'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports.
Ratwani RM, Fong A. J Am Med Inform Assoc. 2014 Oct 21; [Epub ahead of print].
This commentary describes the design and development of hospital-level and system-level dashboardsrepresenting data from patient safety event reporting systems as a way to reduce the burden of analyzing internal incident reports, increase awareness of adverse event trends, and enable utilization of the data to inform improvement.
Prioritization and Identification of Health IT Patient Safety Measures.
Washington, DC: National Quality Forum.
Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?
Seiden SC, Barach P. Arch Surg. 2006;141:931-939.
Nature of human error: implications for surgical practice.
Cuschieri A. Ann Surg. 2006;244:642-648.
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A review of medical error reporting system design considerations and a proposed cross-level systems research framework.
Holden RJ, Karsh BT. Hum Factors. 2007;49:257-276.