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Articles

Catching and correcting near misses: The collective vigilance and individual accountability trade-off

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Pages 121-126 | Received 20 Apr 2011, Accepted 16 Nov 2011, Published online: 04 Jan 2012

References

  • Amalberti R., Vincent C., Auroy Y., de Saint Maurice G.. Violations and migrations in health care: A framework for understanding and management. Quality and Safety in Health Care. 2006; 15 Suppl. 1: i66–i71.
  • Barr H.. 2002. Interprofessional education: Today, yesterday, and tomorrow. London: Learning and Support Network: Centre for Health Sciences and Practice.
  • Careau E., Vincent C., Swaine B.R.. Consensus group session of experts to describe interprofessional collaboration processes in team meetings. Journal of Interprofessional Care. 2011; 25 4: 299–301.
  • Catchpole K.R., Giddings A.E., Wilkinson M., Dale T., de Leval M.R.. Improving patient safety by identifying latent failures in successful operations. Surgery. 2007; 142 1: 102–110.
  • Charmaz K.. 2006. Constructing grounded theory: A practical guide through qualitative analysis. Thousand Oaks, CA: Sage Publications.
  • Cook R., Rasmussen J.. “Going solid”: A model of systems dynamics and consequences of patient safety. Quality and Safety in Health Care. 2005; 14 2: 130–134.
  • Espin S., Levinson W., Regehr G., Baker G.R., Lingard L.. Error or “act of God”? A study of patients' and operating team members' perceptions of error definition, reporting, and disclosure. Surgery. 2006; 139 1: 6–14.
  • Halbesleben J.R.B., Wakefield D.S., Wakefield B.J.. Work-arounds in health care settings: Literature review and research agenda. Health Care Management Review. 2008; 3 1: 2–12.
  • Halbesleben J.R.B., Savage G.T., Wakefield D.S., Wakefield B.J.. Rework and workarounds in nurse medication administration process: Implications for work processes and patient safety. Health Care Management Review. 2010; 35 2: 124–133.
  • Henneman E.A., Gawlinski A.. A “near-miss” model for describing the nurse's role in the recovery of medical errors. Journal of Professional Nursing. 2004; 20 3: 196–201.
  • Iedema R.. New approaches to researching patient safety. Social Science & Medicine. 2009; 69 12: 1701–1704.
  • Kanse L., van der Schaaf T.W., Vrijland N., van Mierlo H.. Error recovery in a hospital pharmacy. Ergonomics. 2006; 49 5/6: 503–526.
  • Kessels-Habraken M., van der Schaaf T., De Jonge J., Rutte C.. Defining near misses: Towards a sharpened definition based on empirical data about error handling processes. Social Science Medicine. 2010; 70 9: 1301–1308.
  • Perrow C.. 1984. Normal accidents. New York: Basic Books.
  • Reeves S., Lewin S., Espin S., Zwarenstein M.. 2010. Interprofessional teamwork for health and social care. Oxford, UK: Wiley-Blackwell.
  • Reeves S., Goldman J., Gilbert J., Tepper J., Silver I., Suter E., Zwarenstein M.. A scoping review to improve conceptual clarity around interprofessional interventions. Journal of Interprofessional Care. 2011; 25 3: 167–174.
  • Rogers A.E., Dean G., Hwang W.-T., Scott L.D.. The role of registered nurses in error prevention, discovery, and correction. Quality and Safety in Health Care. 2008; 17 2: 117–121.
  • Tucker A.L., Edmondson A.C.. Managing routine exceptions: A model of nurse problem solving behaviour. Adv Health Care Manage. 2002; 3:87–113.
  • Tucker A.L., Edmondson A.C.. Why hospitals don't learn from failures: Organizational and psychological dynamics that inhibit system change. Calif Manage Rev. 2003; 45:55–72.
  • van der Schaaf T.W.. 1992. Near miss reporting in the chemical process industry. Eindhoven: Technische Universiteit Eindhoven.
  • Vaughan D.. 1996. The Challenger launch decisions: Risky technology, culture and deviance of NASA. Chicago, IL: Chicago University Press.
  • Vincent C.. Social scientists and patient safety: Critics or contributors?. Social Science & Medicine. 2009; 69 12: 1777–1779.
  • Waring J.J.. Constructing and re-constructing narratives of patient safety. Social Science & Medicine. 2009; 69 12: 1722–1731.
  • Way D., Jones L., Busing N.. 2000. Implementation strategies: Collaboration in primary care-family doctors & nurse practitioners delivering shared care. Toronto: The Ontario College of Family Physicians Available at: http://www.ocfp.on.ca/english/ocfp/communications/publications/default.asp?s = 1.

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