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​​​​​Accreditation Canada. Canadian Health Accreditation Report: Building a stronger health system through leadership. Ottawa, ON: Accreditation Canada; 2014. (Report, 25 pages)

Accreditation Canada. Canadian Health Accreditation Report: Quality starts at the top — the pivotal role of the governing body. Ottawa, ON: Accreditation Canada; 2011. (Report, 23 pages)

Accreditation Canada. Culture of care: Qmentum Quarterly. 2013: 6(2). (Periodical publication, 40 pages)

Accreditation Canada.

Accreditation Canada. Required Organizational Practices: Handbooks. Ottawa, ON: Accreditation Canada;  (Guide, standards)

Alberta Health Services (AHS). AHS Quality and Patient Safety Strategic Outline. 2009. (Framework, 1 page)

Alberta Health Services (AHS). Mission & Strategic Direction. (Framework)

Alberta Health Services (AHS). Disclosure of Unanticipated Medical Outcomes. (Policy, procedure, tools)

Alberta Health Services (AHS).  Appropriate Accountability Decision Support Tool. (Tool)

Alberta Health Services (AHS). Policy: Reporting of clinical adverse events, close calls and hazards. 2012. (Policy, 5 pages)

Alberta Health Services (AHS). Guideline: Immediate and ongoing management of clinically serious adverse events. 2012. (Guide, 18 pages)

Alberta Health Services (AHS). Immediate Management Checklist. (Checklist, 1 page)

Alberta Health Services (AHS). Ongoing Management Checklist. (Checklist, 1 page )

Alberta Health Services (AHS). Patient Safety Alerts & Safer Practice Notices. (Collection of alerts)

Alberta Health Services (AHS). Performance Measures. (Collection of measures)

Alberta Health Services Engagement and Patient Experience Department. Resource Toolkit for Engaging Patient and Families at the Planning Table. 2014. (Toolkit, 27 pages)

Baker GR, MacIntosh-Murray A, Porcellato C, Dionne L, Stelmacovich K, Born K. High Performing Healthcare Systems: Delivering quality by design. 2008. (Book)

BC Patient Safety & Quality Council. Culture Change Toolbox. 2013. (Toolkit, 28 pages)

BC Patient Safety & Quality Council. Culture Improvement in Surgery. (Toolkit)

BC Patient Safety and Learning System (BCPSLS). Good Catch! Island Health encourages near-miss reporting. 2015. (Case study)

BC Patient Safety and Learning System (BCPSLS). Fostering safety culture in pediatric care: Surjeet’s story. 2013

British Columbia Patient Safety Task Force. BC Provincial Guidelines for Policy Related to Disclosure of Adverse Events. (Guide, 4 pages)

Canada Health Infoway. Change Management. (Guide)

Canadian Agency for Drugs and Technologies in Health. Rapid Response. 2015. (Collection of knowledge, tool)

Canadian Association of Paediatric Health Centres. Are Families Seeing Something We Are Not? (Webinar, resources)

Canadian Association of Paediatric Health Centres. What a Shame: The Impact of Mistakes on Healthcare Professionals. (Webinar)

Canadian Foundation for Healthcare Improvement (CFHI). Innovative Patient Resource Kit Eases the Process of Engaging Patients. 2015. (Case study)

Canadian Foundation for Healthcare Improvement (CFHI). Patient Engagement Resource Hub. 2015. (Collection of resources)

Canadian Medication Incident Reporting and Prevention System. How do I report? (Tool, guide)

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

Canadian Patient Safety Institute (CPSI). Canadian Patient Safety Officer Course. (Learning program, $)

Canadian Patient Safety Institute (CPSI). Disclosure Training Program offered by The Canadian Medical Protective Association. (Learning program, $)

Canadian Patient Safety Institute (CPSI). Effective Governance for Quality and Patient Safety Program. (Learning program, $)

Canadian Patient Safety Institute (CPSI). Effective Governance for Quality and Patient Safety: A Toolkit for Healthcare Board Members and Senior Leaders. 2012. (Guide)

Canadian Patient Safety Institute (CPSI). CPSI Governance Toolkit: Guidelines and tools for governors. (Collection of resources)

Canadian Patient Safety Institute (CPSI). Global Patient Safety Alerts. (Collection of alerts)

Canadian Patient Safety Institute (CPSI). Guidelines for Informing the Media after an Adverse Event. Edmonton, AB: CPSI; 2011. Information-Sharing Planning Checklist (Page 4-6). (Guide, 11 pages)

Canadian Patient Safety Institute (CPSI). Incident Analysis Learning Program. 2012. (Slides, webinar recordings)

Canadian Patient Safety Institute (CPSI). Ottawa Hospital Uses Core Competencies Education to Create Patient Safety Culture. (Case study)

Canadian Patient Safety Institute (CPSI). Patient Safety Education Program – Canada. (Learning program)

Canadian Patient Safety Institute (CSPI). Champion Awards. (Program)

Patients for Patient Safety Canada (CPSI). Father’s Death Fuels Quest for Healthcare Improvement. 2014 (Video)

Patients for Patient Safety Canada, Martha’s Legacy Lives On. 2011 (Video)

Capital Health. Patient Safety – Be Involved (Guide for patients/families)

Dickson G, Lindstrom R, Black C, Van der Gucht D. Management in Canadian Healthcare Organizations. Ottawa, ON: Canadian Health Services Research Foundation; 2012. (Report, 32 pages)

Duchscherer C, Davies JM. Systematic Systems Analysis: A practical approach to patient safety reviews. Calgary, AB: Health Quality Council of Alberta; 2013.  (Guide, 76 pages)

Etchells E, Koo M, Daneman N, McDonald A, Baker M, Matlow A, Krahn M. Comparative Economic Analyses of Patient Safety Improvement Strategies in Acute Care: A systematic review. BMJ Qual Saf. 2012; 21: 448-456. doi:10.1136/bmjqs-2011-000585. (Journal article, open access)

Frank JR, Brien S, (editors) on behalf of The Safety Competencies Steering Committee. The Safety Competencies: Enhancing patient safety across the health professions. Ottawa, ON: Canadian Patient Safety Institute, 2008. (Guide, 56 pages)

Health Canada. Protecting Canadians from Unsafe Drugs Act (Vanessa’s Law). 2014. (Legislation)

Health Canada. Regulatory Transparency and Openness Framework. 2014. (Guide)

Health Canada, Health Canada’s Role  in the Management and Prevention of Harmful Medication Incidents, 2011 (Guide)

Health PEI. Critical Incident Staff Support (CISS) Managers' Toolkit. (Toolkit)

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

Health Quality Council of Alberta (HQCA). Patient Safety Framework for Albertans: Provincial framework 2010. Calgary, AB: HQCA; 2010. (Guide, 24 pages)

Health Quality Council of Alberta. Disclosure Framework, 2006  (Guide, checklist, poster)

Health Quality Council of Alberta. Checklist for Disclosure Team Discussion. (Checklist, 1 page)

Health Quality Ontario, Governance Centre of Excellence. Quality and Patient Safety Governance Toolkit. (Toolkit, 74 pages)

Health Quality Ontario, Governance Centre of Excellence. Questions the Board Should Ask to Fulfill its Oversight Responsibilities for Quality and Patient Safety. Quality and Patient Safety: Understanding the Role of the Board. Toronto, ON: OHA. 2008 (Guide)

HealthCareCAN. Integrated Quality Management. (Learning program, $)

Healthcare Insurance Reciprocal of Canada (HIROC), Policy, Procedure and  Guideline Development (Guide)

Incident Analysis Collaborating Parties. Canadian Incident Analysis Framework. Edmonton, AB: Canadian Patient Safety Institute; 2012. (Guide, tools, 133 pages)

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). Designing effective recommendations. In: Ontario Critical Incident Learning. 2013; April(Issue 4). (Guide, 2 pages)

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

Interior Health, BC. Incident Management Administrative Policy Manual. Kelowna, BC: Interior Health; 2014. (Policy, 17 pages)

Jewish General Hospital. Disclosure: Keeping you informed. 2007 (Leaflet)

Kingston-Riechrs J, Ospina M, Onsson E, Childs P, McLeod L, Maxted J. Patient Safety in Primary Care. Edmonton, AB: Canadian Patient Safety Institute, BC Patient Safety and Quality Council; 2010 (Report, 68 pages)

Legislative Assembly of Ontario. Tommy Douglas Act (Patients’ Bill of Rights), 2003. (Legislation)

Manitoba Institute for Patient Safety, Manitoba Alliance of Health Regulatory Colleges. Manitoba has an Apology Act – Learn More About it! October; 2014. (Leaflet)

Ontario Hospital Association. Quality and Patient Safety Governance Toolkit for Hospital Boards in Ontario. 2013. (Toolkit)

Ontario Hospital Association, Quality of Care Information Protection Act Toolkit, 2004 (Toolkit, 62 pages)

Ontario Hospital Association, From Law to Practice: Revisiting the Quality of Care Information Protection Act, 2007 (Toolkit, $)

Ontario Hospital Association, Your Health Care – Be Involved: Acute Sector, 2005 (Toolkit, for patients)

Ontario Hospital Association, An Ontario Guide to Disclosure: Implementing the Amendments to Regulation 965 under the Public Hospitals Act - PP323 (Toolkit, $)

Ontario Ministry of Health and Long-term Care. Excellent Care for All Act. Ontario: 2010. (Legislation)

Patients for Patient Safety Canada (CPSI). Claire Inspires Change After her Passing. 2011 (Video)

Province of Alberta. Regional Health Authorities Act - Patient Concerns Resolution. Alberta Regulation 124/2006. (Legislation)

Renfrew Victoria Hospital, Disclosure of Adverse Events and Adverse Outcomes, General Policy (Policy)

Royal College of Physicians and Surgeons of Canada. ASPIRE: Advancing safety for patients in residency education. (Learning program, $)

Royal College of Physicians and Surgeons of Canada. Competence by Design: Reshaping Canadian medical education. 2014. (Report, 141 pages)

Royal College of Physicians and Surgeons of Canada. Disclosure of Adverse Events 2014. (Case study)

Safer Healthcare Now! Improvement Frameworks: Getting started kit. 2011. (Guide, 54 pages)

Safer Healthcare Now! Interventions. Canadian Safer Healthcare Now: 2012. (Program, guides, tools)

Saskatchewan Ministry of Health. Patient and Family‐Centred Care Resources and Tools. 2011. (Toolkit, 33 pages)

Saskatoon Health Quality Council. Quality Insight. (Program, indicators, videos, resources)

Saskatoon Health Region. Saskatoon Health Region Performance Dashboard (Collection of indicators)

The Canadian Medical Protective Association (CMPA). Choosing the best type of review. In: Learning from Adverse Events: Fostering a just culture of safety in Canadian hospitals and healthcare institutions. Ottawa, ON: CMPA; 2009. (Guide, 28 pages)

The Canadian Medical Protective Association (CMPA). Learning from Adverse Events: Fostering a just culture of safety in Canadian hospitals and healthcare institutions. Ottawa, ON: CMPA; 2009. (Guide)

The Canadian Medical Protective Association (CMPA). Good Practice Guide. Ottawa, ON: CMPA (Guide)

The Canadian Medical Protective Association (CMPA). Good Practices Guide: Patient safety. Ottawa, ON: CMPA. (Guide)

The Canadian Medical Protective Association (CMPA). Communicating with Your Patient About Harm: Disclosure of adverse effects. Ottawa, ON: CMPA; 2015. (Guide, 11 pages)

The Canadian Medical Protective Association (CMPA). Good Practice Guide: Disclosure. (Guide)

The Canadian Medical Protective Association, Royal College of Physicians and Surgeons of Canada, The College of Family Physicians of Canada, Canadian Medical Association. Improving Patient Safety Through Disclosure and Quality Improvement Reviews. 2012. (Report, 14 pages)

The Canadian Nurses Protective Society. Quality Documentation: Your Best Defence. (Guide)

The College of Physicians and Surgeons of Ontario. Disclosure of Harm Policy. 2010. (Policy)

The Hospital for Sick Children, Management of Serious Patient Safety Incidents, 2013  (Policy)

The Hospital for Sick Children, Management of Staff Involved in Healthcare Associated Harm: A Fair and Just Culture, 2013 )

The Health Foundation. The Measurement and Monitoring of Safety. 2013. http://www.health.org.uk/publications/the-measurement-and-monitoring-of-safety/ (Report, 92 pages)

The Ottawa Hospital, Root Cause Analysis LITE. (Guide, 12 pages)

The Ottawa Hospital, Disclosure Toolkit, 2010 (Guide, tools, 35 pages)

The Ottawa Hospital, Disclosure Toolkit Poster (Leaflet)

The Ottawa Hospital, Patient Safety Learning System (PSLS) Reference Guide, 2014 (Guide)

The Ottawa Hospital, Patient Safety Learning System (PSLS) Reportable Events , 2012(Leaflet)

The Ottawa Hospital, Building and Supporting a Just Culture of Patient Safety  (Leaflet)

The Perley and Rideau Veteran’s Health Centre, Disclosure of Critical Incidents, 2011 (Policy, 5 pages)

The Perley and Rideau Veteran’s Health Centre, Resident Safety Incident Response and Reporting, 2011 (Policy, 6 pages)

The Perley and Rideau Veteran’s Health Centre, Safety Incident Flow Chart (Guide, 1 page)

University of Calgary, Health Quality Council of Alberta. Patient Safety and Quality Management. (Learning program)

Veterans Health Administration. VHA Handbook 1004.08: Disclosure of adverse events to patients. Washington, DC: Department of Veterans Affairs; 2012. (Journal article, open access)

Vincent C,  Taylor-Adams S, Chapman EJ, Hewett D, Prior S, Strange P, Tizzard A. How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and risk management protocol. BMJ. 2000; 320(7237): 777-81. (Journal article, open access)

Winnipeg Regional Health Authority (WHRA). Critical Incident Reporting and Management Policy Manual. 2014. (Policy, 5 pages)

Agency for Healthcare Research and Quality (AHRQ). AHRQ Patient Safety Tools and Resources. Rockville, MD: AHRQ; 2015. (Toolkit)

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

Agency for Healthcare Research and Quality (AHRQ). CUSP Toolkit. (Toolkit)

Agency for Healthcare Research and Quality (AHRQ). Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD: AHRQ; 2013. (Toolkit, guide)

Agency for Healthcare Research and Quality (AHRQ). TeamSTEPPS. Rockville, MD: AHRQ. (Guide, tool)

Agency for Healthcare Research and Quality (AHRQ). Voluntary Patient Safety Event Reporting (Incident Reporting). (Guide)

American Academy on Communication in Healthcare. Video Resources. 2014. (Videos)

Australian Commission on Quality and Safety in Health Care. Open Disclosure. 2013. (Guide, tools)

·         Open Disclosure Resources for Clinicians and Health Care Providers. 2013.

·         Open Disclosure Resources for Health Service Organisations. 2013.

·         Open Disclosure FAQs for Consumers. 2013.

Bader and Associates Governance Consultants. 7 Things Your Board Can do to Improve Quality and Patient Safety. 2006. (Article, 5 pages)

Berenholtz SM, Hartsell TL, Pronovost PJ. Learning from defects to enhance morbidity and mortality conferences. Am J Med Qual. 2009; 24(3): 192-5. (Journal article, abstract only)

Boston Consulting Group (BCG). “The Hard Side of Change Management” DICE – How to beat the odds in program execution. (Tool)

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)

Cochrane D, Taylor A, Miller G, Hait V, Matsui I, Bharadwaj M, Devine P. Establishing a Provincial Patient Safety and Learning System: Pilot project results and lessons learned. Longwoods: 2009. (Journal article, open access)

Calhoun AW, Boone MC, Porter MB, Miller KH. Using simulation to address hierarchy-related errors in medical practice. The Permanente Journal. 2014; 18(2): 14-20. doi:10.7812/TPP/13-124. (Journal article, open access)

Carayon P, Xie A, Kianfar S. Human Factors and Ergonomics. In: Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. Rockville (MD): Agency for Healthcare Research and Quality; 2013 Mar. (Evidence Reports/Technology Assessments, No. 211.) Chapter 31. (Book chapter, open access)

Card A. The Active Risk Control (ARC) Toolkit. 2013. (Toolkit)

Chassin MR, Loeb JM. High-reliability health care: getting there from here. The Milbank Quarterly. 2013; 91(3): 459-490. doi:10.1111/1468-0009.12023. (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)

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)

Dekker S. The bureaucratization of safety. Safety Science. 2014; 70: 348-357. (Journal article, open access)

Department of Health, Government of Western Australia. Clinical Incident Management Toolkit. Perth, WA: Western Australian Department of Health; 2011.  Page 24-25 : Develop recommendations. Table 4 : Five models of dback for incident reporting systems with examples of how each may be implemented. (Toolkit, 94 pages)

Department of Health, Victorian Government. Clinical Risk Management (CRM) e-Learning. Victoria, Australia: Department of Health; 2014. (Self-directed learning program, open access)

Department of Health, Victorian Government. Victorian Health Incident Management Policy. Victoria, Australia: Department of Health; 2011.  (Policy, guide, 24 pages)

Evans, Mike Doc Quality Improvement in Healthcare, Youtube, 2014 (Video)

Frankel A. WalkRounds improve patient safety. Healthcare Executive. 2008; 2: 23-28. (Journal article, abstract only)

Frankel A, (editor). Strategies for Building a Hospitalwide Culture of Safety. Oakbrook Terrace, Il: JCAHO; 2006. (Book, $)

Goldman, Brian. Doctors Make Mistakes. Can we talk about that? Youtube, 2012 (Video)

Health Service Executive (HSE). Developing and Populating a Risk Register: Best practice guidance. 2009. (Guide, 41 pages)

Health Service Executive (HSE). Open Disclosure: Communicating when things go wrong. 2013. (Leaflet)

Health Service Executive (HSE). Open Disclosure: National policy.2013. (Policy, 25 pages)

High Reliability Organizing (HRO), Models of HRO , Weick and Sutcliffe/Social Psychology. 2013. (Web article)

Hughes RG (editor). Patient Safety and Quality: An evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality; 2008. (Book, open access)

Gamble M. 5 Traits of High Reliability Organizations: How to hardwire each in your organization. Becker’s Hospital Review: 2013. (Periodical article)

Government of South Australia. Open Disclosure Policy Directive. Adelaide, SA: SA Health; 2011. (Policy, 13 pages)

Graham S, Brrokley J, Steadman C. Patient Safety Executive Walkarounds. Agency for Healthcare Quality and Research; 2009. (Report, 14 pages)

Iedema R, Allen S, Piper D, Baker A., Grbich C, et al. Patients’ and family members’ views on how clinicians enact and how they should enact incident disclosure: the “100 patient stories” qualitative study. BMJ. 2011; 343: d4423. (Journal article, open access)

Institute for Healthcare Improvement (IHI). 5 Million Lives Campaign. 2008. (Program, campaign)

Institute for Healthcare Improvement (IHI). Failure Modes and Effects Analysis (FMEA) Tool. 2004. (Tool, guide, log-in required)

Institute for Healthcare Improvement (IHI). How to Improve. 2014. (Guide, tools, open access)

Institute for Healthcare Improvement (IHI). Improvement Stories. Delivering Great Care: engaging patients and families as partners. 2014. (Web article, case study)

Institute for Healthcare Improvement (IHI). Open School Case Study: Low on the totem pole (AHRQ). 2005. (Case study)

Institute for Healthcare Improvement (IHI). Patient Safety Leadership WalkRounds. 2004. (Tool)

Institute for Healthcare Improvement (IHI). SBAR Toolkit. Oakland, CA: Kaiser Permanente; 2004. (Toolkit)

Institute for Healthcare Improvement (IHI). The Leadership Guide to Patient Safety. 2006. (Guide, log-in required)

Institute for Healthcare Improvement (IHI). Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management. Cambridge, MA: 2011. (Guide, log-in required)

International Association for Public Participation, IAP2 Spectrum of Patient Engagement. 2007. (Tool, 1 page)

I-PASS Study Group. I-PASS. Better Handoffs. Safer Care. Boston Children’s Hospital: 2014. (Program, tools on request)

John Hopkins Bloomberg School of Public Health. Removing Insult from Injury: Disclosing adverse events: Selected vignettes. (Videos)

Joint Commission Center for Transforming Healthcare. Creating a Safety Culture (video). 2012. (Video, 4 min)

Kotter J. The 8-Step Process for Leading Change. (Guide, books $)

Markwell S. Understanding Organisations: Assessing the impact of political, economic,

socio-cultural, environmental and other external influences. Health Knowledge. 2009. (Guide)

McDonald TB, Helmchen LA, Smith KM, Centomani N, Gunderson A, Mayer D, Chamberlin WH. Responding to patient safety incidents: the “seven pillars”. Quality and Safety in Health Care.  2010; 19: e11. (Journal article, open access)

Med Star Health. Annie's Story: How A System's Approach Can Change Safety Culture. 2014. (Video, 5 min)

Medically Induced Trauma Support Service, US. Staff support brochure. (Leaflet)

Ministry of Health, New South Wales Government. Incident Management Policy. Sydney: Ministry of Health NSW; 2014. (Policy, 65 pages)

National Patient Safety Agency. A Risk Matrix for Risk Managers. London: The National Patient Safety Agency: 2008. (Guide, 18 pages)

National Patient Safety Agency. Incident Decision Tree: Information and advice on use. 2003. (Tool, guide, 55 pages)

National Patient Safety Foundation (NPSF). Ask Me 3. NPSF: 2013. (Program, video, tools)

NHS England. Directory: Organisation patient safety incident reports. (Collection of reports and workbooks)

NHS England. National Framework for Reporting and Learning From Serious Incidents Requiring Investigation. 2010. (Guide, 53 pages)

NHS England. Report a Patient Safety Incident. (Tool)

NHS England. Patient Safety Resources: Root Cause Analysis (RCA) Investigation. 2010 (Guide, toolkit)

·         Patient Safety Resources: Root Cause Analysis (RCA) Investigation Guidance.

·         Root Cause Analysis (RCA) Investigation Action Plan Templates.

NHS England. Seven Steps to Patient Safety. 2004. (Guide, 192 pages)

NHS Institute for Innovation and Improvement. SBAR- Situation – Background – Assessment – Recommendation. 2008. (Tool)

NHS Scotland. Learning From Adverse Events Through Reporting and Review: A national framework for NHS Scotland.  Glasgow: NHS Scotland; 2013. (Guide, 37 pages)

Nolan T, Resar R, Haraden C, Griffin FA. Improving the Reliability of Health Care. IHI Innovation Series white paper. Boston, MA: Institute for Healthcare Improvement; 2004. (Article, 20 pages, log-in required)

Patient Safety & Quality Healthcare (PSQH). Daily Check-In for Safety: From best practice to common practice. 2012. (Journal article, open access)

Patient Safety Reporting System (PSRS). Report Form. (Tool, 3 pages)

Prosci Learning Centre. ADKAR: Knowledge, Ability and Reinforcement making the change. 2006. (Tool)

Royal Victoria Regional Health Centre, Critical Patient Safety Incident Reporting and Investigation Policy and Procedure, 2014 (Policy, procedure)

Riesenberg LA, Leitzsch J, Little BW. Systematic review of handoff mnemonics literature. American Journal of Medical Quality.2009; 24: 196-204. doi:10.1177/1062860609332512. (Journal article, open access)

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)

Scott SD, Hirschinger LE, Cox KR, McCoig M, Hahn-Cover K, Epperly KM, et al. Caring for our own: deploying a system wide second victim rapid response team.  Joint Commission Journal on Quality and Patient Safety. 2010; 36(5): 234-240. (Journal article, open access)

Seys D, Wu AW, Van Gerven E, Vleugels A., Euwema M, et al. Health care professionals as second victims after adverse events: a systematic review. Evaluation & the Health Professions. 2013 Jun; 36(2): 135-62. 10.1177/0163278712458918. (Journal article, abstract only)

TEDx. Building a Psychologically Safe Workplace: Amy Edmondson at TEDxHGSE (video). 2014. (Video, 11 min).

Tezak B, Anderson C, Down A, Gibson H, Lynn B, McKinney S, et al. Looking ahead: the use of prospective analysis to improve the quality and safety of care. Healthcare Quarterly. 2009; 12, 580-84. doi:10.12927/hcq.2009.20972. (Journal article, open access)

The Royal College of Emergency Medicine. Second Victims. 2013. (Guide, 10 pages)

University of Missouri Health System, Providing Care and Support to our Staff (Leaflet)

University of Missouri Health System, Caring for the Caregiver  (Guide)

University of Missouri Health System, Second Victim Trajectory, 2009 (Guide, 1 page)

University of Missouri Health System, The Scott Three-Tiered Interventional Model of Second Victim Support (Guide, 1 page)

Vakery P, Antonio K. Change management for effective quality improvement: a prime. American Journal of Medical Quality. 2010; 25(4): 268–273. DOI: 10.1177/1062860610361625. (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)

Washington State Hospital Association (WSHA). Patient Safety: Transforming culture toolkit. 2013. (Toolkit, 28 pages)

Waters HR, Korn R, Colantuoni E, Berenholtz SM, Goeschel  A, Needham DM, et al. The business case for quality economic analysis of the Michigan Keystone Patient Safety Program in ICUs. American Journal of Medical Quality. 2011; 26(5): 333-339. (Journal article, abstract only)

Wilson K, Burke CS, Priest HA, Salas E. Promoting health care safety through training high reliability teams. Qual Saf Health Care. 2005; 14: 303-309. doi: 10.1136/qshc.2004.010090. (Journal article, open access)

World Health Organization (WHO). Guide for Developing Patient Safety Policy and Strategic Plan. Geneva: WHO; 2014. (Guide, 47 pages)

World Health Organization (WHO). Learning from Error - Video and Booklet. 2010. (Videos, booklet)

World Health Organization (WHO). WHO Draft Guidelines for Adverse Event Reporting and Learning Systems: From information to action. Geneva: WHO; 2005. (Guide, 80 pages)

Wu AW, McCay L, Levinson W, Iedema R, Wallace G, Boyle DJ, et al. Disclosing Adverse Events to Patients: International norms and trends. 2014. (Journal article, abstract only)

5 Million Lives Campaign. Getting started kit: Governance leadership “boards on board” how-to guide. Cambridge, MA: Institute for Healthcare Improvement; 2008. (Guide, log-in required)