The English Patient Safety Research Programme: A Commissioner's Tale

Lilford R , Stirling S , Maillard N . Citation classics in patient safety research: an invitation to contribute to an online bibliography. Qual Saf Health Care 2006; 15: 311–13

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Leape LL , Brennan TA , Laird N The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med 1991; 324: 377–84

Esmail A , Walshe K , Vincent C Patient Safety: Lessons from Litigation. Using claims data to improve patient safety, 2004. See http://www.pcpoh.bham.ac.uk/publichealth/psrp/documents/PS006_Final_Report_Vol1_Walshe.pdf; http://www.pcpoh.bham.ac.uk/publichealth/psrp/documents/PS006_Final_Report_Vol2_Walshe.pdf; http://www.pcpoh.bham.ac.uk/publichealth/psrp/documents/PS006_Final_Report_Vol3_Walshe.pdf

Newman-Toker DE , Pronovost PJ . Diagnostic errors - the next frontier for patient safety. JAMA 2009; 301: 1060–2

Brown C , Lilford R . Evaluating service delivery interventions to enhance patient safety. BMJ 2008; 337: 2764

Lilford R , Mohammed MA , Spiegelhalter D , Thomson R . Use and misuse of process and outcome data in managing performance of acute medical care: avoiding institutional stigma. Lancet 2004; 363: 1147–54

Lilford R , Edwards A , Girling A Inter-rater reliability of case-note audit: a systematic review. J Health Serv Res Policy 2007; 12: 173–80

Lilford RJ , Mohammed MA , Braunholtz D , Hofer TP . The measurement of active errors: methodological issues. Qual Saf Health Care 2003; 12(Suppl. 2): ii8–12

Brown C , Hofer T , Johal A An epistemology of patient safety research: a framework for study design and interpretation. Part 3, End points and measurement. Qual Saf Health Care 2008; 17: 170–7

Hutchinson A , Coster J , Cooper K Comparison of case note review methods for evaluating quality and safety in health care, 2008. See http://www.haps.bham.ac.uk/publichealth/methodology/docs/publications/JH08_Hutchinson_FINAL_Report_Dec2008.pdf

Kostopoulou O , Delaney B , Munro C , Oudhoff J , Nath R , Harries C . Diagnostic Error In Primary Care: A Learning Needs Analysis, 2008. See http://www.pcpoh.bham.ac.uk/publichealth/psrp/documents/PS027_Final_Report_Kostopoulou_2008.pdf

McDonald CJ . Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med 1976; 295: 1351–5

Kohn LT , Corrigan JM , Donaldson MS , eds. To Err is Human: Building a Safer Health System. Washington, DC: Institute of Medicine, Committee on Quality of Health Care in America, 2000. See http://www.books.nap.edu/openbook.php?record_id=9728&page=R1

Dixon-Woods M . Why is patient safety so hard to study? A selective review of ethnographic studies. J Health Serv Res Policy 2010; 15(Suppl. 1): 11–16

Catchpole KR , Godden PJ , Giddings AEB Identifying and reducing errors in the operating theatre, 2005. See http://www.haps.bham.ac.uk/publichealth/psrp/documents/PS012_Final_Report_DeLeval.pdf

Woloshynowych M , Davis R , Brown R Enhancing safety in accident and emergency care, 2007. See http://www.pcpoh.bham.ac.uk/publichealth/psrp/documents/PS010_A_and_E_Vincent_et_al_2007.pdf

Strachan B , Crofts J , James M Proof of principle study of the effect of individual and team drill on the ability of labour ward staff to manage acute obstetric emergencies, 2008. See http://www.pcpoh.bham.ac.uk/publichealth/psrp/documents/SaFE_Final_Report_Aug_2008.pdf

Barber N , Dean Franklin B , Cornford T , Klecun E , Savage I . Safer, Faster, Better? Evaluating Electronic Prescribing, 2006. See http://www.haps.bham.ac.uk/publichealth/psrp/documents/PS019_Final_Report_Barber.pdf

Lankshear A , Sheldon T . Evaluation of the implementation of the alert issued by the national patient safety agency on the storage and handling of concentrated potassium chloride solution: results of an audit conducted in 20 acute NHS trusts, 2003. See http://www.haps.bham.ac.uk/publichealth/psrp/documents/PS011_Final_Report_Sheldon.pdf

Giles SJ , Rhodes P , Clements G Experience of wrong site surgery and surgical marking practices amongst clinicians in the UK. Qual Saf Health Care 2006; 15: 363–8

Rhodes P , Giles SJ , Cook GA Evaluation of a national patient safety alert to reduce wrong site surgery. Qual Saf Health Care 2008; 17; 409–15

Brown C , Hofer T , Johal A An epistemology of patient safety research: a framework for study design and interpretation. Part 1, Conceptualising and developing interventions. Qual Saf Health Care 2008; 17: 158–62

Brown C , Hofer T , Johal A , Anepistemologyofpatientsafety research: a framework for study design and interpretation. Part 2, Study design. Qual Saf Health Care 2008; 17: 163–9

Brown C , Hofer T , Johal A An epistemology of patient safety research: a framework for study design and interpretation. Part 4, One size does not fit all. Qual Saf Health Care 2008; 17: 178–81

Lilford RJ , Brown CA , Nicholl J . Use of process measures to monitor the quality of clinical practice. BMJ 2007; 335: 648–50