TY - JOUR AU - Reason, J. PY - 2000 DA - 2000// TI - Safety paradoxes and safety culture JO - Int J Inj Control Saf Promot VL - 7 UR - https://doi.org/10.1076/1566-0974(200003)7:1;1-V;FT003 DO - 10.1076/1566-0974(200003)7:1;1-V;FT003 ID - Reason2000 ER - TY - BOOK AU - Kohn, L. T. AU - Corrigan, J. M. AU - Donaldson, M. S. PY - 2000 DA - 2000// TI - Eds. To err is human: building a safer health system PB - National Academies Press, Committee on Quality of Health Care in America, Institute of Medicine CY - Washington, DC ID - Kohn2000 ER - TY - STD TI - Ramírez E, Martín A, Villán Y, et al; SINOIRES Working Group. Effectiveness and limitations of an incident-reporting system analyzed by local clinical safety leaders in a tertiary hospital: Prospective evaluation through real-time observations of patient safety incidents. Medicine (Baltimore). 2018; 97(38):e12509. ID - ref3 ER - TY - JOUR AU - Brunsveld-Reinders, A. H. AU - Arbous, M. S. AU - Vos, R. PY - 2016 DA - 2016// TI - Incident and error reporting systems in intensive care: a systematic review of the literature JO - Int J Qual Health Care VL - 28 UR - https://doi.org/10.1093/intqhc/mzv100 DO - 10.1093/intqhc/mzv100 ID - Brunsveld-Reinders2016 ER - TY - STD TI - Fukami T, Uemura M, Terai M, et al. Eliminating patient misidentification using step-by-step problem-solving procedures to improve patient safety. Nagoya J Med Sci. 2020; [Epub ahead of print]. ID - ref5 ER - TY - JOUR AU - Müller, B. S. AU - Beyer, M. AU - Blazejewski, T. AU - Gruber, D. AU - Müller, H. AU - Gerlach, F. M. PY - 2019 DA - 2019// TI - Improving critical incident reporting in primary care through education and involvement JO - BMJ Open Qual VL - 8 UR - https://doi.org/10.1136/bmjoq-2018-000556 DO - 10.1136/bmjoq-2018-000556 ID - Müller2019 ER - TY - STD TI - Niemeier M, Hamsen U, Yilmaz E, Schildhauer TA, Waydhas C. Critical incident reporting systems (CIRS) in trauma patients may identify common quality problems. Eur J Trauma Emerg Surg. 2019; [Epub ahead of print]. ID - ref7 ER - TY - STD TI - Guidelines for the public announcement of medical accidents at national university hospitals (revised edition). National University Hospital Council of Japan, Tokyo. 2012. http://www.univ-hosp.net/guide_cat_04_15.pdf. Accessed July 5, 2019. In Japanese. UR - http://www.univ-hosp.net/guide_cat_04_15.pdf ID - ref8 ER - TY - JOUR AU - Baba-Akbari, A. AU - Sheldon, T. A. AU - Cracknell, A. PY - 2007 DA - 2007// TI - Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review JO - BMJ VL - 334 UR - https://doi.org/10.1136/bmj.39031.507153.AE DO - 10.1136/bmj.39031.507153.AE ID - Baba-Akbari2007 ER - TY - JOUR AU - Spangler, D. AU - Edmark, L. AU - Winblad, U. AU - Colldén-Benneck, J. AU - Borg, H. AU - Blomberg, H. PY - 2020 DA - 2020// TI - Using trigger tools to identify triage errors by ambulance dispatch nurses in Sweden: an observational study JO - BMJ Open VL - 10 UR - https://doi.org/10.1136/bmjopen-2019-035004 DO - 10.1136/bmjopen-2019-035004 ID - Spangler2020 ER - TY - JOUR AU - Howell, A. -. M. AU - Burns, E. M. AU - Bouras, G. PY - 2015 DA - 2015// TI - Can patient safety incident reports be used to compare hospital safety? JO - Results from a quantitative analysis of the English National Reporting and Learning System Data PLoS One VL - 10 ID - Howell2015 ER - TY - JOUR AU - Griffith, R. PY - 2013 DA - 2013// TI - Duty of candour requires better protection for nurses JO - Br J Nurs VL - 22 UR - https://doi.org/10.12968/bjon.2013.22.6.350 DO - 10.12968/bjon.2013.22.6.350 ID - Griffith2013 ER - TY - JOUR AU - Mitchell, I. AU - Schuster, A. AU - Smith, K. AU - Pronovost, P. AU - Wu, A. PY - 2016 DA - 2016// TI - Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To err is Human' JO - BMJ Qual Saf VL - 25 UR - https://doi.org/10.1136/bmjqs-2015-004405 DO - 10.1136/bmjqs-2015-004405 ID - Mitchell2016 ER - TY - STD TI - Anderson JE, Watt AJ. Using safety-II and resilient healthcare principles to learn from never events. Int J Qual Health Care. 2020; [Epub ahead of print]. ID - ref14 ER -