Elder NC, McEwen TR, Flach JM, et al. Ann Fam Med. 2009;7:343-51.
This study evaluated contributing factors to effective test management systems and identified safety awareness and technological adoption as two themes worthy of greater attention in system design.
Flabouris A, Runciman WB, Levings B. Anaesth Intensive Care. 2006;34:228-236.
The authors analyzed adverse events that occurred during out-of-hospital patient transfer. They found that 91% of reported failures were preventable and conclude that incident monitoring is an effective tool for safety improvement.