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Articles

Medication adherence: staying within the boundaries of safety

ORCID Icon & ORCID Icon
Pages 82-103 | Received 30 Jun 2016, Accepted 24 Feb 2017, Published online: 10 Apr 2017

References

  • Alper, S. J., and B. Karsh. 2009. “A Systematic Review of Safety Violations in Industry.” Accident Analysis & Prevention 41 (4): 739–754. doi:10.1016/j.aap.2009.03.013.
  • Amalberti, R. 2001. “The Paradoxes of Almost Totally Safe Transportation Systems.” Safety Science 37 (2): 109–126.10.1016/S0925-7535(00)00045-X
  • Amalberti, R., C. Vincent, Y. Auroy, and G. De Saint Maurice. 2006. “Violations and Migrations in Health Care: A Framework for Understanding and Management.” Quality & Safety in Health Care 15 (Suppl 1): i66–71. doi:10.1136/qshc.2005.015982.
  • Barber, N. 2002. “Should We Consider Non-compliance a Medical Error?” Quality & Safety in Health Care 11 (1): 81–84. doi:10.1136/qhc.11.1.81.
  • Barber, N., J. Parsons, S. Clifford, R. Darracott, and R. Horne. 2004. “Patients’ Problems with New Medication for Chronic Conditions.” Quality & Safety in Health Care 13 (3): 172–175. doi:10.1136/qhc.13.3.172.
  • Barber, N., A. Safdar, and B. D. Franklin. 2005. “Can Human Error Theory Explain Non-adherence?” Pharmacy World and Science 27 (4): 300–304. doi:10.1007/s11096-005-0355-7.
  • Barbour, R. S. 2001. “Checklists for Improving Rigour in Qualitative Research: A Case of the Tail Wagging the Dog?” BMJ 322 (7294): 1115–1117. doi:10.1136/bmj.322.7294.1115.
  • Berends, L., and J. Johnston. 2005. “Using Multiple Coders to Enhance Qualitative Analysis: The Case of Interviews with Consumers of Drug Treatment.” Addiction Research & Theory 13 (4): 373–381. doi:10.1080/16066350500102237.
  • Beuscart-Zéphir, M.-C., S. Pelayo, and S. Bernonville. 2010. “Example of a Human Factors Engineering Approach to a Medication Administration Work System: Potential Impact on Patient Safety.” International Journal of Medical Informatics 79 (4): e43–e57. doi:10.1016/j.ijmedinf.2009.07.002.
  • Britten, N. 2009. “Medication Errors: The Role of the Patient.” British Pharmacological Society 67 (6): 646–650. doi:10.1111/j.1365-2125.2009.03421.x.
  • Butler, J., P. G. Arbogast, J. Daugherty, M. K. Jain, W. A. Ray, and M. R. Griffin. 2004. “Outpatient Utilization of Angiotensin-converting Enzyme Inhibitors among Heart Failure Patients after Hospital Discharge.” Journal of the American College of Cardiology 43 (11): 2036–2043. doi:10.1016/j.jacc.2004.01.041.
  • Carayon, P., B. Karsh, A. P. Gurses, R. J. Holden, P. Hoonakker, A. S. Hundt, E. Montague, A. J. Rodriguez, and T. B. Wetterneck. 2013. “Macroergonomics in Healthcare Quality and Patient Safety.” Reviews of Human Factors and Ergonomics 8: 4–54. doi:10.1177/1557234X13492976.
  • Carayon, P., A. Schoofs Hundt, B. T. Karsh, A. P. Gurses, C. J. Alvarado, M. Smith, and P. F. Brennan. 2006. “Work System Design for Patient Safety: The SEIPS Model.” Quality & Safety in Health Care 15 (Suppl 1): i50–8. doi:10.1136/qshc.2005.015842.
  • Carayon, P., and K. E. Wood. 2010. “Patient Safety- The Role of Human Factors and Systems Engineering.” Studies in Health Technology and Informatics 153: 23–46. doi:10.3233/978-1-60750-533-4-23.
  • Cardenas-Valladolid, J., C. Martin-Madrazo, M. A. Salinero-Fort, E. Carrillo De-Santa Pau, J. C. Abanades-Herranz, and C. De Burgos-Lunar. 2010. “Prevalence of Adherence to Treatment in Homebound Elderly People in Primary Health Care: A Descriptive, Cross-sectional, Multicentre Study.” Drugs & Aging 27 (8): 641–651. doi:10.2165/11537320-000000000-00000.
  • Cook, R., and J. Rasmussen. 2005. “Going Solid: A Model of System Dynamics and Consequences for Patient Safety.” Quality & Safety in Health Care 14 (2): 130–134. doi:10.1136/qshc.2003.009530.
  • Cramer, J. A., A. Roy, A. Burrell, C. J. Fairchild, M. J. Fuldeore, D. A. Ollendorf, and P. K. Wong. 2008. “Medication Compliance and Persistence: Terminology and Definitions.” Value in Health: The Journal of the International Society for Pharmacoeconomics and Outcomes Research 11 (1): 44–47. doi:10.1111/j.1524-4733.2007.00213.x.
  • Dekker, S. 2014. The Field Guide to Understanding “Human Error”. Hampshire: Ashgate.
  • Donaldson, L. 2000. An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS. Norwich: Stationery Office.
  • Ferner, R. E., and J. K. Aronson. 2006. “Clarification of Terminology in Medication Errors.” Drug Safety 29 (11): 1011–1022.10.2165/00002018-200629110-00001
  • Field, T. S., K. M. Mazor, B. Briesacher, K. R. Debellis, and J. H. Gurwitz. 2007. “Adverse Drug Events Resulting from Patient Errors in Older Adults.” Journal of the American Geriatrics Society 55 (2): 271–276. doi:10.1111/j.1532-5415.2007.01047.x.
  • Fitzgerald, A. A., J. D. Powers, P. M. Ho, T. M. Maddox, P. N. Peterson, L. A. Allen, F. A. Masoudi, D. J. Magid, and E. P. Havranek. 2011. “Impact of Medication Nonadherence on Hospitalizations and Mortality in Heart Failure.” Journal of Cardiac Failure 17 (8): 664–669. doi:10.1016/j.cardfail.2011.04.011.
  • Flynn, E. A. 2012. “Human Factors and Ergonomics in Medication Safety.” In Handbook of Human Factors and Ergonomics in Health Care and Patient Safety, edited by P. Carayon, 2nd ed., 785–792. Boca Raton, FL: CRC Press.
  • Forster, A. J., H. J. Murff, J. F. Peterson, T. K. Gandhi, and D. W. Bates. 2005. “Adverse Drug Events Occurring following Hospital Discharge.” Journal of General Internal Medicine 20 (4): 317–323. doi:10.1111/j.1525-1497.2005.30390.x.
  • Furniss, D., N. Barber, I. Lyons, L. Eliasson, and A. Blandford. 2014. “Unintentional Non-adherence: Can a Spoon Full of Resilience Help the Medicine Go down?” BMJ Quality & Safety 23 (2): 95–98. doi:10.1136/bmjqs-2013-002276.
  • Gadkari, A. S., and C. A. Mchorney. 2012. “Unintentional Non-adherence to Chronic Prescription Medications: How Unintentional is It Really?” BMC Health Services Research 12 (1): 1–12. doi:10.1186/1472-6963-12-98.
  • Gandhi, T. K., S. N. Weingart, J. Borus, A. C. Seger, J. Peterson, E. Burdick, D. L. Seger, K. Shu, F. Federico, and L. L. Leape. 2003. “Adverse Drug Events in Ambulatory Care.” New England Journal of Medicine 348 (16): 1556–1564. doi:10.1056/NEJMsa020703.
  • Gilbreth, F. B. 1916. “Motion Study in Surgery.” Canadian Journal of Medicine and Surgury 40: 22–31.
  • Gray, S. L., J. E. Mahoney, and D. K. Blough. 2001. “Medication Adherence in Elderly Patients Receiving Home Health Services following Hospital Discharge.” The Annals of Pharmacotherapy 35 (5): 539–545. doi:10.1345/aph.10295.
  • Green, C. P., C. B. Porter, D. R. Bresnahan, and J. A. Spertus. 2000. “Development and Evaluation of the Kansas City Cardiomyopathy Questionnaire: A New Health Status Measure for Heart Failure.” Journal of the American College of Cardiology 35 (5): 1245–1255. doi:10.1016/S0735-1097(00)00531-3.
  • Groth, K. M., and A. Mosleh. 2012. “A Data-informed PIF Hierarchy for Model-based Human Reliability Analysis.” Reliability Engineering & System Safety 108: 154–174. doi:10.1016/j.ress.2012.08.006.
  • Hajjar, E. R., A. C. Cafiero, and J. T. Hanlon. 2007. “Polypharmacy in Elderly Patients.” American Journal of Geriatric Pharmacotherapy 5 (4): 345–351. doi:10.1016/j.amjopharm.2007.12.002.
  • Hale, A., and D. Borys. 2013. “Working to Rule, or Working Safely? Part 1: A State of the Art Review.” Safety Science 55: 207–221. doi:10.1016/j.ssci.2012.05.011.
  • Hanlon, J. T., C. F. Pieper, E. R. Hajjar, R. J. Sloane, C. I. Lindblad, C. M. Ruby, and K. E. Schmader. 2006. “Incidence and Predictors of All and Preventable Adverse Drug Reactions in Frail Elderly Persons after Hospital Stay.” The Journals of Gerontology Series A: Biological Sciences and Medical Sciences 61 (5): 511–515.10.1093/gerona/61.5.511
  • Henriksen, K., A. Joseph, and T. Zayas-Cabán. 2009. “The Human Factors of Home Health Care: A Conceptual Model for Examining Safety and Quality Concerns.” Journal of Patient Safety 5 (4): 229–236. doi:10.1097/PTS.0b013e3181bd1c2a.
  • Hignett, S., L. Wolf, E. Taylor, and P. Griffiths. 2015. “Firefighting to Innovation: Using Human Factors and Ergonomics to Tackle Slip, Trip, and Fall Risks in Hospitals.” Human Factors: The Journal of the Human Factors and Ergonomics Society 57 (7): 1195–1207. doi:10.1177/0018720815593642.
  • Holden, R. J., P. Carayon, A. P. Gurses, P. Hoonakker, A. S. Hundt, A. A. Ozok, and A. J. Rivera-Rodriguez. 2013. “SEIPS 2.0: A Human Factors Framework for Studying and Improving the Work of Healthcare Professionals and Patients.” Ergonomics 56 (11): 1669–1686. doi:10.1080/00140139.2013.838643.
  • Holden, R. J., and B. Karsh. 2007. “A Review of Medical Error Reporting System Design Considerations and a Proposed Cross-level Systems Research Framework.” Human Factors: The Journal of the Human Factors and Ergonomics Society 49 (2): 257–276. doi:10.1518/001872007X312487.
  • Holden, R. J., C. C. Schubert, and R. S. Mickelson. 2015. “The Patient Work System: An Analysis of Self-care Performance Barriers among Elderly Heart Failure Patients and Their Informal Caregivers.” Applied Ergonomics 47: 133–150. doi:10.1016/j.apergo.2014.09.009.
  • Holden, R. J., R. S. Valdez, C. C. Schubert, M. J. Thompson, and A. S. Hundt. 2016. “Macroergonomic Factors in the Patient Work System: Examining the Context of Patients with Chronic Illness.” Ergonomics 10: 1–18. doi:10.1080/00140139.2016.1168529.
  • Hollnagel, E. 1998. Cognitive Reliability and Error Analysis Method (CREAM). Oxford: Alden Group, Elsevier.
  • Hollnagel, E. 2004. Barriers and Accident Prevention. Aldershot: Ashgate.
  • Hollnagel, E. 2013a. Resilience Engineering in Practice: A Guidebook. Aldershot: Ashgate.
  • Hollnagel, E. 2013b. “A Tale of Two Safeties.” Nuclear Safety and Simulation 4 (1): 1–9.
  • Hollnagel, E., J. Braithwaite, and R. Wears. 2013. Resilient Health Care. Farmham: Ashgate.
  • Hollnagel, E., R. Wears, and J. Braithwaite. 2015. “From Safety-I to Safety-II: A White Paper.” The Resilient Healthcare Net. Published simultaneously by the University of Southern Denmark, University of Florida, USA, and Macquarie University, Australia. Accessed April 4, 2016. http://resilienthealthcare.net/onewebmedia/WhitePaperFinal.pdf
  • Hollnagel, E., D. D. Woods, and N. Leveson. 2007. Resilience Engineering: Concepts and Precepts. Surrey: Ashgate.
  • Horne, R., and J. Weinman. 1999. “Patients’ Beliefs about Prescribed Medicines and Their Role in Adherence to Treatment in Chronic Physical Illness.” Journal of Psychosomatic Research 47 (6): 555–567. doi:10.1016/S0022-3999(99)00057-4.
  • Horne, R., J. Weinman, N. Barber, R. Elliott, M. Morgan, and A. Cribb. 2005. Concordance, Adherence and Compliance in Medicine Taking, 40–46. Brighton: National Co-ordinating Centre for NHS Service Delivery and Organisation R & D.
  • Joseph, S. M., E. Novak, S. V. Arnold, P. G. Jones, H. Khattak, A. E. Platts, V. Davila-Roman, D. L. Mann, and J. A. Spertus. 2013. “Comparable Performance of the Kansas City Cardiomyopathy Questionnaire in Heart Failure Patients with Preserved and Reduced Ejection Fraction.” Circulation: Heart Failure 6 (6): 1139–1146. doi:10.1161/CIRCHEARTFAILURE.113.000359.
  • Karsh, B., R. J. Holden, S. Alper, and C. Or. 2006. “A Human Factors Engineering Paradigm for Patient Safety: Designing to Support the Performance of the Healthcare Professional.” Quality & Safety in Health Care 15 (Suppl 1): i59–i65. doi:10.1136/qshc.2005.015974.
  • Kohn, L. T., J. M. Corrigan, and M. S. Donaldson. 2000. To Err is Human: Building a Safer Health System. Washington, DC: National Academies Press.
  • Kripalani, S., A. T. Jackson, J. L. Schnipper, and E. A. Coleman. 2007. “Promoting Effective Transitions of Care at Hospital Discharge: A Review of Key Issues for Hospitalists.” Journal of Hospital Medicine 2 (5): 314–323. doi:10.1002/jhm.228.
  • Krippendorff, K. 1989. “Content Analysis.” In International Encyclopedia of Communication, edited by E. Barnouw, G. Gerbner, W. Schramm, T. L. Worth, and L. Gross, 403–407. New York: Oxford University Press.
  • Lang, A., M. Macdonald, P. Marck, L. Toon, M. Griffin, T. Easty, K. Fraser, N. MacKinnon, J. Mitchell, E. Lang, and S. Goodwin. 2015. “Seniors Managing Multiple Medications: Using Mixed Methods to View the Home Care Safety Lens.” BMC Health Services Research 15: 548–563. doi:10.1186/s12913-015-1193-5.
  • Lau, D. T. 2008. “Consumer Medication Management and Error.” Clinical Therapeutics 30 (11): 2156–2158. doi:10.1016/j.clinthera.2008.11.010.
  • Lawton, R., R. R. Mceachan, S. J. Giles, R. Sirriyeh, I. S. Watt, and J. Wright. 2012. “Development of an Evidence-based Framework of Factors Contributing to Patient Safety Incidents in Hospital Settings: A Systematic Review.” BMJ Quality & Safety 21 (5): 369–380. doi:10.1136/bmjqs-2011-000443.
  • Leblanc, V. R., T. Manser, M. B. Weinger, D. Musson, J. Kutzin, and S. K. Howard. 2011. “The Study of Factors Affecting Human and Systems Performance in Healthcare Using Simulation.” Simulation in Healthcare 6 (7): S24–S29. doi:10.1097/SIH.0b013e318229f5c8.
  • Liao, V., C.-L. Chin, S. McKeever, K. Kopren, D. Morrow, K. Davis, E. A. Wilson, D. Kaiser, M. Wolf, and T. Conner-Garcia. 2011. “Medtable™ an EMR-based Tool to Support Collaborative Planning for Medication Use.” Proceedings of the Human Factors and Ergonomics Society Annual Meeting 55 (1): 670–674. doi:10.1016/j.cct.2012.05.010.
  • Lim, R. H., J. E. Anderson, and P. W. Buckle. 2016. “Work Domain Analysis for Understanding Medication Safety in Care Homes in England: An Exploratory Study.” Ergonomics 59 (1): 15–26. doi:10.1080/00140139.2015.1057542.
  • Marcum, Z. A., Y. Zheng, S. Perera, E. Strotmeyer, A. B. Newman, E. M. Simonsick, R. I. Shorr, D. C. Bauer, J. M. Donohue, and J. T. Hanlon. 2013. “Prevalence and Correlates of Self-reported Medication Non-adherence among Older Adults with Coronary Heart Disease, Diabetes Mellitus, and/or Hypertension.” Research in Social and Administrative Pharmacy 6: 817–827. doi:10.1016/j.sapharm.2012.12.002.
  • Masotti, P., M. A. McColl, and M. Green. 2010. “Adverse Events Experienced by Homecare Patients: A Scoping Review of the Literature.” International Journal for Quality in Health Care 22 (2): 115–125. doi:10.1093/intqhc/mzq003.
  • Mckeon, C. M., G. J. Fogarty, and D. G. Hegney. 2006. “Organizational Factors: Impact on Administration Violations in Rural Nursing.” Journal of Advanced Nursing 55 (1): 115–123. doi:10.1111/j.1365-2648.2006.03880.x.
  • Miles, M. B., A. M. Huberman, and J. Saldaña. 2013. Qualitative Data Analysis: A Methods Sourcebook. Thousand Oaks, CA: Sage.
  • Mira, J. J., S. Lorenzo, M. Guilabert, I. Navarro, and V. Pérez-Jover. 2015. “A Systematic Review of Patient Medication Error on Self-administering Medication at Home.” Expert Opinion on Drug Safety 14 (6): 815–838. doi:10.1517/14740338.2015.1026326.
  • Morrow, D., L. Raquel, A. Schriver, S. Redenbo, and L. Rozovski. 2007. “External Support for Collaborative Medication Planning by Patients and Providers.” Proceedings of the Human Factors and Ergonomics Society Annual Meeting 2007 51 (11): 722–724. doi:10.1177/154193120705101125.
  • Naderi, S. H., J. P. Bestwick, and D. S. Wald. 2012. “Adherence to Drugs That Prevent Cardiovascular Disease: Meta-analysis on 376,162 Patients.” The American Journal of Medicine 125 (9): 882–887. doi:10.1016/j.amjmed.2011.12.013.
  • National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP). 2001. NCC MERP Taxonomy of Medication Errors. Accessed April 13, 2016. http://www.nccmerp.org/sites/default/files/taxonomy2001-07-31.pdf
  • National Research Council. 2011. Health Care Comes Home: The Human Factors. Washington, DC: The National Academies Press.
  • Nieuwlaat, R., N. Wilczynski, T. Navarro, N. Hobson, R. Jeffery, A. Keepanasseril, T. Agoritsas, N. Mistry, A. Iorio, S. Jack, B. Sivaramalingam, E. Iserman, R. A. Mustafa, D. Jedraszewski, C. Cotoi, and R. B. Haynes. 2014. “Interventions for Enhancing Medication Adherence.” Cochrane Database Systematic Reviews 11: Cd000011.
  • Osterberg, L., and T. Blaschke. 2005. “Adherence to Medication.” New Engandl Journal of Medicine 353 (5): 487–497. doi:10.1056/NEJMra050100.
  • Ownby, R. L., C. Hertzog, E. Crocco, and R. Duara. 2006. “Factors Related to Medication Adherence in Memory Disorder Clinic Patients.” Aging and Mental Health 10 (4): 378–385. doi:10.1080/13607860500410011.
  • Phansalkar, S., J. Edworthy, E. Hellier, D. L. Seger, A. Schedlbauer, A. J. Avery, and D. W. Bates. 2010. “A Review of Human Factors Principles for the Design and Implementation of Medication Safety Alerts in Clinical Information Systems.” Journal of the American Medical Informatics Association 17 (5): 493–501. doi:10.1136/jamia.2010.005264.
  • Piette, J. D., M. Heisler, and T. H. Wagner. 2004. “Cost-related Medication Underuse among Chronically III Adults: The Treatments People Forgo, How Often, and Who is at Risk.” American Journal of Public Health 94 (10): 1782–1787. doi:10.2105/AJPH.94.10.1782.
  • Rasmussen, J. 1997. “Risk Management in a Dynamic Society: A Modelling Problem.” Safety Science 27 (2): 183–213. doi:10.1016/S0925-7535(97)00052-0.
  • Reason, J. 1990. Human Error. Cambridge: Cambridge University Press.10.1017/CBO9781139062367
  • Reason, J. 1997. Managing the Risks of Organizational Accidents. Burlington, VT: Ashgate.
  • Reason, J. 1998. “Achieving a Safe Culture: Theory and Practice.” Work & Stress 12 (3): 293–306. doi:10.1080/02678379808256868.
  • Reason, J. 2000. “Human Error: Models and Management.” BMJ: British Medical Journal 320 (7237): 768–770. doi:10.1136/bmj.320.7237.768.
  • Rich, M. W. 2001. “Heart Failure in the 21st Century: A Cardiogeriatric Syndrome.” The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences 56 (2): M88–96. doi:10.1093/gerona/56.2.M88.
  • Riegel, B., C. S. Lee, V. V. Dickson, and B. Carlson. 2009. “An Update on the Self-care of Heart Failure Index.” The Journal of Cardiovascular Nursing 24 (6): 485–497. doi:10.1097/JCN.0b013e3181b4baa0.
  • Roger, V. L., A. S. Go, D. M. Lloyd-Jones, E. J. Benjamin, J. D. Berry, W. B. Borden, D. M. Bravata, S. Dai, E. S. Ford, and C. S. Fox. 2012. “Heart Disease and Stroke Statistics – 2012 Update a Report from the American Heart Association.” Circulation 125 (1): e2–e220. doi:10.1161/CIR.0b013e31823ac046.
  • Rossi, M. I., A. Young, R. Maher, K. L. Rodriguez, C. J. Appelt, S. Perera, E. R. Hajjar, and J. T. Hanlon. 2007. “Polypharmacy and Health Beliefs in Older Outpatients.” The American Journal of Geriatric Pharmacotherapy 5 (4): 317–323. doi:10.1016/j.amjopharm.2007.12.001.
  • Runciman, W. B., G. R. Baker, P. Michel, I. L. Jauregui, R. J. Lilford, A. Andermann, R. Flin, and W. B. Weeks. 2008. “The Epistemology of Patient Safety Research.” International Journal of Evidence-based Healthcare 6 (4): 476–486. doi:10.1111/j.1744-1609.2008.00117.x.
  • Safren, M. A., and A. Chapanis. 1960. “A Critical Incident Study of Hospital Medication Errors. Part 2.” Hospitals 34: 32–34.
  • Saldana, J. 2009. The Coding Manual for Qualitative Researchers. Thousand Oaks, CA: Sage.
  • Schubert, C., R. Wears, R. Holden and G. Hunte. 2015. “Patients as Source of Resilience.” In Resilience of Everyday Clinical Work, edited by R. L. Wears, E. H. Hollnagel, and J. Braithwaite, 207–223. Burlington, VT: Ashgate.
  • Scott, I. A., S. N. Hilmer, E. Reeve, K. Potter, D. Le Couteur, D. Rigby, D. Gnjidic, C. B. Del Mar, E. E. Roughead, A. Page, J. Jansen, and J. H. Martin. 2015. “Reducing Inappropriate Polypharmacy: The Process of Deprescribing.” Journal of the American Medical Association Internal Medicine 175 (5): 827–834. doi:10.1001/jamainternmed.2015.0324.
  • Sharit, J. 2012. “Human Error and Human Reliability Analysis.” In Handbook of Human Factors and Ergonomics, edited by G. Salvendy, 2nd ed., 734–800. Hoboken, NJ: Wiley.10.1002/9781118131350
  • Simpson, S. H., D. T. Eurich, S. R. Majumdar, R. S. Padwal, R. T. Tsuyuki, J. Varney, and J. A. Johnson. 2006. “A Meta-analysis of the Association between Adherence to Drug Therapy and Mortality.” BMJ 333 (7557): 15–21. doi:10.1136/bmj.38875.675486.55.
  • Sokol, M. C., K. A. McGuigan, R. R. Verbrugge, and R. S. Epstein. 2005. “Impact of Medication Adherence on Hospitalization Risk and Healthcare Cost.” Medical Care 43 (6): 521–530. doi:10.1097/01.mlr.0000163641.86870.af.
  • Strauss, A., S. Fagerhaugh, B. Suczek, and C. Wiener. 1982. “The Work of Hospitalized Patients.” Social Science & Medicine 16: 977–986. doi:10.1016/0277-9536(82)90366-5.
  • Taylor-Adams, S., and C. Vincent. 2004. “Systems Analysis of Clinical Incidents: The London Protocol.” Clinical Risk 10: 211–220.10.1258/1356262042368255
  • Thomsen, L. A., A. G. Winterstein, B. Søndergaard, L. S. Haugbølle, and A. Melander. 2007. “Systematic Review of the Incidence and Characteristics of Preventable Adverse Drug Events in Ambulatory Care.” Annals of Pharmacotherapy 41 (9): 1411–1426. doi:10.1345/aph.1H658.
  • U.S. Institute of Medicine. 2007. Preventing Medication Errors. Washington, DC: The National Academies Press.
  • Valdez, R. S., R. J. Holden, L. L. Novak, and T. C. Veinot. 2015. “Transforming Consumer Health Informatics through a Patient Work Framework: Connecting Patients to Context.” Journal of the American Medical Informatics Association 22 (1): 2–10. doi:10.1136/amiajnl-2014-002826.
  • Van Der Wal, M. H., T. Jaarsma, D. K. Moser, and D. J. Van Veldhuisen. 2005. “Development and Testing of the Dutch Heart Failure Knowledge Scale.” European Journal of Cardiovascular Nursing 4 (4): 273–277. doi:10.1016/j.ejcnurse.2005.07.003.
  • Vaughan, D. 1996. The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. Chicago, IL: University of Chicago Press.
  • Vincent, C. 2010. Patient Safety. Hoboken, NJ: Wiley-Blackwell.10.1002/9781444323856
  • Vincent, C., and R. Amalberti. 2015. “Safety in Healthcare is a Moving Target.” BMJ Quality & Safety 24 (9): 539–540. doi:10.1136/bmjqs-2015-004403.
  • Vincent, C., and R. Amalberti. 2016. Safer Healthcare: Strategies for the Real World. Berlin: Springer International Publishing.10.1007/978-3-319-25559-0
  • Vincent, C., S. Taylor-Adams, and N. Stanhope. 1998. “Framework for Analysing Risk and Safety in Clinical Medicine.” BMJ 316 (7138): 1154–1157. doi:10.1136/bmj.316.7138.1154.
  • Waterson, P. 2009. “A Critical Review of the Systems Approach within Patient Safety Research.” Ergonomics 52 (10): 1185–1195. doi:10.1080/00140130903042782.
  • Wears, R. L., E. Hollnagel, and J. Braithwaite. 2015. Resilient Health Care, Volume 2: The Resilience of Everyday Clinical Work. Burlington, VT: Ashgate.
  • Wilson, J. R., and S. Sharples. 2015. Evaluation of Human Work. Boca Raton, FL: CRC Press.
  • Wu, J. R., D. J. Corley, T. A. Lennie, and D. K. Moser. 2012. “Effect of a Medication-taking Behavior Feedback Theory–Based Intervention on Outcomes in Patients with Heart Failure.” Journal of Cardiac Failure 18 (1): 1–9. doi:10.1016/j.cardfail.2011.09.006.
  • Wu, J. R., D. K. Moser, T. A. Lennie, M. J. De Jong, M. K. Rayens, M. L. Chung, and B. Riegel. 2009. “Defining an Evidence-based Cutpoint for Medication Adherence in Heart Failure.” American Heart Journal 157 (2): 285–291. doi:10.1016/j.ahj.2008.10.001.
  • Xie, A., and P. Carayon. 2015. “A Systematic Review of Human Factors and Ergonomics (HFE)-Based Healthcare System Redesign for Quality of Care and Patient Safety.” Ergonomics 58 (1): 33–49. doi:10.1080/00140139.2014.959070.
  • Yancy, C. W., M. Jessup, B. Bozkurt, J. Butler, D. E. Casey Jr, M. M. Colvin, M. H. Drazner, G. Filippatos, G. C. Fonarow, M. M. Givertz, S. M. Hollenberg, J. Lindenfeld, F. A. Masoudi, P. E. Mcbride, P. N. Peterson, L. W. Stevenson, and C. Westlake. 2016. “2016 Acc/Aha/Hfsa Focused Update on New Pharmacological Therapy for Heart Failure: An Update of the 2013 Accf/Aha Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America.” Journal of the American College of Cardiology 68 (13): 1476–1488. doi:10.1016/j.jacc.2016.05.011.

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