TY - JOUR AU - Leveson, N. PY - 2015 DA - 2015// TI - A systems approach to risk management through leading safety indicators JO - Reliab Eng Syst Saf VL - 136 UR - https://doi.org/10.1016/j.ress.2014.10.008 DO - 10.1016/j.ress.2014.10.008 ID - Leveson2015 ER - TY - BOOK AU - Leveson, N. G. PY - 2011 DA - 2011// TI - Engineering a safer world. Systems thinking applied to safety PB - MIT Press CY - Cambridge Massachusetts ID - Leveson2011 ER - TY - JOUR AU - Hudson, P. PY - 2009 DA - 2009// TI - Process indicators. Managing safety by the numbers JO - Saf Sci VL - 47 UR - https://doi.org/10.1016/j.ssci.2008.07.037 DO - 10.1016/j.ssci.2008.07.037 ID - Hudson2009 ER - TY - BOOK AU - Vincent, C. AU - Amalberti, R. PY - 2016 DA - 2016// TI - Safer healthcare. Strategies for the real world PB - Springer CY - London UR - https://doi.org/10.1007/978-3-319-25559-0 DO - 10.1007/978-3-319-25559-0 ID - Vincent2016 ER - TY - JOUR AU - Trbovich, P. AU - Shojania, K. G. PY - 2017 DA - 2017// TI - Root-cause analysis: swatting at mosquitoes versus draining the swamp JO - BMJ Qual Saf VL - 26 ID - Trbovich2017 ER - TY - JOUR AU - Rees, P. AU - Edwards, A. AU - Powell, C. AU - Hibbert, P. AU - Williams, H. AU - Makeham, M. PY - 2017 DA - 2017// TI - Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis JO - PLoS Med VL - 14 UR - https://doi.org/10.1371/journal.pmed.1002217 DO - 10.1371/journal.pmed.1002217 ID - Rees2017 ER - TY - JOUR AU - Vincent, C. AU - Taylor-Adams, S. AU - Stanhope, N. PY - 1998 DA - 1998// TI - Framework for analysing risk and safety in clinical medicine JO - BMJ VL - 316 UR - https://doi.org/10.1136/bmj.316.7138.1154 DO - 10.1136/bmj.316.7138.1154 ID - Vincent1998 ER - TY - JOUR AU - AW, W. AU - Lipshutz, A. K. AU - Pronovost, P. J. PY - 2008 DA - 2008// TI - Effectiveness and efficiency of root cause analysis in medicine JO - JAMA VL - 299 UR - https://doi.org/10.1001/jama.299.6.685 DO - 10.1001/jama.299.6.685 ID - AW2008 ER - TY - BOOK AU - Reason, J. T. PY - 1997 DA - 1997// TI - Managing the risks of organisational accidents PB - Ashgate CY - Aldershot ID - Reason1997 ER - TY - JOUR AU - Vincent, C. PY - 2003 DA - 2003// TI - Understanding and responding to adverse events JO - N Engl J Med VL - 348 UR - https://doi.org/10.1056/NEJMhpr020760 DO - 10.1056/NEJMhpr020760 ID - Vincent2003 ER - TY - JOUR AU - Vincent, C. AU - Taylor-Adams, S. AU - Chapman, E. J. AU - Hewett, D. AU - Prior, S. AU - Strange, P. PY - 2000 DA - 2000// TI - How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and risk management protocol JO - Br Med J VL - 320 UR - https://doi.org/10.1136/bmj.320.7237.777 DO - 10.1136/bmj.320.7237.777 ID - Vincent2000 ER - TY - JOUR AU - Taylor-Adams, S. AU - Vincent, C. PY - 2004 DA - 2004// TI - Systems analysis of clinical incidents: the London protocol JO - AVMA Med Legal J VL - 10 ID - Taylor-Adams2004 ER - TY - BOOK AU - Spath, P. PY - 1999 DA - 1999// TI - Error reduction in health care: a systems approach to improving patient safety PB - AHA Press CY - Washington ID - Spath1999 ER - TY - JOUR AU - Vincent, C. PY - 2004 DA - 2004// TI - Analysis of clinical incidents: a window on the system not a search for root causes JO - Qual Saf Health Care VL - 13 UR - https://doi.org/10.1136/qshc.2004.010454 DO - 10.1136/qshc.2004.010454 ID - Vincent2004 ER - TY - JOUR AU - Peerally, M. F. AU - Carr, S. AU - Waring, J. AU - Dixon-Woods, M. PY - 2017 DA - 2017// TI - The problem with root cause analysis JO - BMJ Quality Safety VL - 26 ID - Peerally2017 ER - TY - JOUR AU - Cronin, C. PY - 2006 DA - 2006// TI - Five years of learning from analysis of clinical occurrences in pediatric care using the London protocol JO - Healthc Q VL - 9 UR - https://doi.org/10.12927/hcq.2006.18449 DO - 10.12927/hcq.2006.18449 ID - Cronin2006 ER - TY - JOUR AU - Rees, P. AU - Edwards, A. AU - Panesar, S. AU - Powell, C. AU - Carter, B. AU - Williams, H. PY - 2015 DA - 2015// TI - Safety incidents in the primary care office setting JO - Pediatrics VL - 135 UR - https://doi.org/10.1542/peds.2014-3259 DO - 10.1542/peds.2014-3259 ID - Rees2015 ER - TY - JOUR AU - Franklin, B. D. AU - Panesar, S. S. AU - Vincent, C. AU - Donaldson, L. J. PY - 2014 DA - 2014// TI - Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids JO - BMJ Qual Saf VL - 23 UR - https://doi.org/10.1136/bmjqs-2013-002572 DO - 10.1136/bmjqs-2013-002572 ID - Franklin2014 ER - TY - STD TI - Lear R, Riga C, Godfrey AD, Falaschetti E, Cheshire NJ, Van Herzeele I, et al. Multicentre observational study of surgical system failures in aortic procedures and their effect on patient outcomes. Br J Surg. 2016:1467–75. ID - ref19 ER - TY - JOUR AU - Dean, B. AU - Schachter, M. AU - Vincent, C. AU - Barber, N. PY - 2002 DA - 2002// TI - Causes of prescribing errors in hospital inpatients: a prospective study JO - Lancet VL - 359 UR - https://doi.org/10.1016/S0140-6736(02)08350-2 DO - 10.1016/S0140-6736(02)08350-2 ID - Dean2002 ER - TY - JOUR AU - Kellogg, K. M. AU - Hettinger, Z. AU - Shah, M. AU - Wears, R. L. AU - Sellers, C. R. AU - Squires, M. PY - 2017 DA - 2017// TI - Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? JO - BMJ Qual Saf VL - 26 ID - Kellogg2017 ER - TY - JOUR AU - Macrae, C. PY - 2016 DA - 2016// TI - The problem with incident reporting JO - BMJ Qual Saf VL - 25 UR - https://doi.org/10.1136/bmjqs-2015-004732 DO - 10.1136/bmjqs-2015-004732 ID - Macrae2016 ER - TY - STD TI - World Health O. Report on ageing and health 2015 [Available from: http://www.who.int/ageing/events/world-report-2015-launch/en/]. Accessed 1 Dec 2017. UR - http://www.who.int/ageing/events/world-report-2015-launch/en/ ID - ref23 ER - TY - JOUR AU - Hutchinson, A. AU - Coster, J. E. AU - Cooper, K. L. AU - McIntosh, A. AU - Walters, S. J. AU - Bath, P. A. PY - 2010 DA - 2010// TI - Assessing quality of care from hospital case notes: comparison of reliability of two methods JO - Qual Saf Health Care VL - 19 ID - Hutchinson2010 ER - TY - STD TI - Barker I, Steventon A, Deeny SR. Association between continuity of care in general practice and hospital admissions for ambulatory care sensitive conditions: cross sectional study of routinely collected, person level data. BMJ. 2017;356. ID - ref25 ER - TY - BOOK PY - 2016 DA - 2016// TI - Learning from serious incidents in NHS hospitals ID - ref26 ER - TY - JOUR AU - Leistikow, I. AU - Mulder, S. AU - Vesseur, J. PY - 2017 DA - 2017// TI - Learning from incidents in healthcare: the journey, not the arrival, matters JO - BMJ Qual Saf. VL - 26 UR - https://doi.org/10.1136/bmjqs-2015-004853 DO - 10.1136/bmjqs-2015-004853 ID - Leistikow2017 ER - TY - JOUR AU - Hutchinson, A. AU - Coster, J. E. AU - Cooper, K. L. AU - Pearson, M. AU - McIntosh, A. AU - Bath, P. A. PY - 2013 DA - 2013// TI - A structured judgement method to enhance mortality case note review: development and evaluation JO - BMJ Qual Saf VL - 22 UR - https://doi.org/10.1136/bmjqs-2013-001839 DO - 10.1136/bmjqs-2013-001839 ID - Hutchinson2013 ER - TY - STD TI - Harmsen M, Gaal S, van Dulmen S, de Feijter E, Giesen P, Jacobs A. Patient safety in Dutch primary care: study protocol. Implement Sci. 2010;5(50). doi:10.1186/1748-5908-5-50. ID - ref29 ER - TY - JOUR AU - Gaal, S. AU - Verstappen, W. AU - Wolters, R. AU - Lankveld, H. AU - van Weel, C. AU - Wensing, M. PY - 2011 DA - 2011// TI - Prevalence and consequences of patient safety incidents in general practice in the Netherlands: a retrospective medical record review study JO - Implement Sci VL - 6 UR - https://doi.org/10.1186/1748-5908-6-37 DO - 10.1186/1748-5908-6-37 ID - Gaal2011 ER - TY - JOUR AU - Amalberti, R. AU - Brami, J. PY - 2012 DA - 2012// TI - ‘Tempos’ management in primary care: a key factor for classifying adverse events, and improving quality and safety JO - BMJ Qual Saf VL - 21 UR - https://doi.org/10.1136/bmjqs-2011-048710 DO - 10.1136/bmjqs-2011-048710 ID - Amalberti2012 ER - TY - JOUR AU - Brami, J. AU - Amalberti, R. AU - Wensing, M. PY - 2015 DA - 2015// TI - Patient safety and the control of time in primary care: a review of the French tempos framework by the LINNEAUS collaboration on patient safety in primary care JO - Eur J Gen Pract VL - 21 UR - https://doi.org/10.3109/13814788.2015.1043733 DO - 10.3109/13814788.2015.1043733 ID - Brami2015 ER - TY - JOUR AU - Lang, A. AU - Edwards, N. AU - Fleiszer, A. PY - 2008 DA - 2008// TI - Safety in home care: a broadened perspective of patient safety JO - Int J Qual Health Care VL - 20 UR - https://doi.org/10.1093/intqhc/mzm068 DO - 10.1093/intqhc/mzm068 ID - Lang2008 ER - TY - JOUR AU - Lang, S. AU - Velasco Garrido, M. AU - Heintze, C. PY - 2016 DA - 2016// TI - Patients’ views of adverse events in primary and ambulatory care: a systematic review to assess methods and the content of what patients consider to be adverse events JO - BMC Fam Pract VL - 17 UR - https://doi.org/10.1186/s12875-016-0408-0 DO - 10.1186/s12875-016-0408-0 ID - Lang2016 ER - TY - JOUR AU - Weingart, S. S. PY - 2005 DA - 2005// TI - What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents JO - J Gen Intern Med VL - 20 UR - https://doi.org/10.1111/j.1525-1497.2005.0180.x DO - 10.1111/j.1525-1497.2005.0180.x ID - Weingart2005 ER - TY - JOUR AU - Weissman, J. S. AU - Schneider, E. C. AU - Weingart, S. N. AU - Epstein, A. M. AU - David-Kasdan, J. AU - Feibelmann, S. PY - 2008 DA - 2008// TI - Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not? JO - Ann Intern Med VL - 149 UR - https://doi.org/10.7326/0003-4819-149-2-200807150-00006 DO - 10.7326/0003-4819-149-2-200807150-00006 ID - Weissman2008 ER - TY - JOUR AU - Davis, R. AU - Sevdalis, N. AU - Vincent, C. PY - 2011 DA - 2011// TI - Patient involvement in patient safety: how willing are patients to participate? JO - BMJ Qual Saf VL - 20 UR - https://doi.org/10.1136/bmjqs.2010.041871 DO - 10.1136/bmjqs.2010.041871 ID - Davis2011 ER - TY - STD TI - Leistikow I, Mulder S, Vesseur J, Robben P. Learning from incidents in healthcare: the journey, not the arrival, matters. BMJ Qual Saf. 2016;(3):252–56. doi:10.1136/bmjqs-2015-004853. ID - ref38 ER - TY - BOOK AU - Vincent, C. PY - 2010 DA - 2010// TI - Patient safety PB - Wiley Blackwell CY - Oxford UR - https://doi.org/10.1002/9781444323856 DO - 10.1002/9781444323856 ID - Vincent2010 ER - TY - JOUR AU - Gallagher, T. H. AU - Studdert, D. AU - Levinson, W. PY - 2007 DA - 2007// TI - Disclosing harmful medical errors to patients JO - N Engl J Med VL - 356 UR - https://doi.org/10.1056/NEJMra070568 DO - 10.1056/NEJMra070568 ID - Gallagher2007 ER - TY - JOUR AU - Mello, M. M. AU - Boothman, R. C. AU - McDonald, T. AU - Driver, J. AU - Lembitz, A. AU - Bouwmeester, D. PY - 2014 DA - 2014// TI - Communication-and-resolution programs: the challenges and lessons learned from six early adopters JO - Health Aff (Millwood) VL - 33 UR - https://doi.org/10.1377/hlthaff.2013.0828 DO - 10.1377/hlthaff.2013.0828 ID - Mello2014 ER - TY - STD TI - Pham JC, Hoffman C, Popescu I, Ijagbemi OM, Carson KA. A tool for the concise analysis of patient safety incidents. Jt Comm J Qual Patient Saf. 42(1):AP1–3. ID - ref42 ER - TY - BOOK AU - Macrae, C. PY - 2014 DA - 2014// TI - Close calls. Managing risk and resilience in airline flight safety PB - Palgrave Macmillan CY - London ID - Macrae2014 ER - TY - JOUR AU - Macrae, C. AU - Vincent, C. PY - 2014 DA - 2014// TI - Learning from failure: the need for independent safety investigation in healthcare JO - J R Soc Med VL - 107 UR - https://doi.org/10.1177/0141076814555939 DO - 10.1177/0141076814555939 ID - Macrae2014 ER - TY - JOUR AU - Vincent, C. AU - Burnett, S. AU - Carthey, J. PY - 2014 DA - 2014// TI - Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety JO - BMJ Qual Saf VL - 23 UR - https://doi.org/10.1136/bmjqs-2013-002757 DO - 10.1136/bmjqs-2013-002757 ID - Vincent2014 ER - TY - JOUR AU - Li, J. AU - Boulanger, B. AU - Norton, J. AU - Yates, A. AU - Swartz, C. H. AU - Smith, A. PY - 2015 DA - 2015// TI - “SWARMing” to improve patient care: a novel approach to root cause analysis JO - Jt Comm J Qual Patient Saf VL - 41 UR - https://doi.org/10.1016/S1553-7250(15)41065-7 DO - 10.1016/S1553-7250(15)41065-7 ID - Li2015 ER - TY - BOOK AU - Duchscherer, C. AU - Davies, J. PY - 2012 DA - 2012// TI - Systematic systems analysis: a practical approach to patient safety reviews PB - Health Quality Council of Alberta CY - Calgary ID - Duchscherer2012 ER - TY - JOUR AU - Wears, R. L. AU - Woods, D. D. PY - 2007 DA - 2007// TI - Always adapting JO - Ann Emerg Med VL - 50 UR - https://doi.org/10.1016/j.annemergmed.2007.09.018 DO - 10.1016/j.annemergmed.2007.09.018 ID - Wears2007 ER - TY - JOUR AU - Braithwaite, J. AU - Wears, R. L. AU - Hollnagel, E. PY - 2015 DA - 2015// TI - Resilient health care: turning patient safety on its head JO - Int J Qual Health Care VL - 27 UR - https://doi.org/10.1093/intqhc/mzv063 DO - 10.1093/intqhc/mzv063 ID - Braithwaite2015 ER - TY - JOUR AU - Wu, A. W. AU - Marks, C. M. PY - 2013 DA - 2013// TI - Close calls in patient safety: should we be paying closer attention? JO - CMAJ VL - 185 UR - https://doi.org/10.1503/cmaj.130014 DO - 10.1503/cmaj.130014 ID - Wu2013 ER - TY - JOUR AU - Kerckhoffs, M. C. AU - van der Sluijs, A. F. AU - Binnekade, J. M. AU - Dongelmans, D. A. PY - 2013 DA - 2013// TI - Improving patient safety in the ICU by prospective identification of missing safety barriers using the bow-tie prospective risk analysis model JO - J Patient Saf. VL - 9 UR - https://doi.org/10.1097/PTS.0b013e318288a476 DO - 10.1097/PTS.0b013e318288a476 ID - Kerckhoffs2013 ER - TY - JOUR AU - Ashley, L. AU - Armitage, G. PY - 2010 DA - 2010// TI - Failure mode and effects analysis: an empirical comparison of failure mode scoring procedures JO - J Patient Saf VL - 6 UR - https://doi.org/10.1097/PTS.0b013e3181fc98d7 DO - 10.1097/PTS.0b013e3181fc98d7 ID - Ashley2010 ER - TY - JOUR AU - Burgmeier, J. PY - 2002 DA - 2002// TI - Failure mode and effect analysis: an application in reducing risk in blood transfusion JO - Jt Comm J Qual Improv VL - 28 ID - Burgmeier2002 ER - TY - JOUR AU - Cook, R. I. AU - Wreathall, J. AU - Smith, A. AU - Cronin, D. C. AU - Rivero, O. AU - Harland, R. C. PY - 2007 DA - 2007// TI - Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003 JO - Transplantation VL - 84 UR - https://doi.org/10.1097/01.tp.0000295931.39616.25 DO - 10.1097/01.tp.0000295931.39616.25 ID - Cook2007 ER - TY - JOUR AU - McNally, K. M. AU - Page, M. A. AU - Sunderland, B. PY - 1997 DA - 1997// TI - Failure-mode and effects analysis in improving a drug distribution system JO - Am J Health Syst Pharm VL - 54 ID - McNally1997 ER - TY - STD TI - Barnard D, Dumkee M, Bains B, Gallivan B. Implementing a good catch program in an integrated health system. Healthc Q. 2006;9 Spec No:22-7. ID - ref56 ER - TY - BOOK AU - Cook, R. I. AU - Woods, D. D. AU - Miller, C. A. PY - 1998 DA - 1998// TI - A tale of two stories: contrasting views of patient safety PB - US National Patient Safety Foundation CY - Chicago ID - Cook1998 ER - TY - BOOK AU - Turner, B. A. PY - 1978 DA - 1978// TI - Man-made disasters PB - Wykeham Publications CY - London ID - Turner1978 ER - TY - BOOK AU - Weick, K. AU - Sutcliffe, K. PY - 2001 DA - 2001// TI - Managing the unexpected. Assuring high performance in an age of complexity PB - Jossey Bass CY - San Francisco ID - Weick2001 ER - TY - JOUR AU - Wilson, K. A. AU - Burke, C. S. AU - Priest, H. A. AU - Salas, E. PY - 2005 DA - 2005// TI - Promoting health care safety through training high reliability teams JO - Qual Saf Health Care. VL - 14 UR - https://doi.org/10.1136/qshc.2004.010090 DO - 10.1136/qshc.2004.010090 ID - Wilson2005 ER - TY - JOUR AU - Sutcliffe, K. M. AU - Paine, L. AU - Pronovost, P. J. PY - 2017 DA - 2017// TI - Re-examining high reliability: actively organising for safety JO - BMJ Qual Saf VL - 26 UR - https://doi.org/10.1136/bmjqs-2015-004698 DO - 10.1136/bmjqs-2015-004698 ID - Sutcliffe2017 ER - TY - JOUR AU - Macrae, C. PY - 2009 DA - 2009// TI - Making risks visible: identifying and interpreting threats to airline flight safety JO - J Occup Organ Psychol VL - 82 UR - https://doi.org/10.1348/096317908X314045 DO - 10.1348/096317908X314045 ID - Macrae2009 ER - TY - STD TI - Carthey J, Walker S, Deelchand V, Vincent C, Griffiths W. Breaking the rules: understanding non-compliance with policies and guidelines. Br Med J. 2011:343. doi:10.1136/bmj.d5283. ID - ref63 ER - TY - JOUR AU - Braithwaite, J. AU - Westbrook, M. T. PY - 2011 DA - 2011// TI - Time spent by health managers in two cultures on work pursuits: real time, ideal time and activities’ importance JO - Int J Health Plann Manag VL - 26 UR - https://doi.org/10.1002/hpm.1033 DO - 10.1002/hpm.1033 ID - Braithwaite2011 ER - TY - CHAP AU - Amalberti, R. AU - Hourlier, S. ED - Carayon, P. PY - 2005 DA - 2005// TI - Human error reduction strategies in health care BT - Handbook of human factors and ergonomics in healthcare and patient safety ID - Amalberti2005 ER - TY - STD TI - Cafazzo JA, Trbovich PL, Cassano-Piche A, Chagpar A, Rossos PG, Vicente KJ, et al. Human factors perspectives on a systemic approach to ensuring a safer medication delivery process. Healthc Q. 2009;12 Spec No Patient:70-4. ID - ref66 ER - TY - JOUR AU - Mayer, J. AU - Mooney, B. AU - Gundlapalli, A. AU - Harbarth, S. AU - Stoddard, G. PY - 2011 DA - 2011// TI - Dissemination and sustainability of a hospital-wide hand hygiene program emphasizing positive reinforcement JO - Infect Control Hosp Epidemiol VL - 32 UR - https://doi.org/10.1086/657666 DO - 10.1086/657666 ID - Mayer2011 ER - TY - JOUR AU - Novoa, A. M. AU - Pi-Sunyer, T. AU - Sala, M. AU - Molins, E. AU - Castells, X. PY - 2007 DA - 2007// TI - Evaluation of hand hygiene adherence in a tertiary hospital JO - Am J Infect Control VL - 35 UR - https://doi.org/10.1016/j.ajic.2007.03.007 DO - 10.1016/j.ajic.2007.03.007 ID - Novoa2007 ER - TY - STD TI - Pittet D, Hugonnet S, Harbarth S. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Infection control programme. Lancet. 2000;356(9238):1307–12. ID - ref69 ER - TY - JOUR AU - Pittet, D. AU - Simon, A. AU - Hugonnet, S. AU - Pessoa-Silva, C. AU - Sauvan, V. AU - Perneger, T. V. PY - 2004 DA - 2004// TI - Hand hygiene among physicians: performance, beliefs, and perceptions JO - Ann Intern Med VL - 141 UR - https://doi.org/10.7326/0003-4819-141-1-200407060-00008 DO - 10.7326/0003-4819-141-1-200407060-00008 ID - Pittet2004 ER - TY - JOUR AU - Taylor, N. AU - Lawton, R. AU - Slater, B. AU - Foy, R. PY - 2013 DA - 2013// TI - The demonstration of a theory-based approach to the design of localized patient safety interventions JO - Implement Sci VL - 8 UR - https://doi.org/10.1186/1748-5908-8-123 DO - 10.1186/1748-5908-8-123 ID - Taylor2013 ER - TY - JOUR AU - Mills, P. D. AU - Neily, J. AU - Luan, D. AU - Stalhandske, E. AU - Weeks, W. B. PY - 2005 DA - 2005// TI - Using aggregate root cause analysis to reduce falls and related injuries JO - Jt Comm J Qual Patient Saf VL - 31 UR - https://doi.org/10.1016/S1553-7250(05)31004-X DO - 10.1016/S1553-7250(05)31004-X ID - Mills2005 ER - TY - STD TI - Taitz J, Genn K, Brooks V, Ross D, Ryan K, Shumack B, et al. System-wide learning from root cause analysis: a report from the New South Wales Root Cause Analysis Review Committee. Qual Saf Health Care. 2010;(6):e63. doi:10.1136/qshc.2008.032144. ID - ref73 ER - TY - JOUR AU - Carroll, J. S. AU - Rudolph, J. W. PY - 2006 DA - 2006// TI - Design of high reliability organizations in health care JO - Qual Saf Health Care VL - 15 UR - https://doi.org/10.1136/qshc.2005.015867 DO - 10.1136/qshc.2005.015867 ID - Carroll2006 ER - TY - JOUR AU - Amalberti, R. PY - 2001 DA - 2001// TI - The paradoxes of almost totally safe transportation systems JO - Saf Sci VL - 37 UR - https://doi.org/10.1016/S0925-7535(00)00045-X DO - 10.1016/S0925-7535(00)00045-X ID - Amalberti2001 ER - TY - JOUR AU - Bates, D. W. PY - 2015 DA - 2015// TI - Health information technology and care coordination: the next big opportunity for informatics? JO - Yearb Med Inform VL - 10 UR - https://doi.org/10.15265/IY-2015-020 DO - 10.15265/IY-2015-020 ID - Bates2015 ER - TY - JOUR AU - Sheikh, A. AU - Sood, H. S. AU - Bates, D. W. PY - 2015 DA - 2015// TI - Leveraging health information technology to achieve the “triple aim” of healthcare reform JO - J Am Med Inform Assoc VL - 22 UR - https://doi.org/10.1093/jamia/ocv022 DO - 10.1093/jamia/ocv022 ID - Sheikh2015 ER -