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Key Books and Reports on Medical Errors and Errors More Generally*

1. Agency for Healthcare Research and Quality. Advances in Patient Safety: From Research to Implementation. Rockville, MD: Agency for Healthcare Research and Quality; February 2005. AHRQ Publication Nos. 050021 (1–4).
2. Agency for Healthcare Research and Quality. Advances in Patient Safety: New Directions and Alternative Approaches. Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1–4).
3. Agency for Healthcare Research and Quality. Advancing Patient Safety: A Decade of Evidence, Design, and Implementation. Rockville, MD: Agency for Healthcare Research and Quality; November 2009. AHRQ Publication No. 09(10)-0084.
4. Antonsen S. Safety Culture: Theory, Method and Improvement. Burlington, VT: Ashgate; 2009.
5. Banja J. Medical Errors and Medical Narcissism. Sudbury, MA: Jones and Bartlett Publishers Inc; 2005.
6. Berwick DM. Escape Fire: Designs for the Future of Health Care. San Francisco, CA: Jossey-Bass; 2003.
7. Bogner MSE. Human Error in Medicine. Mahwah, NJ: Lawrence Erlbaum Associates; 1994.
8. Bosk CL. Forgive and Remember: Managing Medical Failure. 2nd ed. Chicago, IL: University of Chicago Press; 2003.
9. Bunting RF Jr, Schukman J, Wong WB. A Comprehensive Guide to Managing Never Events and Hospital-Acquired Conditions. Washington, DC: Atlantic Information Services Inc; 2009.
10. Casey SM. Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error. 2nd ed. Santa Barbara, CA: Aegean Publishing Company; 1998.
11. Cohen MR, ed. Medication Errors. 2nd ed. Washington, DC: American Pharmaceutical Association; 2006.
12. Columbia Accident Investigation Board. Report of the Columbia Accident Investigation Board; August 2003.
13. Conway J, Federico F, Stewart K, et al. Respectful Management of Serious Clinical Adverse Events. Cambridge, MA: Institute for Healthcare Improvement; 2010.
14. Cook RI, Woods DD, Miller C. A Tale of Two Stories: Contrasting Views of Patient Safety. National Patient Safety Foundation at the AMA: Annenberg Center for Health Sciences; 1998.
15. Dekker S. Just Culture: Balancing Safety and Accountability. Aldershot, England: Ashgate Publishing Limited; 2007.
16. Donaldson L. 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 Stationery Office; 2000.
17. Farley DO, Ridgely MS, Mendel P, et al. Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System. Santa Monica, CA: RAND Corporation; 2009.
18. Frankel A, Leonard M, Simmonds T, et al., eds. The Essential Guide for Patient Safety Officers. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations and Institute for Healthcare Improvement; 2009.
19. Gawande A. Complications: A Surgeon's Notes on an Imperfect Science. New York, NY: Metropolitan Books; 2002.
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