Patient Safety Foundation. (2018). National patient safety foundation. Retrieved from www.npsf.org/default.aspx
44 National Quality Forum. (2018). National quality forum. Retrieved from www.qualityforum.org
45 QSEN Institute. (2018). Quality and safety education for nurses. Retrieved from http://qsen.org
46 Reason, J. (1997). Managing the risks of organizational accidents. Burlington, VT: Ashgate.
47 Scott, S. D. (2015). Second victim support: Implications for patient safety attitudes and perceptions. Patient Safety and Quality Healthcare, 26–31.
48 Senge, P. (1990). The fifth discipline. The art and practice of the learning organization. New York City: Doubleday.
49 Sexton, J. B., Helmreich, R. L., Neilands, T. B., Rowan, K., Vella, K., Boyden, J., Roberts, P. R. & Thomas, E. J. (April 3, 2006). The safety attitudes questionnaire: Psychometric properties, benchmarking data, and emerging research. BMC Health Services Research, 6, 44.
50 The Joint Commission. (2018a). About the Joint Commission. Retrieved from www.jointcommission.org
51 The Joint Commission. (2018b). 2019 Hospital National Patient Safety Goals. Retrieved from www.jointcommission.org/assets/1/6/2019_HAP_NPSGs_final.pdf
52 The Joint Commission. (2018c). Patient safety systems. Retrieved from www.jointcommission.org/assets/1/6/PS_chapter_HAP_2018.pdf
53 Weick, K. E., & Sutcliffe, K. M. (2007). Managing the unexpected: Resilient performance in an age of uncertainty (2nd ed.). San Francisco, CA: Jossey‐Bass.
54 Wu, A. (2000). The second victim: The doctor who makes the mistake needs help too. British Medical Journal, 320, 726–727.
SUGGESTED READINGS
1 ASPPS. (2017). American Society of Professionals in Patient Safety. Retrieved from www.npsf.org/default.asp?page=aspps&DGPCrPg=1&DGPCrSrt=7A.
2 Gawande, A. (2009). The checklist manifesto: How to get things right. New York: Metropolitan Books.
3 Health Research & Educational Trust. (2016). Preventing patient falls: A systematic approach from the joint Commission Center for Transforming Healthcare project. Chicago, IL: Health Research & Educational Trust. Retrieved from www.hpoe.org/Reports-HPOE/2016/preventing-patient-falls.pdf
4 HFAP. (2018). Overview. Retrieved from www.hfap.org/about/overview.aspx
5 Institute for Healthcare Improvement. (2018a). Institute for Healthcare Improvement. Retrieved from www.ihi.org
6 Institute for Healthcare Improvement. (2018b). SBAR communication technique. Retrieved from www.ihi.org/Topics/SBARCommunicationTechnique/Pages/default.aspx
7 Institute of Medicine. (2001). Crossing the quality chasm. Washington, DC: National Academy of Sciences.
8 Kelly, O., Vottero, B. A., & Christie‐McAulifee, C. A.. (Eds.). (2018). Introduction to quality and safety education for nurses (2nd ed.). New York: Springer Publishing Company.
9 Patterson, K., Grenny, J., McMillan, R., & Switzler, A. (2002). Crucial conversations: Tools for talking when stakes are high. New York: McGraw Hill.
10 Stolzer, A. J., Halford, C. D., & Goglia, J. J. (2011). Implementing safety management systems in aviation. Burlington, VT: Ashgate Publishing.
11 The Joint Commission. (December 27, 2017). Top quality improvement quotes from 2017. Retrieved from www.jointcommission.org/dateline_tjc/top_quality_improvement_quotes_from_2017
12 Wakefield, M. K. (2008). The quality chasm series: Implications for nursing. In R. Hughes (Ed.), Patient safety and quality: An evidence‐based handbook for nurses. Chapter 4. AHRQ Publication No. (pp. 08–0043). Rockville, MD: Agency for Healthcare Research and Quality.
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