Organizational Response to Known Medical Errors: Does Peer Review Protection Impede Improvement?

Institute of Medicine. To Err Is Human: Building a Safer Health System. Washington, DC: National Academies Press; 1999.

Makary MA Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139.

Vincent C Taylor-Adams S Stanhope N. Framework for analyzing risk and safety in clinical medicine. BMJ. 1998;316:1154-1157.

Conditions of Participation: Quality Assurance and Performance Improvement Programs. 42 CFR 482.21. 2003.

Hanlon C Sheedy K Kniffin T Rosenthal J. 2014 Report Guide to State Adverse Event Reporting Systems. Washington, DC: National Academy for State Health Policy; January 2015.

Pennsylvania Patient Safety Authority. 2014 Annual Report. Harrisburg, PA: Pennsylvania Patient Safety Authority; April 30, 2015.

Demondson AC. Learning from failure in health care: frequent opportunities, pervasive barriers. Qual Saf Health Care. 2004;13(suppl 2):ii3-ii9.

Patient Safety and Quality Improvement Act of 2005. 42 U.S.C. § 299b-21(7)(A). 2005.

Gilmour J. Patient Safety, Medical Error and Tort Law: An International Comparison. Final Report. Ottawa, Ontario, Canada: Health Canada; May 2006.

Furrow B. Medical mistakes: tiptoeing towards safety. Houst J Health Law Policy. 2003;3:181-217.