-
1
-
-
18644383685
-
Five years after to err is Human
-
What have we learned
-
Leape L, Berwick D. Five years after to err is Human. What have we learned? JAMA 2005;293:2384-90.
-
(2005)
JAMA
, vol.293
, pp. 2384-90
-
-
Leape, L.1
Berwick, D.2
-
2
-
-
1842854628
-
The current state of performance measurement in healthcare
-
Loeb JM. The current state of performance measurement in healthcare. Int J Qual Health Care 2004;6:15-19.
-
(2004)
Int J Qual Health Care
, vol.6
, pp. 15-19
-
-
Loeb, J.M.1
-
3
-
-
0038807440
-
Error today and error tomorrow
-
Berwick D. error today and error tomorrow. N engl J Med 2003;348:2570-2.
-
(2003)
N engl J Med
, vol.348
, pp. 2570-2
-
-
Berwick, D.1
-
4
-
-
39049137453
-
Effectiveness of root cause analysis in medicine
-
Wu A, Lipshutz K, Pronovost P. effectiveness of root cause analysis in medicine. JAMA 2008;299:685-7.
-
(2008)
JAMA
, vol.299
, pp. 685-7
-
-
Wu, A.1
Lipshutz, K.2
Pronovost, P.3
-
6
-
-
33646695679
-
The investigation and analysis of critical incidents and adverse events in healthcare
-
Woloshynowych M, Rogers S, TayloreAdams S, et al. The investigation and analysis of critical incidents and adverse events in healthcare. Health Technol Assess 2005;9:1e158.
-
(2005)
Health Technol Assess
, vol.9
, pp. 1-158
-
-
Woloshynowych, M.1
Rogers, S.2
TayloreAdams, S.3
-
7
-
-
54949100490
-
Techniques used in the investigation analysis of critical incidents in healthcare
-
Walshe K, Boaden R, eds. Maidenhead: Open University Press
-
Rogers S, TayloreAdams S, Woloshynowych M. Techniques used in the investigation analysis of critical incidents in healthcare. In: Walshe K, Boaden R, eds. Patient safety: Research into practice. Maidenhead: Open University Press, 2005:130-43.
-
(2005)
Patient Safety: Research into Practice
, pp. 130-43
-
-
Rogers, S.1
TayloreAdams, S.2
Woloshynowych, M.3
-
8
-
-
0035372343
-
Root cause analysis in perinatal care: Health care professionals creating safer health care systems
-
Boyer M. Root cause analysis in perinatal care: Health care professionals creating safer health care systems. J Perinat Neonatal Nurs 2001;15:40-54.
-
(2001)
J Perinat Neonatal Nurs
, vol.15
, pp. 40-54
-
-
Boyer, M.1
-
9
-
-
0036782125
-
The veterans affairs root cause analysis system in action
-
Bagian J, Gosbee J, Lee C, et al. The veterans affairs root cause analysis system in action. Jt Comm J Qual Improv 2002;28:531-45.
-
(2002)
Jt Comm J Qual Improv
, vol.28
, pp. 531-45
-
-
Bagian, J.1
Gosbee, J.2
Lee, C.3
-
10
-
-
4043154175
-
Analysis of clinical incidents; A window on the system not a search for root causes
-
Vincent C. Analysis of clinical incidents; a window on the system not a search for root causes. Qual Saf Health Care 2004;13:242-3.
-
(2004)
Qual Saf Health Care
, vol.13
, pp. 242-3
-
-
Vincent, C.1
-
11
-
-
47549111525
-
The effectiveness of root cause analysis: What does the literature tell us
-
Percarpio K, Watts V, Weeks W. The effectiveness of root cause analysis: What does the literature tell us? Jt Comm J Qual Patient Saf 2008;34:391-8.
-
(2008)
Jt Comm J Qual Patient Saf
, vol.34
, pp. 391-8
-
-
Percarpio, K.1
Watts, V.2
Weeks, W.3
-
12
-
-
33845896777
-
Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement program
-
Braithwaite J, Westbrook M, Mallock, et al. experiences of health professionals who conducted root cause analyses after undergoing a safety improvement program. Qual Saf Health care 2006;15:393-9.
-
(2006)
Qual Saf Health care
, vol.15
, pp. 393-9
-
-
Braithwaite, J.1
Westbrook, M.2
Mallock3
-
13
-
-
17144380815
-
Implementing a national strategy for patient safety: Lessons from the National Health Service in england
-
Lewis R, Fletcher M. Implementing a national strategy for patient safety: Lessons from the National Health Service in england. Qual Saf Health Care 2005;14:135-9.
-
(2005)
Qual Saf Health Care
, vol.14
, pp. 135-9
-
-
Lewis, R.1
Fletcher, M.2
-
14
-
-
34548082808
-
Root cause analysis legislationdewhat is it and why is it needed
-
Wakefield J. Root cause analysis legislationdwhat is it and why is it needed? Qld Nurse 2007;26:22.
-
(2007)
Qld Nurse
, vol.26
, pp. 22
-
-
Wakefield, J.1
-
15
-
-
26944490894
-
Human factors approaches in medicine
-
Rosenthal M, Mulcahy L, LloydeBostock S, eds. Buckingham: Open University Press
-
Vincent C, Reason J. Human factors approaches in medicine. In: Rosenthal M, Mulcahy L, LloydeBostock S, eds. Medical mishaps; pieces of the puzzle. Buckingham: Open University Press, 1999:39-56.
-
(1999)
Medical Mishaps; Pieces of the Puzzle
, pp. 39-56
-
-
Vincent, C.1
Reason, J.2
-
17
-
-
0037434858
-
Understanding and responding to adverse events
-
Vincent C. Understanding and responding to adverse events. N engl J Med 2003;11:1051-6.
-
(2003)
N engl J Med
, vol.11
, pp. 1051-6
-
-
Vincent, C.1
-
18
-
-
33846289616
-
Incident reporting and patient safety
-
Vincent C. Incident reporting and patient safety. BMJ 2007;334:51.
-
(2007)
BMJ
, vol.334
, pp. 51
-
-
Vincent, C.1
-
22
-
-
10344239384
-
Beyond the organizational accident; The need for 'error wisdom' on the frontline
-
Reason J. Beyond the organizational accident; the need for 'error wisdom' on the frontline. Qual Saf Health Care 2004;13:ii28-33.
-
(2004)
Qual Saf Health Care
, vol.13
-
-
Reason, J.1
-
23
-
-
2342433542
-
Achieving a safer health service: Part 3. Investigating root causes and formulating solutions
-
Woodward S. Achieving a safer health service: Part 3. Investigating root causes and formulating solutions. Prof Nurse 2004;19:390-4.
-
(2004)
Prof Nurse
, vol.19
, pp. 390-4
-
-
Woodward, S.1
-
24
-
-
33845865785
-
From root cause analysis to safer systems. International comparisons of nationally sponsored healthcare staff training programmes
-
Wallace M. From root cause analysis to safer systems. International comparisons of nationally sponsored healthcare staff training programmes. Qual Saf health Care 2006;15:388-91.
-
(2006)
Qual Saf health Care
, vol.15
, pp. 388-91
-
-
Wallace, M.1
|