Committee on Quality of Health Care in America, Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press; 2001.
2.
WachterRM.Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood)2010;
29: 165–173.
3.
KronickRArnoldS andBradyJ.Improving safety for hospitalized patients: much progress but many challenges remain. JAMA2016;
316: 489–490.
4.
WangYEldridgeNMeterskyMLet al.
National trends in patient safety for four common conditions, 2005-2011. N Engl J Med2014;
370: 341–351.
5.
BainesRLangelaanMde BruijneMet al.
How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time. BMJ Qual Saf2015;
24: 561–571.
6.
BrennerSKKaushalRGrinspanZet al.
Effects of health information technology on patient outcomes: a systematic review. J Am Med Inform Assoc2016;
23: 1016–1036.
7.
AHA/HRET Guides: reducing the risks of wrong-site surgery: safety practices from the Joint Commission Center for Transforming Healthcare Project, www.hpoe.org/resources/ahahret-guides/1668 (accessed 11 December 2017).
8.
WoodwardHIMyttonOTLemerCet al.
What have we learned about interventions to reduce medical errors?Annu Rev Public Health2010;
31: 479–497. 1 p following 497.
9.
Free from harm: accelerating patient safety improvement fifteen years after to err is human. Boston, MA: National Patient Safety Foundation, www.npsf.org/?page=freefromharm (2015, accessed 11 December 2017).
10.
RussSJSevdalisNMoorthyKet al.
A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the “Surgical Checklist Implementation Project. Ann Surg2015;
261: 81–91.
11.
JhaAKLarizgoitiaIAudera-LopezCet al.
The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Qual Saf2013;
22: 809–815.
12.
BatesDWLarizgoitiaIPrasopa-PlaizierNet al.
Research priority setting working group of the WHO world alliance for patient safety. Global priorities for patient safety research. BMJ2009;
338: b1775.
13.
National Academies of Sciences, Engineering, and Medicine. Improving diagnosis in health care.
Washington, DC:
National Academies Press, 2015.
GibsonR andSinghJP.Wall of silence: the untold story of the medical mistakes that kill and injure millions of Americans.
Washington, DC:
Lifeline, 2003.
16.
GilbertS.Wrongful death: a medical tragedy.
New York:
W.W. Norton, 1995.
17.
Department of Health. Learning from Bristol: the Department of Health's response to the report of the Public Inquiry into children's heart surgery at the Bristol Royal Infirmary, 1984–1995. HMSO, United Kingdom. 17 January 2002.
18.
RidgelyMSGreenbergMDPillenMBet al.
Progress at the intersection of patient safety and medical liability: insights from the AHRQ Patient Safety and Medical Liability Demonstration Program. Health Serv Res2016;
51: 2414–2430.
19.
Localio AR, Lawthers AG, Brennan TA, Laird NM, Hebert LE, Peterson LM, Newhouse JP, Weiler PC, Hiatt HH. Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III. N Engl J Med 1991; 325(4): 245–251.
20.
Brennan TA, Sox CM, and Burstin HR. Relation between negligent adverse events and the outcomes of medical-malpractice litigation. N Engl J Med 1996; 335(26): 1963–1967.
21.
Mello MM and Gallagher TH. Malpractice reform–opportunities for leadership by health care institutions and liability insurers. N Engl J Med 2010; 362(15): 1353–1356.
22.
LeCraw FR, Montanera D, Jackson JP, Keys JC, Hetzler DC, Mroz TA. Changes in liability claims, costs, and resolution times following the introduction of a communication-and-resolution program in Tennessee. J Patient Saf Risk Manage 2018.
23.
Walsh P. Challenges and opportunities for patient safety and justice in the UK. J Patient Saf Risk Manage 2018.
24.
Pronovost PJ. Accounting for harms that cannot be counted. J Patient Saf Risk Manage 2018.
25.
SheikhADhingra-KumarNKelleyEet al.
The third global patient safety challenge: tackling medication-related harm. Bull World Health Organ2017;
95: 546–546A.