Bibliography for MH940: Improving Safety & Quality in Health Care BETA

Apkon, M., Leonard, J., Probst, L., DeLizio, L., & Vitale, R. (2004). Design of a safer approach to intravenous drug infusions: failure mode effects analysis. Quality & Safety in Health Care, 13(4), 265–271. https://doi.org/10.1136/qshc.2003.007443

Apkon, M., Leonard, J., Vitale, R., DeLizio, L., & Probst, L. (2004). Design of a safer approach to intravenous drug infusions: failure mode effects analysis. Quality and Safety in Health Care, 13(4), 265–271. https://doi.org/10.1136/qshc.2003.007443

Armitage, G., Neary, M., Hollingsworth, G., & Ashley, L. (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. https://doi.org/10.1016/S1553-7250(10)36053-3

Barach, P., & Small, S. D. (2000a). Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems. BMJ, 320(7237), 759–763. https://doi.org/10.1136/bmj.320.7237.759

Barach, P., & Small, S. D. (2000b). Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems. BMJ: British Medical Journal, 320(7237), 759–763. https://doi.org/10.1136/bmj.320.7237.759

Barber, N., Franklin, B., Burnett, S., Parand, A., & Shebl, N. (2012). Failure mode and effects analysis: Views of hospital staff in the UK. Journal of Health Services Research and Policy, 17(1), 37–43. https://arlir.iii.com/nonret~S0&atitle=Failure+mode+and+effects+analysis:+Views+of+hospital+staff+in+the+UK&title=Journal+of+Health+Services+Research+and+Policy&aufirst=N.&auinit=&aulast=Barber&issn=13558196&eissn=&coden=&volume=17&issue=1&spage=37&epage=43&quarter=&ssn=&date=2012&sid=&reqtype3

Benn, J., Koutantji, M., Wallace, L., Spurgeon, P., Rejman, M., Healey, A., & Vincent, C. (2009a). Feedback from incident reporting: information and action to improve patient safety. Quality and Safety in Health Care, 18(1), 11–21. https://doi.org/10.1136/qshc.2007.024166

Benn, J., Koutantji, M., Wallace, L., Spurgeon, P., Rejman, M., Healey, A., & Vincent, C. (2009b). Feedback from incident reporting: information and action to improve patient safety. Quality & Safety in Health Care, 18(1), 11–21. https://doi.org/10.1136/qshc.2007.024166

Berwick, D. M., Godfrey, A. B., & Roessner, J. (2002). Curing health care: new strategies for quality improvement : a report on the National Demonstration Project on Quality Improvement in Health Care. Jossey-Bass.

Bicheno, J. (2004). The new lean toolbox: towards fast, flexible flow (3rd ed). PICSIE Books.

Bicheno, J. (2012). The service systems toolbox: integrating lean thinking, systems thinking, and design thinking. PICSIE Books.

Bicheno, J., Catherwood, P., & James, R. (2005). Six sigma: and the quality toolbox for service and manufacturing (Rev. ed). Picsie Books.

Burke, J. P. (2003a). Infection Control — A Problem for Patient Safety. New England Journal of Medicine, 348(7), 651–656. https://doi.org/10.1056/NEJMhpr020557

Burke, J. P. (2003b). Infection control--a problem for patient safety. The New England Journal of Medicine, 348(7), 651–656. http://0-search.proquest.com.pugwash.lib.warwick.ac.uk/docview/223934778?accountid=14888

Chassin, M. R. (2002). The Wrong Patient. Annals of Internal Medicine, 136(11), 826–833. https://doi.org/10.7326/0003-4819-136-11-200206040-00012

Cohen, M. D., & Hilligoss, P. B. (2010a). The published literature on handoffs in hospitals: deficiencies identified in an extensive review. BMJ Quality & Safety, 19(6), 493–497. https://doi.org/10.1136/qshc.2009.033480

Cohen, M. D., & Hilligoss, P. B. (2010b). The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Quality & Safety in Health Care, 19(6), 493–497. https://doi.org/10.1136/qshc.2009.033480

Cook, R. I., Render, M., & Woods, D. D. (2000a). Gaps in the continuity of care and progress on patient safety. BMJ, 320(7237), 791–794. https://doi.org/10.1136/bmj.320.7237.791

Cook, R. I., Render, M., & Woods, D. D. (2000b). Gaps in the Continuity of Care and Progress on Patient Safety. BMJ: British Medical Journal, 320(7237), 791–794. https://doi.org/10.1136/bmj.320.7237.791

Cusins, P. (1994). Understanding Quality through Systems Thinking. TQM Magazine, 6(5), 19–27. http://0-www.emeraldinsight.com.pugwash.lib.warwick.ac.uk/doi/pdfplus/10.1108/09544789410067853

de Vries, E. N., Ramrattan, M. A., Smorenburg, S. M., Gouma, D. J., & Boermeester, M. A. (2008a). The incidence and nature of in-hospital adverse events: a systematic review. Quality and Safety in Health Care, 17(3), 216–223. https://doi.org/10.1136/qshc.2007.023622

de Vries, E. N., Ramrattan, M. A., Smorenburg, S. M., Gouma, D. J., & Boermeester, M. A. (2008b). The incidence and nature of in-hospital adverse events: a systematic review. Quality & Safety in Health Care, 17, 216–223. https://doi.org/10.1136/qshc.2007.023622

Dekker, S. (2011). Patient safety: a human factors approach [Electronic resource]. CRC Press, Taylor & Francis Group. http://0-marc.crcnetbase.com.pugwash.lib.warwick.ac.uk/isbn/9781439852262

Dekker, S., & Dekker, S. (2006a). The field guide to understanding human error (2nd ed) [Electronic resource]. Ashgate Publishing Ltd. https://www.dawsonera.com/guard/protected/dawson.jsp?name=https://idp.warwick.ac.uk/idp/shibboleth&dest=http://www.dawsonera.com/abstract/9781472408402

Dekker, S., & Dekker, S. (2006b). The field guide to understanding human error. Ashgate.

Deming, W. E. (2000). Out of the crisis (1st MIT Press ed). MIT Press.

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Donaldson, L. J. & Great Britain. (2000). An organisation with a memory: report of an expert group on learning from adverse events in the NHS. Stationery Office.

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Flin, R. H., O’Connor, P., & Crichton, M. (2008a). Safety at the sharp end: a guide to non-technical skills. Ashgate Publishing Ltd. https://www.dawsonera.com/guard/protected/dawson.jsp?name=https://idp.warwick.ac.uk/idp/shibboleth&dest=http://www.dawsonera.com/abstract/9781472424006

Flin, R. H., O’Connor, P., & Crichton, M. (2008b). Safety at the sharp end: a guide to non-technical skills. Ashgate.

Healthcare Commission. (2007). Investigation into outbreaks of Clostridium Difficile at Maidstone and Tunbridge Wells NHS Trust. http://webarchive.nationalarchives.gov.uk/20060502043818/http://healthcarecommission.org.uk/_db/_documents/Maidstone_and_Tunbridge_Wells_investigation_report_Oct_2007.pdf

Hollnagel, E. (n.d.). Resilient health care Volume 2,. The resilience of everyday clinical work (2nd edition).

Hollnagel, E., Braithwaite, J., & Wears, R. L. (2013). Resilient health care: Vol. Ashgate studies in resilience engineering. Ashgate.

Hollnagel, E., Woods, D. D., & Leveson, N. (2006). Resilience engineering: concepts and precepts. Ashgate.

Kohn, L. T., Corrigan, J., & Donaldson, M. S. (2000). To err is human: building a safer health system. National Academy Press.

Leonard, M. S., Frankel, A., Simmonds, T., & Vega, K. B. (2004). Achieving safe and reliable healthcare: strategies and solutions: Vol. ACHE management series. Health Administration Press.

Liker, J. K., & Meier, D. (2006a). The Toyota way fieldbook: a practical guide for implementing Toyota’s 4Ps [Electronic resource]. McGraw-Hill. http://lib.myilibrary.com/browse/open.asp?id=86287&entityid=https://idp.warwick.ac.uk/idp/shibboleth

Liker, J. K., & Meier, D. (2006b). The Toyota way fieldbook: a practical guide for implementing Toyota’s 4Ps. McGraw-Hill.

Managing competing organizational priorities in clinical handover across organizational boundaries. (n.d.). http://hsr.sagepub.com/content/20/1_suppl/17.full

McKee, M. (2013a). Improving the safety of patients in England. BMJ, 347, 5038–5038. https://doi.org/10.1136/bmj.f5038

McKee, M. (2013b). Improving the safety of patients in England. BMJ: British Medical Journal, 347(7921), f5038–f5038. https://doi.org/10.1136/bmj.f5038

McNulty, T., & Ferlie, E. (2004). Reengineering health care: the complexities of organizational transformation. Oxford University Press.

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Patterson, E. S., & Wears, R. L. (2010). Patient handoffs: standardized and reliable measurement tools remain elusive. Joint Commission Journal On Quality And Patient Safety, 36(2), 52–61. https://arlir.iii.com/nonret~S0&atitle=Patient+handoffs:+standardized+and+reliable+measurement+tools+remain+elusive.&title=Joint+Commission+Journal+On+Quality+And+Patient+Safety&aufirst=E.S.&auinit=&aulast=Patterson&issn=15537250&eissn=&coden=&volume=36&issue=2&spage=52&epage=61&quarter=&ssn=&date=2010&sid=&reqtype3

Perrow, C. (1999). Normal accidents: living with high-risk technologies. Princeton University Press.

Perrow, C. (2011). Normal Accidents: Living with High Risk Technologies [Electronic resource]. Princeton University Press. http://WARW.eblib.com/patron/FullRecord.aspx?p=827819

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Schonberger, R. (2008a). Best practices in lean six sigma process improvement: a deeper look [Electronic resource]. John Wiley & Sons. http://lib.myilibrary.com/browse/open.asp?id=109440&entityid=https://idp.warwick.ac.uk/idp/shibboleth

Schonberger, R. (2008b). Best practices in lean six sigma process improvement: a deeper look. John Wiley & Sons.

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Shojania, K. G. (2008a). The frustrating case of incident-reporting systems. Quality and Safety in Health Care, 17(6), 400–402. https://doi.org/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. https://doi.org/10.1136/qshc.2008.029496

Slack, N., Brandon-Jones, A., & Johnston, R. (2013a). Operations management (7th edition). Pearson Education UK. http://lib.myilibrary.com/browse/open.asp?id=502442&entityid=https://idp.warwick.ac.uk/idp/shibboleth

Slack, N., Brandon-Jones, A., & Johnston, R. (2013b). Operations management (Seventh edition). Pearson.

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Sujan, M., Chessum, P. T., Rudd, M., Fitton, L., Inada Kim, M., Spurgeon, P., & Cooke, M. W. (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. https://doi.org/10.1136/emermed-2013-203113.17

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