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

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

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

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16 | Act on Patient Safety in the Danish Health Care System. ACT No. 429 of 10/06/2003.[cited on 2009 August 27]. Available from: www.patientsikkerhed.dk/fileadmin/user_upload/documents/Patientsikkerhed/Loven/Act_on_Patient_Safety.pdf17 | National Patient Safety Agency. [cited on 2009 August 27].Available from: www.npsa.nhs.uk18 | World Health Organization. [cited on 2009 August 27].Available from: www.who.int/patientsafety/en19 | BMJ 2000;320 (18 March)20 | Kohn LT, Corrigan JM, Donaldson MS, eds. To Err Is Human: Building a Safer HealthSystem. Washington, DC: National Aca<strong>de</strong>my Press; 2000.21 | Perrow, C. Normal Acci<strong>de</strong>nts. New York: basic Books; 1984.22 | Reason J. Managing the risks of organizational acci<strong>de</strong>nts. Al<strong>de</strong>rshot: Ashgate; 1997.23 | Reason J. Human error: mo<strong>de</strong>ls and management. BMJ 2000;320:768–70.24 | Bruijn H <strong>de</strong>. Managers en professionals. Den Haag: Aca<strong>de</strong>mic Service; 2008.25 | Buchman TG, Cassell J, Ray SE, Wax ML. Who should manage the dying patient?Rescue, shame, and the surgical ICU dilemma. J Am Coll Surg. 2002;194(5):665-73.26 | Wachter RM, Pronovost PJ. Balancing “no blame” with accountability in patient safety.N Engl J Med. 2009;361(14):1401-6.27 | Reason J. Human error: mo<strong>de</strong>ls and management. BMJ 2000;320:768–70.28 | Weick KE, Sutcliff KM. Managing the Unexpected: Assuring High Performance in an Ageof Complexity. San Francisco, CA: Jossey-Bass; 2001.29 | Bierly P, Spen<strong>de</strong>r JC. Culture and High Reliability Organizations: The Case of theNuclear Submarine. Journal of Management. 1995;21(4):639-56.30 | Bruun Jensen C. Sociology, Systems, and (Patient) Safety: Knowledge Translations inHealthcare Policy. Sociology of Health & Illness 2008;30(2):309-24.31 | Jerak-Zui<strong>de</strong>rent S, Zwart DLM, De Bont A. Expertise on certain uncertainties:Principles of patient safety in primary care. Social Studies of Science. 2010 (un<strong>de</strong>rreview).32 | Sneller Beter. Hier werk je veilig, of je werkt hier niet. Sneller Beter – De veiligheid in <strong>zorg</strong>.November 2004.33 | Hospital Admissions Related to medication (HARM). Een prospectief, multicenteron<strong>de</strong>rzoek naar geneesmid<strong>de</strong>l gerelateer<strong>de</strong> ziekenhuisopnames. Utrecht: Utrecht Institutefor Pharmaceutical Sciences; 2006.34 | Leen<strong>de</strong>rtse AJ, Egberts AC, Stoker LJ, Bemt PM <strong>van</strong> <strong>de</strong>n. Frequency of and Risk Factorsfor Preventable Medication-Related Hospital Admissions in the Netherlands.Arch Intern Med. 2008;168(17):1890-6.35 | Ministerie <strong>van</strong> Volksgezondheid, Welzijn en Sport. Beleidsdocument veilig mel<strong>de</strong>n.Convenant, 1 februari 2007. [cited 2010 January 27]. Available from:www.minvws.nl/Convenanten/cz/2007/beleidsdocument-veilig-mel<strong>de</strong>n.aspPatiëntveiligheid, <strong>de</strong> <strong>rol</strong> <strong>van</strong> <strong>de</strong> bestuur<strong>de</strong>r 55

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