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Case study: sustaining a culture of safety in the U.S. Department of Veterans Affairs Health Care System.
Chase D, McCarthy D. Quality Matters. April/May 2010.
Special or Theme Issue
Neurosurg Focus. 2012;33:E1-E16.
McCook A. Anesthesiology News. Sept 2011;37:9.
This news article highlights a program at Johns Hopkins Medicine that engages clinician reporting of errors and near misses to improve patient safety.
Web Resource > Government Resource
National Health Service England.
In response to the Francis report, this three-stage reporting system was launched to help National Health Service organizations learn from incidents and incorporate changes to reduce similar risks. The first stage alerts organizations of a new patient safety hazard, the second distributes practices or resources to address the issue, and the third disseminates a checklist to ensure safety strategies have been implemented. In April 2016 the alerts program was integrated into the new NHS Improvement initiative.