-
1
-
-
0028850116
-
The Quality In Australian Health Care Study
-
Ross M. Wilson etal., The Quality In Australian Health Care Study, 163 Med. J. Austl. 458 (1995).
-
(1995)
Med. J. Austl
, vol.163
, pp. 458
-
-
Wilson, R.M.1
-
2
-
-
0025924692
-
Incidence of Adverse Events and Negligence in Hospitalized Patients: Results of the HarvardMedicalPractice Study I
-
Troyen A. Brennan et al., Incidence of Adverse Events and Negligence in Hospitalized Patients: Results of the HarvardMedicalPractice Study I, 324 New Eng. J. Med. 370 (1991).
-
(1991)
New Eng. J. Med.
, vol.324
, pp. 370
-
-
Brennan, T.A.1
-
3
-
-
0017871786
-
Report on theMedicallnsurance Feasibility Study
-
Don H. Mills, Report on theMedicallnsurance Feasibility Study, 128 West. J. Med. 360 (1978).
-
(1978)
West. J. Med
, vol.128
, pp. 360
-
-
Mills, D.H.1
-
4
-
-
0034146799
-
Incidence and Types of Adverse Events and Negligent Care in Utah and Colorado
-
Eric J. Thomas et al., Incidence and Types of Adverse Events and Negligent Care in Utah and Colorado, 38 Med. Care 261 (Mar. 2000).
-
(2000)
Med. Care
, vol.38
, pp. 261
-
-
Thomas, E.J.1
-
6
-
-
0344774494
-
Overdoses Still Weigh Heavy at Dana-Farber
-
Dec. 26
-
Richard A. Knox, Overdoses Still Weigh Heavy at Dana-Farber, Boston Globe, Dec. 26, 1995.
-
(1995)
Boston Globe
-
-
Knox, R.A.1
-
8
-
-
0344774489
-
Two Surgeons Surrender Licenses After Mistakenly Removing Kidney
-
June 6, at Metro 29
-
Richard saltus, Two Surgeons Surrender Licenses After Mistakenly Removing Kidney, Boston Globe, June 6, 1996, at Metro 29.
-
(1996)
Boston Globe
-
-
Saltus, R.1
-
9
-
-
85023791431
-
-
(Nat’l Patient Safety Foundation at the AMA, Sept. 1997), at
-
Louis Harris & Associates, Public Opinion of Patient Safety Issues Research Findings 6 (Nat’l Patient Safety Foundation at the AMA, Sept. 1997), at http://www.npsf.org/download/1997survey.pdf.
-
Public Opinion of Patient Safety Issues Research Findings
, vol.6
-
-
-
10
-
-
0034595191
-
Error in Medicine: What Have We Learned?
-
David W. Bates & Atul A. Gawande, Error in Medicine: What Have We Learned?, 132 Annals Internal Med. 763 (2000), available at http://www.annals.org/issues/v132n9/pdf/200005020-00025.pdf;
-
(2000)
Annals Internal Med.
, vol.132
, pp. 763
-
-
Bates, D.W.1
Gawande, A.A.2
-
11
-
-
0034681775
-
Medication Errors, Worse than a Crime
-
Robin E. Ferner & Jeffrey K. Aronson, Medication Errors, Worse than a Crime, 355 Lancet 947 (2000);
-
(2000)
Lancet
, vol.355
, pp. 947
-
-
Ferner, R.E.1
Aronson, J.K.2
-
12
-
-
0034643402
-
The Institute of Medicine Report on Medical Errors-Could It Do Harm?
-
Troyen A. Brennan, The Institute of Medicine Report on Medical Errors-Could It Do Harm?, 342 New Eng. J. Med. 1123 (2000).
-
(2000)
New Eng. J. Med
, Issue.342
, pp. 1123
-
-
Brennan, T.A.1
-
13
-
-
0001986555
-
Getting Past Blame: How Can We Save the Next Victim?
-
June 15, 1997, at 28
-
Lisa Belkin, Getting Past Blame: How Can We Save the Next Victim?, N.Y. Times Mag., June 15, 1997, at 28.
-
N.Y. Times Mag.
-
-
Belkin, L.1
-
14
-
-
0004170717
-
-
Organizations, Accidents, and Nuclear Weapons
-
Scott D. Sagan, The Limits of Safety: Organizations, Accidents, and Nuclear Weapons (1994);
-
(1994)
The Limits of Safety
-
-
Sagan, S.D.1
-
15
-
-
0025499736
-
-
Jens Rasmussen, The Role of Error in Organizing Behavior, 33 Ergonomics 1185 (1990).
-
(1990)
Ergonomics
, Issue.33
, pp. 1185
-
-
Rasmussen, J.1
-
21
-
-
33747927436
-
-
J. Exper. Psychol.: Human Percep. & Perf
-
Baruch Fischhoff, HindsightDoesNotEqualForesight: TheEffect of OutcomeKnowledge onJudgment Under Uncertainty, 1 J. Exper. Psychol.: Human Percep. & Perf. 288 (1975).
-
(1975)
, vol.288
, Issue.1
-
-
Fischhoff, B.1
-
23
-
-
0001812744
-
Learning from Samples of One or Fewer
-
James G. March et al., Learning from Samples of One or Fewer, 2 Organization Sci. 1 (1991).
-
(1991)
Organization Sci.
, vol.2
, pp. 1
-
-
March, J.G.1
-
24
-
-
0002098067
-
Near Misses-An Untapped Database to Find Root Causes
-
R. Gambino & O. Mallon, Near Misses-An Untapped Database to Find Root Causes, 13 Lab Rep. 41 (1991);
-
(1991)
Lab Rep
, Issue.13
, pp. 41
-
-
Gambino, R.1
Mallon, O.2
-
25
-
-
0000257483
-
Designing a Confidential SafetyReporting System: InDepthReview ofThirtyMajor Medical Incident Reporting Systems, and Near-Miss Safety Reporting Systems in the Nuclear, Aviation, and Petrochemical Industries
-
Paul Barach et al., Designing a Confidential SafetyReporting System: InDepthReview ofThirtyMajor Medical Incident Reporting Systems, and Near-Miss Safety Reporting Systems in the Nuclear, Aviation, and Petrochemical Industries, 91 Anesthesiology A1209 (Supp. 1999).
-
(1999)
Anesthesiology
, vol.91
-
-
Barach, P.1
-
26
-
-
84891743663
-
Australian Patient Safety Foundation
-
Oct. 2001
-
William B. Runciman & J. Moller, Australian Patient Safety Foundation, IatrogenicInjury inAustralia (Oct. 2001), available at http://www.apsf.net.au/Iatrogenic%20Injury.pdf.
-
Iatrogenicinjury Inaustralia
-
-
Runciman, W.B.1
Moller, J.2
-
27
-
-
0032033923
-
Some Hopes and Concerns Regarding MedicalEvent-Reporting Systems: Lessons from the NASA Aviation Safety Reporting System
-
Charles E. Billings, Some Hopes and Concerns Regarding MedicalEvent-Reporting Systems: Lessons from the NASA Aviation Safety Reporting System, 122 Arch. Pathol. & Lab. Med. 214 (Mar. 1998).
-
(1998)
Arch. Pathol. & Lab. Med
, vol.122
, pp. 214
-
-
Billings, C.E.1
-
28
-
-
34250902864
-
Research in Nearly Failure-Free, High-Reliability Organizations: Having the Bubble
-
Karlene H. Roberts & Denise M. Rousseau, Research in Nearly Failure-Free, High-Reliability Organizations: Having the Bubble, 36 IEEE Trans. Eng’g Mgmt. 132 (1989).
-
(1989)
IEEE Trans. Eng’g Mgmt
, vol.36
, pp. 132
-
-
Roberts, K.H.1
Rousseau, D.M.2
-
29
-
-
0031285785
-
A Human Error Approach to Accident Investigation: The Taxonomy of Unsafe Operations
-
Scott A. Shapell & Douglas Wiegmann, A Human Error Approach to Accident Investigation: The Taxonomy of Unsafe Operations, 7 Int’l J. Aviation Psychol. 269 (1997).
-
(1997)
Int’l J. Aviation Psychol.
, Issue.7
, pp. 269
-
-
Shapell, S.A.1
Wiegmann, D.2
-
30
-
-
0032920418
-
Demonstration of High Fidelity Simulation Team Training for Emergency Medicine
-
Stephen D. Small et al., Demonstration of High Fidelity Simulation Team Training for Emergency Medicine, 6 Academic Emerg. Med. 312 (1999).
-
(1999)
Academic Emerg. Med
, Issue.6
, pp. 312
-
-
Small, S.D.1
-
33
-
-
0031435205
-
To Tell the Truth: Ethical and Practical Issues in Disclosing Medical Mistakes to Patients
-
Albert W. Wu et al., To Tell the Truth: Ethical and Practical Issues in Disclosing Medical Mistakes to Patients, 12 J. Gen. Internal Med. 770 (1997).
-
(1997)
J. Gen. Internal Med
, vol.12
, pp. 770
-
-
Albert, W.W.1
-
34
-
-
0027425784
-
How House Officers Cope with Their Mistakes
-
Albert W. Wu et al., How House Officers Cope with Their Mistakes, 159 West. J. Med. 565 (1993).
-
(1993)
West. J. Med
, vol.159
, pp. 565
-
-
Albert, W.W.1
-
35
-
-
0021760824
-
Facing OurMistakes
-
David Hilfiker, Facing OurMistakes, 310 New Eng. J. Med. 118 (1984).
-
(1984)
New Eng. J. Med
, vol.310
, pp. 118
-
-
Hilfiker, D.1
|