Clinical Pediatric Emergency Medicine
Volume 7, Issue 4 , Pages 226-230 , December 2006

Basic Concepts in Pediatric Patient Safety: Actions Toward a Safer Health Care System

  • Judith Napier, RN, BSN, MSN

      Affiliations

    • Corresponding Author InformationReprint requests and correspondence: Judith Napier, RN, BSN, MSN, Vice President of System Safety, Allina Hospitals and Clinics, 2925 Chicago Ave, Mail Route 10301 PO Box 43, Minneapolis, MN 55440-0043.
  • ,
  • G. Eric Knox, MD

References 

  1. Reason J. In: Managing the risks of organizational accidents. Brookfield (Vt): Ashgate; 1999;p. 17
  2. Weick K, Sutcliffe KM. In: Managing the unexpected. San Francisco. San Francisco (Calif): Jossey-Bass; 2001;p. 10
  3. Reason J. In: Managing the risks of organizational accidents. Brookfield (Vt): Ashgate; 1999;p. 195
  4. Leape LL. Reporting of adverse events. N Engl J Med. 2002;347:1633–1637
  5. Reason J. Managing the risks of organizational accidents. Brookfield (Vt): Ashgate; 1999;
  6. Reason J. Human error: models and management. Br Med J. 2000;320:768–770
  7. Gladwell M. In: The tipping point: how little things can make a difference. New York (NY): Little, Brown and Company; 2002;p. 9
  8. Dekker S. The field guide to human error investigations. Burlington (Vt): Ashgate; 2004;
  9. Billings CE. Incident reporting systems in medicine and experience with the aviation safety reporting system. National Patient Safety Foundation, 1998. Available at: http://www.npsf.org/exec/billings.html[Accessed September 24, 2006]
  10. Morath JM, Turnbull JE. In: To do no harm. San Francisco (Calif): Jossey-Bass; 2005;p. 167
  11. Morath JM, Turnbull JE. In: To do no harm. San Francisco (Calif): Jossey-Bass; 2005;p. 217
  12. National Center for Patient Safety Triage cards for root cause analysis. VA National Center for Patient Safety, 2001. Available at: http://www.patientsafety.gov/. [Accessed September 24, 2006].
  13. Morath JM, Turnbull JE. In: To do no harm. San Francisco (Calif): Jossey-Bass; 2005;p. 261
  14. Joint Commission on Accreditation of Healthcare Organizations . Patient safety standards: Disclosure of medical error. Available at: http://www.jointcomission.org[Accessed September 24, 2006]
  15. Conway J, Johnson B, Edgman-Levitan S, et al. Partnering with patients and families to design a patient and family centered health care system. A roadmap for the future. Institute for Healthcare Improvement. 2006;Available at: http://www.ihi.org/IHI/Topics/PatientCenteredCare/PatientCenteredCareGeneral/Literature/PartneringwithPatientsandFamilies.htm[Accessed October 18, 2006]
  16. Children's Hospital of Philadelphia . Patient care and family services: Family advisory council. Available at: http://www.chop.edu[Accessed September 24, 2006]

 Allina Hospitals and Clinics; the Department of OB/GYN, University of Minnesota School of Medicine, Minneapolis, MN.

PII: S1522-8401(06)00087-5

doi: 10.1016/j.cpem.2006.10.003

Clinical Pediatric Emergency Medicine
Volume 7, Issue 4 , Pages 226-230 , December 2006