1.
Vincent, Charles: Patient safety. Wiley-Blackwell, Oxford (2010).
2.
Vincent, Charles: Clinical risk management: enhancing patient safety. BMJ Books, London (2001).
3.
Rhona H. Flin, O’Connor, P., Crichton , M.: Safety at the sharp end. Ashgate, Aldershot, Hants, England (2007).
4.
Reynard, John, Stevenson, Peter, Reynolds, John: Practical patient safety. Oxford University Press, Oxford (2009).
5.
Department of Health Expert Group (Chairman, CMO): An Organisation with a Memory (OWAM), (13)AD.
6.
Department of Health-a Safer Place for Patients. Stationery Office.
7.
Manchester Patient Safety Framework (MaPSaF), (2006).
8.
National Advisory Group on the Safety of Patients in England: A promise to learn – a commitment to act: improving the safety of patients in England (‘the Berwick review into patient safety’), https://www.gov.uk/government/publications/berwick-review-into-patient-safety, (2013).
9.
Vincent, Charles: Chapter 1 of Patient Safety. In: Patient safety. Wiley-Blackwell, Oxford (2010).
10.
Vincent, Charles: Chapter 2. In: Patient safety. Wiley-Blackwell, Oxford (2010).
11.
Building a safer NHS for patients - implementing an organisation with a memory, (17)AD.
12.
Walsh, K., Boaden, K.: Patient Safety: Research into Practice. Open University Press, Maidenhead, England (2006).
13.
Robert M. Wachter: Understanding Patient Safety. McGraw-Hill Professional.
14.
Reynard, John, Stevenson, Peter, Reynolds, John: Practical patient safety. Oxford University Press, Oxford (2009).
15.
Dekker, S.: Just culture: balancing safety and accountability. Ashgate, Farnham (2007).
16.
de Vries, E.N., Ramrattan, M.A., Smorenburg, S.M., Gouma, D.J., Boermeester, M.A.: The incidence and nature of in-hospital adverse events: a systematic review. Quality and Safety in Health Care. 17, 216–223 (2008). https://doi.org/10.1136/qshc.2007.023622.
17.
Conceptual Framework for the International Classification for Patient Safety, (2009).
18.
Brennan, T.A., Leape, L.L., Laird, N.M., Hebert, L., Localio, A.R., Lawthers, A.G., Newhouse, J.P., Weiler, P.C., Hiatt, H.H.: Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. Quality and Safety in Health Care. 13, 145–151 (2004). https://doi.org/10.1136/qshc.2002.003822.
19.
Perla, R.J., Hohmann, S.F., Annis, K.: Whole-Patient Measure of Safety: Using Administrative Data to Assess the Probability of Highly Undesirable Events During Hospitalization. Journal for Healthcare Quality. 35, 20–31 (2013). https://doi.org/10.1111/jhq.12027.
20.
Sari, A.B.-A., Sheldon, T.A., Cracknell, A., Turnbull, A.: Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. BMJ. 334, 79–79 (2007). https://doi.org/10.1136/bmj.39031.507153.AE.
21.
Vincent, C., Neale, G., Woloshynowych, M.: Adverse events in British hospitals: preliminary retrospective record review. BMJ. 322, 517–519 (2001). https://doi.org/10.1136/bmj.322.7285.517.
22.
Baker, G.R., Norton, P., Flintoft , V.: The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. Canadian Medical Association Journal. 170, 1678–1686 (2004). https://doi.org/10.1503/cmaj.1040498.
23.
Thomas, E.J., Studdert, D.M., Burstin, H.R., Orav, E.J., Zeena, T., Williams, E.J., Mason , H., K., Weiler, P.C., Brennan, T.A.: Incidence and Types of Adverse Events and Negligent Care in Utah and Colorado. Medical Care. 38,.
24.
Carpenter, K.B., Duevel, M.A., Lee, P.W., Wu, A.W., Bates, D.W., Runciman, W.B., Baker, G.R., Larizgoitia, I., Weeks, W.B.: Measures of patient safety in developing and emerging countries: a review of the literature. Quality and Safety in Health Care. 19, 48–54 (2010). https://doi.org/10.1136/qshc.2008.031088.
25.
Tingle, J., Bark, P.: Chapter of Patient Safety, Law Policy and Practice: ‘Psychological Aspects of Patient Safety’. In: Patient Safety, Law Policy and Practice (2011).
26.
Wang, Y., Eldridge, N., Metersky, M.L., Verzier, N.R., Meehan, T.P., Pandolfi, M.M., Foody, J.M., Ho, S.-Y., Galusha, D., Kliman, R.E., Sonnenfeld, N., Krumholz, H.M., Battles, J.: National Trends in Patient Safety for Four Common Conditions, 2005–2011. New England Journal of Medicine. 370, 341–351 (2014). https://doi.org/10.1056/NEJMsa1300991.
27.
Kuehn, B.M.: IT Vulnerabilities Highlighted by Errors, Malfunctions at Veterans’ Medical Centers. JAMA. 301, (2009). https://doi.org/10.1001/jama.2009.239.
28.
Bark, P., Vincent, C., Olivieri, L., Jones, A.: Impact of litigation on senior clinicians: implications for risk management. Quality and Safety in Health Care. 6, 7–13 (1997). https://doi.org/10.1136/qshc.6.1.7.
29.
Wu, A.W., Folkman, S., McPhee, S., Lo, B.: Do house officers learn from their mistakes? Quality and Safety in Health Care. 12, 221–226 (2003). https://doi.org/10.1136/qhc.12.3.221.
30.
Vincent, Charles: Chapter 4. In: Patient safety. Wiley-Blackwell, Oxford (2010).
31.
Vincent, Charles: Chapter 9. In: Patient safety. Wiley-Blackwell, Oxford (2010).
32.
Vincent, Charles: Chapter 10. In: Patient safety. Wiley-Blackwell, Oxford (2010).
33.
Leape, L.L.: Errors in medicine. Clinica Chimica Acta. 404, 2–5 (2009). https://doi.org/10.1016/j.cca.2009.03.020.
34.
Conceptual Framework for the International Classification for Patient Safety, (2009).
35.
Power, M., Fogarty, M., Madsen, J., Fenton, K., Stewart, K., Brotherton, A., Cheema, K., Harrison, A., Provost, L.: Learning from the design and development of the NHS Safety Thermometer. International Journal for Quality in Health Care. (2014). https://doi.org/10.1093/intqhc/mzu043.
36.
Beatty, P.: Chapter of PATIENT SAFETY: RESEARCH INTO PRACTICE: ‘Technology, informatics and patient safety’. In: PATIENT SAFETY: RESEARCH INTO PRACTICE. OPEN UNIVERSITY, BUCKINGHAM (2005).
37.
Vincent, Charles: Chapter 5. In: Patient safety. Wiley-Blackwell, Oxford (2010).
38.
Vincent, Charles: Chapter of 6 Patient safety. In: Patient safety. Wiley-Blackwell, Oxford (2010).
39.
Julianne M., RN, MS Morath, Joanne E., PHD Turnbull: To Do No Harm. Jossey-Bass.
40.
Reason, J. T.: Managing the risks of organizational accidents. Ashgate, Aldershot (1997).
41.
Vincent, Charles: Chapter 6. In: Patient safety. Wiley-Blackwell, Oxford (2010).
42.
Vincent, Charles: Chapter 7. In: Patient safety. Wiley-Blackwell, Oxford (2010).
43.
Vincent, Charles: Chapter 14. In: Patient safety. Wiley-Blackwell, Oxford (2010).
44.
Potts, H.W., Anderson, J.E., Colligan, L., Leach, P., Davis, S., Berman, J.: Assessing the validity of prospective hazard analysis methods: a comparison of two techniques. BMC Health Services Research. 14, (2014). https://doi.org/10.1186/1472-6963-14-41.
45.
Colligan, L., Anderson, J.E., Potts, H.W.W., Berman, J.: Does the process map influence the outcome of quality improvement work? A comparison of a sequential flow diagram and a hierarchical task analysis diagram. BMC Health Services Research. 10, (2010). https://doi.org/10.1186/1472-6963-10-7.
46.
Dekker, S.: Just culture: balancing safety and accountability. Ashgate, Farnham (2007).
47.
Pham, J.C., Colantuoni, E., Dominici, F., Shore, A., Macrae, C., Scobie, S., Fletcher, M., Cleary, K., Goeschel, C.A., Pronovost, P.J.: The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems. Quality and Safety in Health Care. 19, 440–445 (2010). https://doi.org/10.1136/qshc.2009.035444.
48.
Evans, S.M., Smith, B.J., Esterman, A., Runciman, W.B., Maddern, G., Stead, K., Selim, P., O’Shaughnessy, J., Muecke, S., Jones, S.: Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Quality and Safety in Health Care. 16, 169–175 (2007). https://doi.org/10.1136/qshc.2006.019349.
49.
Runciman, W.B., Williamson, J.A.H., Deakin, A., Benveniste, K.A., Bannon, K., Hibbert, P.D.: An integrated framework for safety, quality and risk management: an information and incident management system based on a universal patient safety classification. Quality and Safety in Health Care. 15, i82–i90 (2006). https://doi.org/10.1136/qshc.2005.017467.
50.
Runciman, Bill, Merry, Alan, Walton, Merrilyn: Chapter of Safety and ethics in healthcare: a guide to getting it right: ‘Naming, blaming and shaming’. In: Safety and ethics in healthcare: a guide to getting it right. Ashgate, Aldershot (2007).
51.
Vincent, Charles: Chapter 5. In: Patient safety. Wiley-Blackwell, Oxford (2010).
52.
Vincent, Charles: Chapter 8. In: Patient safety. Wiley-Blackwell, Oxford (2010).
53.
Nicolini, D., Waring, J., Mengis, J.: The challenges of undertaking root cause analysis in health care: a qualitative study. Journal of Health Services Research & Policy. 16, 34–41 (2011). https://doi.org/10.1258/jhsrp.2010.010092.
54.
DeRosier, J., Stalhandske, E., Bagian, J.P., Nudell, T.: Using Healthcare Failure Modes and Effects AnalysisSM: The VA National Center for Patient Safety’s Prospective Risk Analysis System. The Joint Commission Journal on Quality Improvement. 27, 248–267 (2002).
55.
Colligan, L., Anderson, J.E., Potts, H.W.W., Berman, J.: Does the process map influence the outcome of quality improvement work? A comparison of a sequential flow diagram and a hierarchical task analysis diagram. BMC Health Services Research. 10, (2010). https://doi.org/10.1186/1472-6963-10-7.
56.
Dineen, M., Bartlett, R.: Six Steps to Root Cause Analysis: Amazon.co.uk: : Books.
57.
Joint Commission International: Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction.
58.
Kirwan, B., Ainsworth, L. K.: A guide to task analysis. Taylor & Francis, Boca Raton (1992).
59.
Dimond, B.: Legal aspects of nursing. Pearson, Harlow, England (2011).
60.
Stauch, M., Wheat, K.: Text, cases and materials on medical law and ethics. Routledge, New York (2011).
61.
Tingle, J., Bark, P.: Chapter 2. In: Patient Safety, Law Policy and Practice (2011).
62.
Tingle, J., Bark, P.: Chapter 3. In: Patient Safety, Law Policy and Practice.
63.
Gawande, Atul: The checklist manifesto: how to get things right. Profile, London (2010).
64.
Baker, D.P., Gustafson, S., Beaubien, J., Salas, E., Barach, P.: Literature Review: Medical Teamwork and Patient Safety: The Evidence-based Relation, (2003).
65.
Reynard, John, Stevenson, Peter, Reynolds, John: Chapter 3 of Practical patient safety: ‘Safety Culture in high reliability organizations’. In: Practical patient safety. Oxford University Press, Oxford (2009).
66.
Vincent, Charles: Chapter 11. In: Patient safety. Wiley-Blackwell, Oxford (2010).
67.
Vincent, Charles: Chapter 12. In: Patient safety. Wiley-Blackwell, Oxford (2010).
68.
Vincent, Charles: Chapter 20. In: Patient safety. Wiley-Blackwell, Oxford (2010).
69.
Department of Health: Coding for Success: Simple technology for safer patient care, (16)AD.
70.
Right patient, right blood: advice for safer blood transfusions, (9)AD.
71.
Building a safer NHS for patients - implementing an organisation with a memory, (17)AD.
72.
Beatty, P.: Chapter of Patient safety: ‘Technology, informatics and patient safety’. In: Patient safety. Open University Press, Maidenhead, England (2006).
73.
Runciman, W.B., Baker, G.R., Michel, P., Dovey, S., Lilford, R.J., Jensen, N., Flin, R., Weeks, W.B., Lewalle, P., Larizgoitia, I., Bates, D.: Tracing the foundations of a conceptual framework for a patient safety ontology. Quality and Safety in Health Care. 19, 1–5 (2010). https://doi.org/10.1136/qshc.2009.035147.
74.
Huckvale, C., Car, J., Akiyama, M., Jaafar, S., Khoja, T., Bin Khalid, A., Sheikh, A., Majeed, A.: Information technology for patient safety. Quality and Safety in Health Care. 19, i25–i33 (2010). https://doi.org/10.1136/qshc.2009.038497.
75.
Karsh, B.-T.: Beyond usability: designing effective technology implementation systems to promote patient safety. Quality and Safety in Health Care. 13, 388–394 (2004). https://doi.org/10.1136/qshc.2004.010322.
76.
Vincent, Charles: Chapter 13. In: Patient safety. Wiley-Blackwell, Oxford (2010).
77.
Coiera, E., Westbrook, J. I. , Wyatt, J.C.: The Safety and Quality of Decision Support Systems. IMIA Yearbook 2006: Assessing Information - Technologies for Health . 1, 20–25 (2006).
78.
Avery, A.J., Savelyich, B.S.P., Sheikh, A., Morris, C.J., Bowler, I., Teasdale, S.: Improving general practice computer systems for patient safety: qualitative study of key stakeholders. Quality and Safety in Health Care. 16, 28–33 (2007). https://doi.org/10.1136/qshc.2006.018192.
79.
Chung, K., Choi, Y.B., Moon, S.: Journal of Medical Systems, Volume 27, Number 6 - SpringerLink. Journal of Medical Systems. 27, 553–560 (2003). https://doi.org/10.1023/A:1025937916203.
80.
Ash, J.S., Berg, M., Coiera, E.: Some Unintended Consequences of Information Technology in Health Care: The Nature of Patient Care Information System-related Errors. Journal of the American Medical Informatics Association. 11, 104–112 (2003). https://doi.org/10.1197/jamia.M1471.
81.
Black, A.D., Car, J., Cresswell, K., Hemmi, A., Majeed, A., McLean, S., McKinstry, B., Mukherjee, M., Nurmatov, U., Pagliari, C., Pappas, Y., Procter, R., Sheikh, A.: The Impact of eHealth on the Quality and Safety of Healthcare, (2011).
82.
Kuehn, B.M.: IT Vulnerabilities Highlighted by Errors, Malfunctions at Veterans’ Medical Centers. JAMA: The Journal of the American Medical Association. 301, 919–920 (2009). https://doi.org/10.1001/jama.2009.239.
83.
Mollon, B., Chong, J.J., Holbrook, A.M., Sung, M., Thabane, L., Foster, G.: Features predicting the success of computerized decision support for prescribing: a systematic review of randomized controlled trials. BMC Medical Informatics and Decision Making. 9, (2009). https://doi.org/10.1186/1472-6947-9-11.
84.
Åstrand, B., Montelius, E., Petersson, G., Ekedahl, A.: Assessment of ePrescription quality: an observational study at three mail-order pharmacies. BMC Medical Informatics and Decision Making. 9, (2009). https://doi.org/10.1186/1472-6947-9-8.
85.
Isaac, T., Weissman, J.S., Davis, R.B., Massagli, M., Cyrulik, A., Sands, D.Z., Weingart, S.N.: Overrides of Medication Alerts in Ambulatory Care. Archives of Internal Medicine. 169, 305–311 (2009). https://doi.org/10.1001/archinternmed.2008.551.
86.
Redwood, S., Rajakumar, A., Hodson, J., Coleman, J.J.: Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents. BMC Medical Informatics and Decision Making. 11, (2011). https://doi.org/10.1186/1472-6947-11-29.
87.
Sweidan, M., Williamson, M., Reeve, J.F., Harvey, K., O’Neill, J.A., Schattner, P., Snowdon, T.: Evaluation of features to support safety and quality in general practice clinical software. BMC Medical Informatics and Decision Making. 11, (2011). https://doi.org/10.1186/1472-6947-11-27.
88.
Wears, R.L.: "Just a Few Seconds of Your Time…” at Least 130 Million Times a Year. Annals of Emergency Medicine. 65, 687–689 (2015). https://doi.org/10.1016/j.annemergmed.2015.02.006.
89.
Finkelstein, A.; Dowell, J.: A comedy of errors: the London Ambulance Service case study. (1996).
