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

Apkon, M et al. (2004) ‘Design of a safer approach to intravenous drug infusions: failure mode effects analysis’, Quality and Safety in Health Care, 13(4), pp. 265–271. Available at: https://doi.org/10.1136/qshc.2003.007443.

Apkon, M. et al. (2004) ‘Design of a safer approach to intravenous drug infusions: failure mode effects analysis’, Quality & safety in health care, 13(4), pp. 265–271. Available at: https://doi.org/10.1136/qshc.2003.007443.

Armitage, G. et al. (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), pp. 358–351. Available at: https://doi.org/10.1016/S1553-7250(10)36053-3.

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

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

Barber, N. et al. (2012) ‘Failure mode and effects analysis: Views of hospital staff in the UK’, Journal of Health Services Research and Policy, 17(1), pp. 37–43. Available at: 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. et al. (2009a) ‘Feedback from incident reporting: information and action to improve patient safety’, Quality and Safety in Health Care, 18(1), pp. 11–21. Available at: https://doi.org/10.1136/qshc.2007.024166.

Benn, J. et al. (2009b) ‘Feedback from incident reporting: information and action to improve patient safety’, Quality & safety in health care, 18(1), pp. 11–21. Available at: https://doi.org/10.1136/qshc.2007.024166.

Berwick, D.M., Godfrey, A.B. and Roessner, J. (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, J. (2004) The new lean toolbox: towards fast, flexible flow. 3rd ed. Buckingham: PICSIE Books.

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

Bicheno, J., Catherwood, P. and James, R. (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), pp. 651–656. Available at: https://doi.org/10.1056/NEJMhpr020557.

Burke, John P (2003) ‘Infection control--a problem for patient safety’, The New England Journal of Medicine, 348(7), pp. 651–656. Available at: 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), pp. 826–833. Available at: https://doi.org/10.7326/0003-4819-136-11-200206040-00012.

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

Cohen, M.D. and Hilligoss, P.B. (2010) ‘The published literature on handoffs in hospitals: deficiencies identified in an extensive review’, Quality & safety in health care, 19(6), pp. 493–497. Available at: https://doi.org/10.1136/qshc.2009.033480.

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

Cook, R.I., Render, M. and Woods, D.D. (2000b) ‘Gaps in the Continuity of Care and Progress on Patient Safety’, BMJ: British medical journal, 320(7237), pp. 791–794. Available at: https://doi.org/10.1136/bmj.320.7237.791.

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

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

Dekker, S. and Dekker, S. (2006a) The field guide to understanding human error [electronic resource]. 2nd ed. Farnham: Ashgate Publishing Ltd. Available at: 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. and Dekker, S. (2006b) The field guide to understanding human error. Aldershot, England: Ashgate.

Deming, W.E. (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’. Available at: http://webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_064159.pdf.

Donaldson, L.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, B., Øvretveit, J. and Thomasson, B. (1994) Quality of service: making it really work. Maidenhead: McGraw-Hill.

Flin, R.H., O’Connor, P. and Crichton, M. (2008a) Safety at the sharp end: a guide to non-technical skills. Farnham: Ashgate Publishing Ltd. Available at: 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. and Crichton, M. (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’. Available at: http://webarchive.nationalarchives.gov.uk/20060502043818/http://healthcarecommission.org.uk/_db/_documents/Maidstone_and_Tunbridge_Wells_investigation_report_Oct_2007.pdf.

Hollnagel, E. (no date) Resilient health care Volume 2,. The resilience of everyday clinical work. 2nd edition. Ashgate, 2015.

Hollnagel, E., Braithwaite, J. and Wears, R.L. (2013) Resilient health care. Farnham: Ashgate.

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

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

Leonard, M.S. et al. (2004) Achieving safe and reliable healthcare: strategies and solutions. Chicago, IL: Health Administration Press.

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

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

‘Managing competing organizational priorities in clinical handover across organizational boundaries’ (no date). Available at: http://hsr.sagepub.com/content/20/1_suppl/17.full.

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

McKee, Martin (2013) ‘Improving the safety of patients in England’, BMJ: British medical journal, 347(7921), pp. f5038–f5038. Available at: https://doi.org/10.1136/bmj.f5038.

McNulty, T. and Ferlie, E. (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’. Available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/226703/Berwick_Report.pdf.

Norman, D.A. (1988) The psychology of everyday things. New York: Basic Books.

Patterson, E.S. and Wears, R.L. (2010) ‘Patient handoffs: standardized and reliable measurement tools remain elusive.’, Joint Commission Journal On Quality And Patient Safety, 36(2), pp. 52–61. Available at: 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, NJ: Princeton University Press.

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

Raduma-Tomas, M.A. et al. (2011) ‘Doctors’ handovers in hospitals: a literature review’, BMJ Quality & Safety, 20(2), pp. 128–133. Available at: https://doi.org/10.1136/bmjqs.2009.034389.

Reason, J. (2000) ‘Human error: models and management’, BMJ, 320(7237), pp. 768–770. Available at: https://doi.org/10.1136/bmj.320.7237.768.

Reason, James (2000) ‘Human Error: Models and Management’, BMJ: British medical journal, 320, pp. 768–770. Available at: https://doi.org/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.

‘Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry - Executive summary’ (2013). Available at: http://www.midstaffspublicinquiry.com/sites/default/files/report/Executive%20summary.pdf.

Schonberger, R. (2008a) Best practices in lean six sigma process improvement: a deeper look [electronic resource]. Hoboken, N.J.: John Wiley & Sons. Available at: 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. Hoboken, N.J.: John Wiley & Sons.

Seddon, J. (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), pp. 400–402. Available at: 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), pp. 400–402. Available at: https://doi.org/10.1136/qshc.2008.029496.

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

Slack, N., Brandon-Jones, A. and Johnston, R. (2013b) Operations management. Seventh edition. Harlow, England: Pearson.

Spear, S. and Kent Bowen, H. (1999) ‘Decoding the DNA of the Toyota Production System’, Harvard business review, 77(5), pp. 96–106. Available at: http://0-search.ebscohost.com.pugwash.lib.warwick.ac.uk/direct.asp?db=bth&jid=HBR&scope=site.

Sujan, M. et al. (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), pp. 873–873. Available at: https://doi.org/10.1136/emermed-2013-203113.17.

Sujan, M.A. (2012) ‘A novel tool for organisational learning and its impact on safety culture in a hospital dispensary’, Reliability Engineering & System Safety, 101, pp. 21–34. Available at: https://doi.org/10.1016/j.ress.2011.12.021.

Taxis, K and Barber, N. (2003) ‘Causes of intravenous medication errors: an ethnographic study’, Quality and Safety in Health Care, 12(5), pp. 343–347. Available at: https://doi.org/10.1136/qhc.12.5.343.

Taxis, K. and Barber, N. (2003) ‘Causes of intravenous medication errors: an ethnographic study’, Quality & safety in health care, 12(5), pp. 343–347. Available at: https://doi.org/10.1136/qhc.12.5.343.

The importance of human resources management in health care: a global context (no date). Available at: http://www.human-resources-health.com/content/4/1/20.

Vincent, C. (2010) Patient safety. Chichester, West Sussex, UK: Wiley-Blackwell.

Vincent, C., Neale, G. and Woloshynowych, M. (2001a) ‘Adverse events in British hospitals: preliminary retrospective record review’, BMJ, 322(7285), pp. 517–519. Available at: https://doi.org/10.1136/bmj.322.7285.517.

Vincent, C., Neale, G. and Woloshynowych, M. (2001b) ‘Adverse events in British hospitals: preliminary retrospective record review’, BMJ: British medical journal, 322, pp. 517–519. Available at: https://doi.org/10.1136/bmj.322.7285.517.

de Vries, E N et al. (2008) ‘The incidence and nature of in-hospital adverse events: a systematic review’, Quality and Safety in Health Care, 17(3), pp. 216–223. Available at: https://doi.org/10.1136/qshc.2007.023622.

de Vries, E.N. et al. (2008) ‘The incidence and nature of in-hospital adverse events: a systematic review’, Quality & safety in health care, 17, pp. 216–223. Available at: https://doi.org/10.1136/qshc.2007.023622.

Walshe, K and Offen, N. (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), pp. 250–256. Available at: https://doi.org/10.1136/qhc.0100250.

Walshe, K. and Offen, N. (2001) ‘A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary’, Quality in Health Care, 10(4), pp. 250–256. Available at: https://doi.org/10.1136/qhc.0100250.

Weick, K.E. and Sutcliffe, K.M. (2007a) Managing the unexpected: resilient performance in an age of uncertainty [electronic resource]. 2nd ed. San Francisco: Jossey-Bass. Available at: https://www.dawsonera.com/guard/protected/dawson.jsp?name=https://idp.warwick.ac.uk/idp/shibboleth&dest=http://www.dawsonera.com/abstract/9780470178591.

Weick, K.E. and Sutcliffe, K.M. (2007b) Managing the unexpected: resilient performance in an age of uncertainty. 2nd ed. San Francisco: Jossey-Bass.

Womack, J.P. and Jones, D.T. (2003) Lean thinking: banish waste and create wealth in your corporation. Rev. and updated. London: Simon & Schuster.

Womack, J.P., Jones, D.T. and Roos, D. (2007) The machine that changed the world. New ed. London: Simon & Schuster.