Anon. 2013. ‘Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry - Executive Summary’.
Anon. n.d.-a. ‘Managing Competing Organizational Priorities in Clinical Handover across Organizational Boundaries’.
Anon. n.d.-b. ‘The Importance of Human Resources Management in Health Care: A Global Context’. Retrieved (http://www.human-resources-health.com/content/4/1/20).
Apkon, M., J. Leonard, L. Probst, L. DeLizio, and R. Vitale. 2004. ‘Design of a Safer Approach to Intravenous Drug Infusions: Failure Mode Effects Analysis’. Quality & Safety in Health Care 13(4):265–71. doi: 10.1136/qshc.2003.007443.
Apkon, M, J. Leonard, R. Vitale, L. DeLizio, and L. Probst. 2004. ‘Design of a Safer Approach to Intravenous Drug Infusions: Failure Mode Effects Analysis’. Quality and Safety in Health Care 13(4):265–71. doi: 10.1136/qshc.2003.007443.
Armitage, G., M. Neary, G. Hollingsworth, and L. Ashley. 2010. ‘A Practical Guide to Failure Mode and Effects Analysis in Health Care: Making the Most of the Team and Its Meetings’. Joint Commission Journal on Quality and Patient Safety 36(8):358–351. doi: 10.1016/S1553-7250(10)36053-3.
Barach, Paul, and Stephen D. Small. 2000a. ‘Reporting and Preventing Medical Mishaps: Lessons from Non-Medical near Miss Reporting Systems’. BMJ 320(7237):759–63. doi: 10.1136/bmj.320.7237.759.
Barach, Paul, and Stephen D. Small. 2000b. ‘Reporting and Preventing Medical Mishaps: Lessons from Non-Medical near Miss Reporting Systems’. BMJ: British Medical Journal 320(7237):759–63. doi: 10.1136/bmj.320.7237.759.
Barber, N., B. Franklin, S. Burnett, A. Parand, and N. Shebl. 2012. ‘Failure Mode and Effects Analysis: Views of Hospital Staff in the UK’. Journal of Health Services Research and Policy 17(1):37–43.
Benn, J., M. Koutantji, L. Wallace, P. Spurgeon, M. Rejman, A. Healey, and C. Vincent. 2009a. ‘Feedback from Incident Reporting: Information and Action to Improve Patient Safety’. Quality and Safety in Health Care 18(1):11–21. doi: 10.1136/qshc.2007.024166.
Benn, J., M. Koutantji, L. Wallace, P. Spurgeon, M. Rejman, A. Healey, and C. Vincent. 2009b. ‘Feedback from Incident Reporting: Information and Action to Improve Patient Safety’. Quality & Safety in Health Care 18(1):11–21. doi: 10.1136/qshc.2007.024166.
Berwick, Donald M., A. Blanton Godfrey, and Jane Roessner. 2002. Curing Health Care: New Strategies for Quality Improvement : A Report on the National Demonstration Project on Quality Improvement in Health Care. San Francisco, Calif: Jossey-Bass.
Bicheno, John. 2004. The New Lean Toolbox: Towards Fast, Flexible Flow. 3rd ed. Buckingham: PICSIE Books.
Bicheno, John. 2012. The Service Systems Toolbox: Integrating Lean Thinking, Systems Thinking, and Design Thinking. Buckingham: PICSIE Books.
Bicheno, John, Philip Catherwood, and Rob James. 2005. Six Sigma: And the Quality Toolbox for Service and Manufacturing. Rev. ed. Buckingham: Picsie Books.
Burke, John P. 2003. ‘Infection Control — A Problem for Patient Safety’. New England Journal of Medicine 348(7):651–56. doi: 10.1056/NEJMhpr020557.
Burke, John P. 2003. ‘Infection Control--a Problem for Patient Safety’. The New England Journal of Medicine 348(7):651–56.
Chassin, Mark R. 2002. ‘The Wrong Patient’. Annals of Internal Medicine 136(11):826–33. doi: 10.7326/0003-4819-136-11-200206040-00012.
Cohen, M. D., and P. B. Hilligoss. 2010. ‘The Published Literature on Handoffs in Hospitals: Deficiencies Identified in an Extensive Review’. BMJ Quality & Safety 19(6):493–97. doi: 10.1136/qshc.2009.033480.
Cohen, M.D., and P. B. Hilligoss. 2010. ‘The Published Literature on Handoffs in Hospitals: Deficiencies Identified in an Extensive Review’. Quality & Safety in Health Care 19(6):493–97. doi: 10.1136/qshc.2009.033480.
Cook, Richard I., Marta Render, and David D. Woods. 2000a. ‘Gaps in the Continuity of Care and Progress on Patient Safety’. BMJ 320(7237):791–94. doi: 10.1136/bmj.320.7237.791.
Cook, Richard I., Marta Render, and David D. Woods. 2000b. ‘Gaps in the Continuity of Care and Progress on Patient Safety’. BMJ: British Medical Journal 320(7237):791–94. doi: 10.1136/bmj.320.7237.791.
Cusins, Peter. 1994. ‘Understanding Quality through Systems Thinking’. TQM Magazine 6(5):19–27.
Dekker, Sidney. 2011. Patient Safety: A Human Factors Approach. Boca Raton: CRC Press, Taylor & Francis Group.
Dekker, Sidney, and Sidney Dekker. 2006a. The Field Guide to Understanding Human Error. 2nd ed. Farnham: Ashgate Publishing Ltd.
Dekker, Sidney, and Sidney Dekker. 2006b. The Field Guide to Understanding Human Error. Aldershot, England: Ashgate.
Deming, W. Edwards. 2000. Out of the Crisis. 1st MIT Press ed. Cambridge, Mass: MIT Press.
Department of Health. 2006. ‘Safety First: A Report for Patients, Clinicians and Healthcare Managers’.
Donaldson, Liam J. and Great Britain. 2000. An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS. London: Stationery Office.
Edvardsson, Bo, John Øvretveit, and Bertil Thomasson. 1994. Quality of Service: Making It Really Work. Vol. Quality in Action. Maidenhead: McGraw-Hill.
Flin, Rhona H., Paul O’Connor, and Margaret Crichton. 2008a. Safety at the Sharp End: A Guide to Non-Technical Skills. Farnham: Ashgate Publishing Ltd.
Flin, Rhona H., Paul O’Connor, and Margaret Crichton. 2008b. Safety at the Sharp End: A Guide to Non-Technical Skills. Aldershot, England: Ashgate.
Healthcare Commission. 2007. ‘Investigation into Outbreaks of Clostridium Difficile at Maidstone and Tunbridge Wells NHS Trust’.
Hollnagel, Erik. n.d. Resilient Health Care Volume 2,. The Resilience of Everyday Clinical Work. 2nd edition. Ashgate, 2015.
Hollnagel, Erik, Jeffrey Braithwaite, and Robert L. Wears. 2013. Resilient Health Care. Vol. Ashgate studies in resilience engineering. Farnham: Ashgate.
Hollnagel, Erik, David D. Woods, and Nancy Leveson. 2006. Resilience Engineering: Concepts and Precepts. Aldershot, England: Ashgate.
Kohn, Linda T., Janet Corrigan, and Molla S. Donaldson. 2000. To Err Is Human: Building a Safer Health System. Washington, D.C.: National Academy Press.
Leonard, Michael Steven, Allan Frankel, Terri Simmonds, and Kathleen B. Vega. 2004. Achieving Safe and Reliable Healthcare: Strategies and Solutions. Vol. ACHE management series. Chicago, IL: Health Administration Press.
Liker, Jeffrey K., and David Meier. 2006a. The Toyota Way Fieldbook: A Practical Guide for Implementing Toyota’s 4Ps. New York: McGraw-Hill.
Liker, Jeffrey K., and David Meier. 2006b. The Toyota Way Fieldbook: A Practical Guide for Implementing Toyota’s 4Ps. New York: McGraw-Hill.
McKee, M. 2013. ‘Improving the Safety of Patients in England’. BMJ 347:5038–5038. doi: 10.1136/bmj.f5038.
McKee, Martin. 2013. ‘Improving the Safety of Patients in England’. BMJ: British Medical Journal 347(7921):f5038–f5038. doi: 10.1136/bmj.f5038.
McNulty, Terry, and Ewan Ferlie. 2004. Reengineering Health Care: The Complexities of Organizational Transformation. Oxford: Oxford University Press.
National Advisory Group on the Safety of Patients in England. 2013. ‘Berwick Report into Improving the Safety of Patient’.
Norman, Donald A. 1988. The Psychology of Everyday Things. New York: Basic Books.
Patterson, E. S., and R. L. Wears. 2010. ‘Patient Handoffs: Standardized and Reliable Measurement Tools Remain Elusive.’ Joint Commission Journal On Quality And Patient Safety 36(2):52–61.
Perrow, Charles. 1999. Normal Accidents: Living with High-Risk Technologies. Princeton, NJ: Princeton University Press.
Perrow, Charles. 2011. Normal Accidents: Living with High Risk Technologies. Princeton: Princeton University Press.
Raduma-Tomas, M. A., R. Flin, S. Yule, and D. Williams. 2011. ‘Doctors’ Handovers in Hospitals: A Literature Review’. BMJ Quality & Safety 20(2):128–33. doi: 10.1136/bmjqs.2009.034389.
Reason, J. 2000. ‘Human Error: Models and Management’. BMJ 320(7237):768–70. doi: 10.1136/bmj.320.7237.768.
Reason, J. T. 1990. Human Error. Cambridge [England]: Cambridge University Press.
Reason, J. T. 1997a. Managing the Risks of Organizational Accidents. Aldershot, Hants, England: Ashgate.
Reason, J. T. 1997b. Managing the Risks of Organizational Accidents. Aldershot, Hants, England: Ashgate.
Reason, James. 2000. ‘Human Error: Models and Management’. BMJ: British Medical Journal 320:768–70. doi: 10.1136/bmj.320.7237.768.
Schonberger, Richard. 2008a. Best Practices in Lean Six Sigma Process Improvement: A Deeper Look. Hoboken, N.J.: John Wiley & Sons.
Schonberger, Richard. 2008b. Best Practices in Lean Six Sigma Process Improvement: A Deeper Look. Hoboken, N.J.: John Wiley & Sons.
Seddon, John. 2005. Freedom from Command & Control: Rethinking Management for Lean Service. New York: Productivity Press.
Shojania, K. G. 2008a. ‘The Frustrating Case of Incident-Reporting Systems’. Quality and Safety in Health Care 17(6):400–402. doi: 10.1136/qshc.2008.029496.
Shojania, K. G. 2008b. ‘The Frustrating Case of Incident-Reporting Systems’. Quality and Safety in Health Care 17(6):400–402. doi: 10.1136/qshc.2008.029496.
Slack, Nigel, Alistair Brandon-Jones, and Robert Johnston. 2013a. Operations Management. 7th edition. Boston, Mass: Pearson Education UK.
Slack, Nigel, Alistair Brandon-Jones, and Robert Johnston. 2013b. Operations Management. Seventh edition. Harlow, England: Pearson.
Spear, S., and H. Kent Bowen. 1999. ‘Decoding the DNA of the Toyota Production System’. Harvard Business Review 77(5):96–106.
Sujan, M., P. T. Chessum, M. Rudd, L. Fitton, M. Inada Kim, P. Spurgeon, and M. W. Cooke. 2013. ‘Emergency Care Handover (ECHO Study) across Care Boundaries – the Need for Joint Decision Making and Consideration of Psychosocial History’. Emergency Medicine Journal 30(10):873–873. doi: 10.1136/emermed-2013-203113.17.
Sujan, Mark A. 2012. ‘A Novel Tool for Organisational Learning and Its Impact on Safety Culture in a Hospital Dispensary’. Reliability Engineering & System Safety 101:21–34. doi: 10.1016/j.ress.2011.12.021.
Taxis, K, and N. Barber. 2003. ‘Causes of Intravenous Medication Errors: An Ethnographic Study’. Quality and Safety in Health Care 12(5):343–47. doi: 10.1136/qhc.12.5.343.
Taxis, K., and N. Barber. 2003. ‘Causes of Intravenous Medication Errors: An Ethnographic Study’. Quality & Safety in Health Care 12(5):343–47. doi: 10.1136/qhc.12.5.343.
Vincent, Charles. 2010. Patient Safety. Chichester, West Sussex, UK: Wiley-Blackwell.
Vincent, Charles, Graham Neale, and Maria Woloshynowych. 2001a. ‘Adverse Events in British Hospitals: Preliminary Retrospective Record Review’. BMJ 322(7285):517–19. doi: 10.1136/bmj.322.7285.517.
Vincent, Charles, Graham Neale, and Maria Woloshynowych. 2001b. ‘Adverse Events in British Hospitals: Preliminary Retrospective Record Review’. BMJ: British Medical Journal 322:517–19. doi: 10.1136/bmj.322.7285.517.
de Vries, E N, M. A. Ramrattan, S. M. Smorenburg, D. J. Gouma, and M. A. Boermeester. 2008. ‘The Incidence and Nature of In-Hospital Adverse Events: A Systematic Review’. Quality and Safety in Health Care 17(3):216–23. doi: 10.1136/qshc.2007.023622.
de Vries, E.N., M. A. Ramrattan, S. M. Smorenburg, D. J. Gouma, and M. A. Boermeester. 2008. ‘The Incidence and Nature of In-Hospital Adverse Events: A Systematic Review’. Quality & Safety in Health Care 17:216–23. doi: 10.1136/qshc.2007.023622.
Walshe, K, and N. Offen. 2001. ‘A Very Public Failure: Lessons for Quality Improvement in Healthcare Organisations from the Bristol Royal Infirmary’. Quality and Safety in Health Care 10(4):250–56. doi: 10.1136/qhc.0100250.
Walshe, K., and N. Offen. 2001. ‘A Very Public Failure: Lessons for Quality Improvement in Healthcare Organisations from the Bristol Royal Infirmary’. Quality in Health Care 10(4):250–56. doi: 10.1136/qhc.0100250.
Weick, Karl E., and Kathleen M. Sutcliffe. 2007a. Managing the Unexpected: Resilient Performance in an Age of Uncertainty. 2nd ed. San Francisco: Jossey-Bass.
Weick, Karl E., and Kathleen M. Sutcliffe. 2007b. Managing the Unexpected: Resilient Performance in an Age of Uncertainty. 2nd ed. San Francisco: Jossey-Bass.
Womack, James P., and Daniel T. Jones. 2003. Lean Thinking: Banish Waste and Create Wealth in Your Corporation. Rev. and updated. London: Simon & Schuster.
Womack, James P., Daniel T. Jones, and Daniel Roos. 2007. The Machine That Changed the World. New ed. London: Simon & Schuster.