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​​Resources

The resources and recommended readings referred to in this component of the toolkit are listed in this section. A similar list is available for each component and a compilation of all the resources and readings referred to in all toolkit components is available here:

Appendix D : Checklist for Disclosure Process

Canadian Patient Safety Institute (CPSI). Canadian Disclosure Guidelines: Being open with patients and families. 2011. (Guide, 52 pages)

Canadian Patient Safety Institute (CPSI). Guidelines for Informing the Media after an Adverse Event. Edmonton, AB: CPSI; 2011. (Guide, 11 pages)

Health Quality Council of Alberta (HQCA). Continuity of Patient Care Study. Calgary, AB: HQCA; 2013. (Report)

Institute for Safe Medication Practices Canada (ISMP Canada). Canadian Medication Incident Reporting and Prevention System (CMIRPS)  Program. ISMP Canada. (Program, reporting tools)

Institute for Safe Medication Practices Canada (ISMP). ISMP Canada Safety Bulletins. (Collection of alerts)

Agency for Healthcare Research and Quality (AHRQ). AHRQ Web M&M: Morbidity and mortality rounds on the web. (Collection of cases)

Conway J, Federico F, Steward K, Campbell MJ. Respectful Management of Serious Clinical Adverse Events (Second Edition). IHI Innovation Series white paper. Cambridge, MA: Institute for Healthcare Improvement; 2011. (Guide, log-in required)
Appendix A: Internal and external communication checklist

Recommended Readings

Briner M, Kessler O, Pfeiffer Y, Wehner T, Manser T. (2010). Assessing hospital's clinical risk management: Development of a monitoring instrument. BMC Health Services Research. 10, 337. doi 10.1186/1472-6963-10-337. (Journal article, open access)

Chuang YT, Ginsburg L, Berta WB. Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. Health Care Management Review. 2007; 32(4): 330-340. doi: 10.1097/01.HMR.0000296790.39128.20. (Journal article, abstract only)

Department of Health, Government of Western Australia. Clinical Incident Management Toolkit. Table 4 : Five models of dback for incident reporting systems with examples of how each may be implemented. Perth, WA: Western Australian Department of Health; 2011. (Toolkit, 94 pages)

Runciman WB, Williamson JAH, Deakin A, Benveniste KA, Bannon K, Hibbert PD. An integrated framework for safety, quality and risk management: an information and incident management system based on a universal patient safety classification. Quality and Safety in Health Care. 2006;   15(Suppl I): 82-90. doi: 10.1136/qshc.2005.017467. (Journal article, open access)

Wallace L. Feedback from reporting patient safety incidents – are NHS trusts learning lessons? Journal of Health Services Research & Policy. 2010; January; 15(sup1):  75-78. (Journal article, abstract only)