Organisational reporting and learning systems: innovating inside and outside of the box.
Sujan M, Furniss D. Clin Risk. Feb 27, 2015; [Epub ahead of print].
Incident reporting systems are a popular method for hospitals to detect patient safety hazards, but little progress has been made in utilizing information from these systems to reduce risks. This commentary describes the experiences of two projects aimed at learning from error reports, an internal organizationalapproach operated by local teams and an external social media mechanism hosted on a public Web site.
Equipped: overcoming barriers to change to improve quality of care (theories of change).
Lachman P, Runnacles J, Dudley J; RCPCH Clinical Standards Committee. Arch Dis Child Educ Pract Ed. 2015;100:13-18.
Emotion and coping in the aftermath of medical error: a cross-country exploration.
Harrison R, Lawton R, Perlo J, et al. J Patient Saf. 2015;11:28-35.
On higher ground: ethical reasoning and its relationship with error disclosure.
Cole AP, Block L, Wu AW. BMJ Qual Saf. 2013;22:580-585.
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Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence.
Keers RN, Williams SD, Cooke J, Ashcroft DM. Ann Pharmacother. 2013;47:237-256.