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

Altman, D., Clancy, C., & Blendon, R. (2004). Improving patient safety—Five years after the IOM report. New England Journal of Medicine, 351(20), 2041-2043.

Bader, B., & O’Malley, S. (2006). 7 things your board can do to improve quality and patient safety. Great Boards, 6(1) [Newsletter]. Retrieved from

Bader, B., & Zablock, E. (2008). Evaluating and improving board committees. Great Boards, 8(2) [Newsletter]. Retrieved from  

Baker, G., Denis, J., Pomey, P., & MacIntosh-Murray, A. (2008). Effective governance for quality and patient safety in Canadian healthcare organizations: A report to the Canadian Health Services Research Foundation and the Canadian Patient Safety Institute. Retrieved from

Baker, G., Grosso, F., Heinz, C., Sharpe, G., Beardwood, J., Fabiano, D., . . . Parsons, D. (2007). Review of provincial, territorial and federal legislation and policy related to the reporting and review of adverse events in healthcare in Canada. In Canadian Patient Safety Institute, The Canadian Adverse Events Reporting and Learning System consultation paper, 2008, Appendix B. Retrieved from

Baker, G., Norton, P., Flintoft, V., Blais, R., Brown, A, Cox, J., . . . Tamblyn, R. (2004). The Canadian Adverse Events Study: The incidence of adverse events among hospital patients in Canada. Canadian Medical Association Journal, 170(11), 1678-1686.

Baker, M., Corbett, A., & Reinertsen, J. (2008). Quality and patient safety: Understanding the role of the board. Governance Centres of Excellence and Ontario Hospital Association.

Barraclough, B. (2006). The role of safety and quality councils in improving the quality of healthcare: An Australian perspective. HealthcarePapers, 6(3), 24-32.

Barraclough, B., & Birch, J. (2006). Healthcare safety and quality: Where have we been and where are we going? Medical Journal of Australia, 184(10), S48-S50.

Budrevics, G., & O’Neill, C. (2005). Changing a culture with patient safety walkarounds. Healthcare Quarterly, 8, 20-25.

Campbell, S., Sheaff, R., Sibbald, B., Marshall, M., Pickard, S., Gask, L., . . . Roland, M. (2002). Implementing clinical governance in English primary care groups/trusts: Reconciling quality improvement and quality assurance. Quality and Safety in Healthcare, 11, 9-14.

Canadian Health Services Research Foundation. (2008). Evidence boost for quality: Performance reporting to help organizations promote quality improvement. Retrieved from

Canadian Health Services Research Foundation. (2006). Myth: People use health system report cards to make decisions about their care. Retrieved from

Canadian Health Services Research Foundation. (2009). Patient safety tops the agenda at the Winnipeg Regional Health Authority. Retrieved from

Canadian Health Services Research Foundation. (2007). Backgrounder. Public reporting on the quality of healthcare: Emerging evidence on promising practices for effective reporting. Retrieved from

Clough, J., & Nash, D. (2007). Health care governance for quality and safety: The new agenda. American Journal of Medical Quality, 22(3), 203-213.

Conway, J. (2008). Getting boards on board: Engaging governance in quality and safety. Joint Commission Journal on Quality and Patient Safety, 34(4), 214-220.

Hôtel-Dieu Grace Hospital. (2008). Coroner’s jury recommendations: Progress report on responses and actions at Hotel Dieu Grace Hospital. (2008). Retrieved from

Dana Farber Cancer Institute. The Dana Farber Institute principles of a fair and just culture. Retrieved from

DeLashmutt, S., Albertalli, L., Beck, C., McHenry, L., Rheault, L., & Robbins, K. (2003). Opening doors to patient safety: A board checklist. Trustee, 56(1), 31-32.

Denis J., Champagne, F., Pomey, M., Préval J., & Tré, G. (2005). Towards a framework for the analysis of governance in healthcare organizations [Preliminary report presented to the Canadian Council on Health Services Accreditation].Université de Montréal.

Devers, K., Hoangmai, H., & Liu, G. (2004). What is driving hospitals’ patient-safety efforts? Health Affairs, 23(2), 103-115.

Disclosure Working Group. (2008). Canadian Disclosure Guidelines. Edmonton, AB: Canadian Patient Safety Institute.

Dunn, P. (2007). Shedding light on quality. Trustee, 60(8), 11-14.

Etchells, E., Lester, R., Morgan, B., & Johnson, B. (2005). Striking a balance: Who is accountable for patient safety? Healthcare Quarterly, 8, 146-150.

Fisk Mastal, M., Joshi, M., & Schulke, K. (2007). Nursing leadership: Championing quality and patient safety in the boardroom. Nursing Economic$, 25(6), 323-331.

Fleming, M. (2005). Patient safety culture measurement and improvement: A “how to” guide. Healthcare Quarterly, 8, 14-19.

Fleming, M., & Wentzell, N. (2008). Patient safety culture improvement tool: Development and guidelines for use. Healthcare Quarterly, 11, 10-15.

Freeman, T., & Walshe, K. (2004). Achieving progress through clinical governance?: A national study of healthcare managers’ perceptions in the NHS in England. Quality and Safety in Healthcare, 13, 335-343.

Gribbin, J. (2007). Quality and patient safety: Governance at the crossroads. Trustee, 60(8), 34-35.

Health Council of Canada. (2006). Healthcare renewal in Canada: Clearing the road to quality [Health Council of Canada annual report]. Retrieved from

Health Quality Council of Alberta. (2009). 2009 Measuring & monitoring for success. Retrieved from

Health Quality Council of Alberta. (2004). Alberta quality matrix for health. Retrieved from

Health Quality Council of Alberta. (2006). Alberta provincial disclosure of harm to patients and families framework. Retrieved from

Hundert, M., & Topp, A. (2003). Issues in the governance of Canadian hospitals IV: Quality of hospital care. Hospital Quarterly, 6(4), 60-62.

Institute for Healthcare Improvement. Get boards on board campaign tools. Retrieved from

Joint Commission Resources, Inc. (2007). Getting the board on board: What your board needs to know about quality and patient safety. (2nd ed.). Oakbrook Terrace, IL: Joint Commission Resources.

Kovacs Burns, K. (2008). Canadian patient safety champions: Collaborating on improving patient safety. Healthcare Quarterly, 11, 95-100.

Langley, G., Nolan, K., Nolan, T., Norman, C., & Provost, L. (2009). The improvement guide: A practical approach to enhancing organizational performance (2nd ed.). San Francisco, CA: Jossey-Bass.

Learning from adverse events: Fostering a just culture of safety in Canadian hospitals and health care institutions. (2009). Ottawa, ON: Canadian Medical Protective Association. Retrieved from

Mastal, M., Joshi, M., & Shulke, K. (2007). Nursing leadership: Championing quality and patient safety in the boardroom. Nursing Economic$, 25(6), 323-331.

Maulik, S., & Hines, S. (2006). Getting the board on board. Joint Commission on Journal of Quality and Patient Safety, 32(4), 179-187.

Mcdonagh, K., Chenoweth, J., Totten, M.K., & Orlikoff, J.E. (2008). Connecting governance culture and hospital performance improvement. Trustee, 61(4), 4 p following 16.

Meyer, J., Silow-Carroll, S., Kutyla, T., Stepnick, L., & Rybowski, L. (2004). Hospital quality: Ingredients for success – overview and lessons learned. Retrieved from

Meyers, S. (2008). Cultivating trust: The board-medical trust relationship. Trustee, 61(10), 8-12.

Mohr, J., Abelson, H., & Barach, P. (2003). Creating effective leadership for improving patient safety. Quality Management in Healthcare, 11(1), 69-78.

Mycek, S. (2002). Patient safety: It starts with the board. Trustee, 54(5), 8-12.

Nash, D., Oetgen, W., & Pracillo, V. (Eds.) (2009). Governance for healthcare providers: The call to leadership. New York, NY: CRC Press.

National Patient Safety Agency. Questions are the answer? 7 questions every board member should ask about patient safety. Retrieved from

National Patient Safety Agency. (2008). Act on reporting: Five actions to improve safety reporting. Briefing, 161. Retrieved from

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Nininger, J. (2008). Leading quality on Canadian boards: The Ottawa hospital experience [Powerpoint presentation]. Flo Collaborative.

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Ontario Hospital Association. (2008). Quality and patient safety: Understanding the role of the board (Ontario Hospital Association Publication 414).

Orlikoff, J. (2005). Building better boards in an era of accountability. Frontiers of Health Services Management, 21(3), 3-12. 

Pomey, M., Denis, J., Baker, R., Préval, J., & MacIntosh-Murray, A. (2008.) The role of the board in the improvement of quality and safety of healthcare organizations [Unpublished manuscript].

Prybil, L., Levey, S., Peterson, R., Heinrich, M., Brezinski, P., Zamba, G., . . . Roach, W. (2009). Governance in high-performing community health systems: A report on CEO and trustee views. Chicago, IL: Grant Thornton LLP.

Reinertsen, J., & Schellekens, W. (2005). 10 powerful ideas for improving patient care. Chicago, IL: Health Administration Press.

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Davies, J., Hebert, P., & Hoffman, C. (2003). The Canadian Patient Safety Dictionary. Ottawa, ON: Royal College of Physicians and Surgeons of Canada. Retrieved from

Runy, L. (2008). A clear-eyed approach to quality. Hospital & Health Networks, September, 55-57.

Schmidt, D. (2006, November 4). Murder-suicide shocked the community. The Windsor Star. Retrieved from

Sexual violence in the workplace: The murder of Lori Dupont. Queens Human Rights Bulletin, 11. Retrieved from

Singer, S., Meterko, M., Baker, L., Gaba, D., Falwell, A., & Rosen, A. (2007). Workforce perceptions of hospital safety culture: Development and validation of the Patient Safety Climate in Healthcare Organizations Survey. Health Services Research, 42(5), 1999-2021.

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The Joint Commission: Sentinel Event Alert “Behaviors that Undermine a Culture of Quality and Safety” Issue 40, July 9 2008. Retrieved on November 27, 2009 from

Wilson, K. (2007). The Krever Commission – 10 years later. Canadian Medical Association Journal, 177(11), 1387-1389.

Wong, J., & Beglaryan, H. (2004). Strategies for hospitals to improve patient safety: A review of the research. The Change Foundation.

World Health Organization. (2009). The conceptual framework for the international classification for patient safety, v.1. Final technical report. Retrieved from