WyniaMKClassenDC. Improving ambulatory patient safety: learning from the last decade, moving ahead in the next. JAMA.2011; 306: 2504–2505.
4.
PedersenCASchneiderPJScheckelhoffDJ. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011. Am J Health Syst Pharm. 2012; 69: 768–785.
5.
BlumenthalD. Implementation of the Federal Health Information Technology Initiative. NEngl J Med.2011; 365: 2426–2431.
6.
President's Council of Advisors on Science and Technology. Report to the President. Realizing the Full Potential of Health Information Technology to Improve Healthcare for Americans: The Path Forward. Office of Science and Technology Policy. December 2010. http://www.whitehouse.gov/sites/default/files/microsites/ostp/pcast-nitrd-report-2010.pdf. Accessed January 23, 2013.
7.
BrownJTonkelJClassenD. Using technology to enhance safety. In:The Essential Guide for Patient Safety Officers. 2nd ed. Oakbrook, IL: The Joint Commission; 2013.
8.
NebekerJHoffmanJWeirC. High rates of adverse drug events in highly computerized hospital. Arch Intern Med.2005; 165: 1111–1116.
9.
TroianoDMorrisonJFedericoFClassenD. Safely automating the medication use process. Not as easy as it looks. J Healthc Inf Manag.2009;23(4)17-23.
10.
TristE. The evolution of socio-technical systems: a conceptual framework and an action research program. In: Van de Ven A, Joyce W, eds. Perspectives on Organizational Design and Behavior. NY: Wiley Interscience; 1981.
11.
RasmussenJ. Human errors. A taxonomy for describing human malfunction in industrial installations. J Occup Accident.1982; 4: 311–333.
12.
RasmussenJDuncanKLeplatJ eds. New Technology and Human Error.Vol. 4. New York: John Wiley & Sons; 1987.
13.
HollnagelENemethCPDekkerS eds. Resilience Engineering Perspectives. Volume1: Remaining Sensitive to the Possibility of Failure. Farnham, UK: Ashgate Publishing Company; 2008.
14.
WeickKESutcliffeKM. Managing the Unexpected: Resilient Performance in an Age of Uncertainty. 2nd ed. New York: Jossey-Bass; 2007.
15.
PatankarMSBrownJPTreadwellMD. Safety Ethics: Cases from Aviation, Healthcare, and Occupational and Environmental Health.Farnham, UK: Ashgate Publishing Limited; 2005.
16.
ClassenDCResarRGriffinF. “Global trigger tool” shows that adverse events in hospitals may be ten times greater than previously measured. Health Aff (Millwood).2011; 30: 581–589.
17.
GursesAPOzokA APronovostPJ. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf.2012; 21: 347–351.
18.
BrownJP. Achieving high reliability: other industries can help health care's safety transformation. J Healthc Risk Manag.2004;24(2)15-25.
19.
NemethCPWearsRLWoodsDD. Minding the gaps: creating resilience in healthcare. In: Henriksen K, Battles JP, Keyes MA, Grady ML, eds. Advances in Patient Safety: New Directions and Alternative Approaches.Vol. 3. Performance and Tools', Rockville, MD: AHRQ. Publication No. 08-0034-3.
20.
DekkerS. Drift into Failure: From Hunting Broken Components to Understanding Complex Systems.Farnham, UK: Ashgate; 2011.
21.
WoodsDD Hollnagel E Joint Cognitive Systems: Patterns in Cognitive Systems Engineering.Boca Raton, FL: CRC Press; 2006.
22.
HollnagelEWoodsDD. Joint Cognitive Systems: Foundations of Cognitive Systems Engineering.Boca Raton, FL: CRC Press; 2005.