HemmelgarnC.Seeking answers, hearing silence. Health Aff (Millwood). 2018;37:1332-1334. doi:10.1377/hlthaff.2017.1535
2.
Institute of Medicine. To Err Is Human: Building a Safer Health System. National Academies Press; 2000.
3.
McDonaldTHelmchenLASmithKM, et al. Responding to patient safety incidents: the “seven pillars.”Qual Saf Health Care. 2010;19:e11. doi:10.1136/qshc.2008.031633
SmithKMSmithLLGentryJCMayerDB.Lessons learned from implementing a principled approach to resolution following patient harm. J Patient Saf Risk Manage. 2019;24(2):83-89.
6.
McDonaldTVan NielMGockeH, et al. Implementing communication and resolution programs: Lessons learned from the first 200 hospitals. J Patient Saf Risk Manag. 2018;23(2):73-78.
7.
HatlieMJNahumALeonardR, et al. Lessons learned from a systems approach to engaging patients and families in patient safety transformation. Jt Comm J Qual Patient Saf. 2020:000:1-9.
