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Rapport Patiëntveiligheid, de rol van de bestuurder - Veilige zorg ...

Rapport Patiëntveiligheid, de rol van de bestuurder - Veilige zorg ...

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5 Literatuur- Schellekens W, Blijham G. Deltaplan voor een verborgen probleem. Medisch Contact2003;58: 387-390.- Van a<strong>de</strong>r tot a<strong>de</strong>r; een risico-analyse <strong>van</strong> <strong>de</strong> bloedtransfusieketen. Intern rapport AZM.- BMJ volume 320:18 march 2000. Meer<strong>de</strong>r artikelen; thema nummer “reducing error,improving safety”.- Wilf-Miron et al. From aviation to medicine: applying concepts of aviation safety to riskmanagement in ambulatory care. Qual Saf Health Care 2003;12:35-39- Charles Vincent. Un<strong>de</strong>rstanding and Responding to Adverse Events. N Engl J Med348;11:1051-6- Spath PL, ed. Error reduction in health care: a systems approach to improving patientsafety. Washington D.C.: AHA Press, 2000.- Reason J. Human Error. Cambridge: Cambridge University Press;1990.- Reason J. Un<strong>de</strong>rstanding adverse events: human factors. In: Vincent C, ed. Clinical riskmanagement. London: BMJ Publishing Group, 1995.- Kraman SS, Hamm GJD. Risk management: extreme honesty may be the best policy.Ann Intern Med 1999;131:963-7.- Phillips YY, Judd TM. Addressing patient safety in an ambulatory care setting: the KPGeorgia region’s experience. Permanante Journal 2001;5 (3):34-40- Kohn LT, Corrigan JM, Donaldson MS, eds. To err is human, building a safer healthsystem. Washington, DC: National Aca<strong>de</strong>my Press, 1999.Overige bronnen:- Toolkit for improving patient safety. Developed by the Department of Veteran AffairsNational Center for Patient Safety.358Appendix A

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