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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:

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)

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

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

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

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

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

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)

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

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

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

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

Recommended Readings

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

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)

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

The Health Foundation. The Measurement and Monitoring of Safety. 2013. (Report, 92 pages)

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