How the NHS can improve safety and learning. By learning free lessons from near misses
- PMID: 10864524
- PMCID: PMC1127461
- DOI: 10.1136/bmj.320.7251.1683
How the NHS can improve safety and learning. By learning free lessons from near misses
Comment on
- BMJ. 320:1689.
- BMJ. 320:1738.
References
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- Expert Group on Learning from Adverse Events in the NHS. An organisation with a memory. London: Stationery Office; 2000. www.doh.gov.uk/orgmemreport/index.htm
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- Kohn LT, Corrigan JM, Donaldson MS, editors. To err is human: building a safer health system. Washington, DC: National Academy Press; 1999. - PubMed
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- Quality Interagency Coordination Task Force. Doing what counts for patient safety: Federal actions to reduce medical errors and their impact. Washington: Agency for Healthcare Research and Quality; 2000.
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- Runciman W. Iatrogenic injury in Australia. Canberra: Australian Patient Safety Foundation; 2000.
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- Turner BA, Pidgeon NF. Man-made disasters. London: Butterworth and Heinemann; 1997.
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