Knowledge Maps for Patient Safety

References

• Haas , D. 1997 . In memory of Ben-a case study . JCAHO Sentinel Event Alert , http://www.jcaho.org/edu_pub/sealert/sea16ben.html (11 Apr 2002).
   Google Scholar
• Levy , D. 1996 . Helping hospitals learn from tragic mistakes . USA Today , Nov 5 : D6
   Google Scholar
• Kohn , L T , Corrigan , J M and Donaldson , M S. 1999 . To err is human: building a safer health system , Washington, DC : National Academy Press . http://books.nap.edu/html/to_err_is_human (11 Apr 2002).
   Google Scholar
• National Patient Safety Foundation (NPSF) . http://www.npsf.org. (11 Apr 2002)
   Google Scholar
• The Leapfrog Group . http://www.leapfroggroup.org/(11 Apr 2002).
   Google Scholar
• Joint Commission on Accreditation of Healthcare Organizations . 2002 . Facts about patient safety http://www.jcaho.org/ptsafety_frm.html(8 Apr 2002).
   Google Scholar
• VA National Center for Patient Safety. http://www.patientsafety.gov/(11 Apr 2002).
   Google Scholar
• Massachusetts Coalition for the Prevention of Medical Errors. http://www.mhalink.org/mcpme/mcpme_welcome#Mission%20Statement(11 Apr 2002).
   Google Scholar
• Davenport , T H and Prusak , L. 1997 . Working knowledge: how organizations manage what they know , Boston : Harvard Business School Press .
   Google Scholar
• Horak , B J. 2001 . Dealing with human factors and managing change in knowledge management: a phased approach . Top Health Info Manage. , 21 ( 3 ) : 8 – 17 .
   PubMedGoogle Scholar
• Medical Library Association . 2001 . Bioterrorism bibliographies and resources http://www.mlanet.org/resources/caring/resources.html. (8 Apr 2002)
   Google Scholar
• Li , J. Medical and public health responses to bioterrorism http://www.mlanet.org/publications/mlanews/2001/novdecnews01.html#2(8 Apr 2002).
   Google Scholar
• Biological and chemical weapons. 2002 . http://www.nlm.nih.gov/medlineplus/biologicalandchemicalweapons.html(8 Apr 2002).
   Google Scholar
• Fuller , S S , Ketchell , D S , Tarczy-Horwoch , P and Masuda , D. 1999 . Integrating knowledge resources at the point of care: opportunities for librarians . Bull Med Libr Assoc. , 87 ( 4 ) : 393 – 403 .
   PubMedGoogle Scholar
• Haas , D . 1996 . A case study: how does the health care system respond to an injury caused by error . Presented at: Examining Errors in Health Care: Developing a Prevention, Education, and Research Agenda . Oct 14 1996 . CA : Rancho Mirage .
   Google Scholar
• Cook , R I , Woods , D and Miller , D. C. , eds. “ Sourcebook: workshop on assembling the scientific basis for progress on patient safety: A-2 (Betsy Lehman) (1998) ” . In A tale of two stories: contrasting views of patient safety , Chicago : National Patient Safety Foundation . http://www.npsf.org/exec/sourcebook.html(11 Apr, 2002).
   Google Scholar
• Zipperer , L A and Cushman , S. 2001 . Lessons in patient safety , Chicago : National Patient Safety Foundation .
   Google Scholar
• Shojania , K G , Duncan , B W , McDonald , K M and Wachter , R M . 2001 . Making health care safer: a critical analysis of patient safety practices Rockville, MD http://www.ahcpr.gov/clinic/ptsafety/spotlight.htm(11 Apr 2002) Evidence Report/Technology Assessment No. 43. AHRQ Publication No. 01-E058
   Google Scholar
• Leape , L L. 1994 . Error in medicine . JAMA. , 272 ( 23 ) : 1851 – 1857 .
   PubMed Web of Science ®Google Scholar
• Bogner , M S . 1994 . Human error in medicine , Hillsdale, NJ : Lawrence Erlbaum Associates .
   Google Scholar
• Pierce , E C Jr. 1996 . 40 years behind the mask: safety revisited . Anesthesiology. , 84 ( 4 ) : 965 – 975 .
   PubMed Web of Science ®Google Scholar
• Morell , R C and Eichhorn , J H . 1997 . Patient safety in anesthetic practice , New York : Churchill Livingston .
   Google Scholar
• Anesthesia Patient Safety Foundation. http://www.gasnet.org/societies/apsf/(11 Apr 2002)
   Google Scholar
• Billings , C . 1998 . “ Incident reporting systems in medicine and experience from the Aviation Safety Reporting System (ASRS) ” . In A Tale of Two Stories: Contrasting Views of Patient Safety , Edited by: Cook , R I , Woods , D D and Miller , C. Chicago : National Patient Safety Foundation . http://www.npsf.org/exec/daytwo.html#lessons(11 Apr 2002).
   Google Scholar
• National Patient Safety Foundation, Louis Harris and Associates . 1997 . Public opinion of patient safety issues: research findings , Chicago : National Patient Safety Foundation . http://www.npsf.org/download/1997survey.pdf(11 Apr 2002).
   Google Scholar
• UK Department of Health. 2000 . An organisation with a memory: report of an expert group on learning from adverse events in the NHS chaired by the chief medical officer , London : The Stationary Office . http://www.doh.gov.uk/orgmemreport/(11 Apr 2002).
   Google Scholar
• Joint Commission on Accreditation of Healthcare Organizations. 2001 . July 2001 patient safety standards , Oakbrook Terrace, IL : Joint Commission on Accreditation of Healthcare Organizations .
   Google Scholar
• Cook , R I , Woods , D and Miller , D. C. 1998 . A tale of two stories: contrasting views of patient safety , Chicago : National Patient Safety Foundation . http://www.npsf.org/exec/toc.html(11 Apr 2002).
   Google Scholar
• Johnson , W G , Brennan , T A , Newhouse , J P , Leape , L L , Lawthers , A G , Hiatt , H H and et , A L. 1992 . The economic consequences of medical injuries: implications for a no-fault insurance plan . JAMA. , 267 ( 18 ) : 2487 – 2492 .
   PubMed Web of Science ®Google Scholar
• Eisenberg , J M , Bowman , C C and Foster , N E. 2001 . Does a healthy health care workplace produce higher-quality care? . Jt Comm J Qual Improv. , 27 ( 9 ) : 444 – 457 .
   PubMedGoogle Scholar
• Bell , B M , Gaba , D M and Weinger , M B. 1998 . “ The impact of fatigue and sleep deprivation on safety ” . In Enhancing Patient Safety and Reducing Errors in Health Care , Edited by: Scheffler , A L and Zipperer , L A. Chicago : National Patient Safety Foundation .
   Google Scholar
• Hansen , M T , Nahria , N and Tierney , T. 1999 . What is your strategy for managing knowledge? . Harvard Bus Rev. , 77 March/Apr : 106 – 116 .
   PubMed Web of Science ®Google Scholar
• Skyrme , D J. 1999 . Knowledge networking: creating the collaborative enterprise , Butterworth Heinemann .
   Google Scholar
• Garvin , D A. 1998 . “ Building a learning organization ” . In Harvard Business Review on Knowledge Management , Boston : Harvard Business School Press .
   Google Scholar
• Davenport , T , DeLong , D W and Beers , M C. 1998 . Successful knowledge management projects . Sloan Manage Rev. , 39 ( 2 ) : 43 – 57 .
   Google Scholar
• Veenstra , R J. 1992 . Clinical medical librarian impact on patient care: a one-year analysis . Bull Med Libr Assoc. , 80 ( 1 ) : 19 – 22 .
   PubMedGoogle Scholar
• Jerome , R N , Giuse , N B , Gish , K W , Sathe , N A and Dietrich , M S. 2001 . Information needs of clinical teams: analysis of questions received by the Clinical Information Consult Service . Bull Med Libr Assoc. , 89 ( 2 ) : 177 – 184 .
   PubMedGoogle Scholar
• Murff , H J and Kannry , J. 2001 . Physician satisfaction with two order entry systems . J Am Med Inform Assoc. , 8 : 499 – 509 .
   PubMed Web of Science ®Google Scholar
• Knox , G E , Kelley , M , Rise-Simpson , K , Carrier , L and Berry , D. 1999 . Downsizing, reengineering and patient safety: numbers, newness and resultant risk . J Healthc Risk Manage. , 19 ( Fall ) : 18 – 25 .
   PubMedGoogle Scholar
• Florance , V and Matheson , N W. 1993 . The health sciences librarian as knowledge worker . Libr Trends. , 42 : 196 – 219 .
   Web of Science ®Google Scholar
• Dalrymple , P W. 2000 . “ Knowledge management in the health sciences ” . In Knowledge Management for the Information Professional , Edited by: Skirantaiah , T K and Koenig , M. Medford, NJ : Information Today Inc .
   Google Scholar