in the ICU. |
| | Pronovost P, Needham D, Berenholtz S, et al. N Engl J Med. 2006;355:2725-2732. |
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| 19. | Commentary: Expected and unanticipated consequences of the quality and information technology revolutions. |
| | Wachter RM. JAMA. 2006;295:2780-2783. |
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| 20. | Study: Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. |
| | Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752. |
