참고문헌
- 김이경. Analysis of Inpatient adverse drug events (ADEs) with retrospective review of electronic medical records using ADE signals [석사 학위논문]. 서울: 숙명여자대학교; 2004.
- 김혜영. Analysis of hospital admission sue to adverse drug reaction (ADEs) using ADE signals [석사 학위논문]. 서울: 숙명여자대학교, 2004.
- 사법연감 (2003). http://www.ilawkorea.com/htm/suit_intro.htm Accessed July 15, 2004
- Aron DC, Headrick LA. Educating physicians prepared to improve care and safety is no accident: it requires a systematic approach. Qual Saf Health Care 2002; 11: 168-173 https://doi.org/10.1136/qhc.11.2.168
- Barach P, Small S. Reporting and preventing medical mishaps: lessons from non-medical near miss reporting. Br Med J 2000; 320: 759-763 https://doi.org/10.1136/bmj.320.7237.759
- Bates DW, Leape L, Cullen DJ, Laird N. Petersen, LA, et al.. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA 1998; 280: 1311-1316 https://doi.org/10.1001/jama.280.15.1311
- Blendon RJ, DesRoches CM, Brodie M, Benson J, Rosen A, Schneider E, Altman D, Zapert K, Herman M, Steffenson A. Views of practicing physicians and the public on medical errors. N Engl J Med 2002; 347: 1933-1940 https://doi.org/10.1056/NEJMsa022151
- Brennan T, Leape L, Laird N. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study. N Eng J med 1991; 324: 370-6 https://doi.org/10.1056/NEJM199102073240604
- Chaudhry SI, Olofinboba KA, Knnnholz HM, Detections of errors by attending physicians on a general medicine service. J Gen Intern Men 2003; 18: 595-600 https://doi.org/10.1046/j.1525-1497.2003.20919.x
- Davies HTO, Nutley SM, Mannion R. Organizational culture and quality of health care. Qual health Care 2000; 9: 111-119 https://doi.org/10.1136/qhc.9.2.111
- Department of Health. An Organization with a Memory. London: The Stationery Office, 2000
- Department of Health. Building a Safer NHS for Patients. London: The Stationery Office, 2001
- Donaldson LJ, Gray JA. Clinical governance: a quality duty for health organizations. Qual Health Care 1998; 7(suppl): 537-44
- Edwards N. Doctors and managers: poor relationships may be damaging patients - what can be done? Qual Saf Health Care 2003; 12:i21 https://doi.org/10.1136/qhc.12.suppl_1.i21
- Firth-Cozen J, Mowbray D. Leadership and the quality of care. Quality in Health Care 2001; 10(suppl II): ii3-ii7 https://doi.org/10.1136/qhc.0100003..
- Hemreich RL. On error Management: lessons from aviation. BMJ 2000; 320:781-5 https://doi.org/10.1136/bmj.320.7237.781
- Hudelson, PM. Culture and quality: an anthropological perspective. BMJ 2004; 6(5): 345-346
- Hudson P. Applying the lessons of high risk industries to health care. Qual Saf Health Care 2003; 12: i7 https://doi.org/10.1136/qhc.12.suppl_1.i7
- Hyde P, Davies HTO. Service design, culture and performance: Collusion and co-production in health care. Human Relations 2004; 57(11): 1407-1426 https://doi.org/10.1177/0018726704049415
- Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC National Academy Press; 2001
- Institute of Medicine. To err is human: building a safer health system. Washington, DC National Academies Press; 1999
- Kizer, KW. Patient safety: A call to action. A consensus statement from the National Quality Forum. MedScape Gen Med. Mar 21, 2001. Website: www.medscape.com/medscape/generalmedicine/journal/2001/v03.n02
- Kizer, W. The Emerging Imperative for health care quality improvement. Acad Emerg Med 2002; 9(11): 1078-1084 https://doi.org/10.1111/j.1553-2712.2002.tb01561.x
- Koeck, C. Time for organizational development in healthcare organization. Improving quality for patients means changing the organization (editorial). BMJ 1998; 317: 1267-8 https://doi.org/10.1136/bmj.317.7168.1267
- Lawton R, Parker D. Barriers to incident reporting in a health care system. Qual Safety Health Care 2002; 11: 15-18 https://doi.org/10.1136/qhc.11.1.15
- Leap LL, Error in Medicine. JAMA 1994; 272: 1851-7 https://doi.org/10.1001/jama.272.23.1851
- Meterko M. Teamwork Culture and Patient Satisfaction in Hospitals. Medical Care 2004; 42 : 492-7
- Moss F, Garside P, Dawson P. Organizational change: the key to quality improvement. Quality in Health Care 1998; 7(suppl): S1-2 https://doi.org/10.1136/qshc.7.1.1
- National Patient Safety Agency (NPSA)/Department of Health. Doing Less Harm London: NPSA, 2001
- Nieva VF, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care 2003; 12: 17-23
- NPSA Seven Steps to Patient Safety. London: NPSA, 2003
- O'Neil A, Petersen M, Cook E, Bates D, Thomas H, Brennan T. Physician reporting compared with medical-record review to identify adverse medical events. Ann Intern Med 1993; 119: 370-376 https://doi.org/10.7326/0003-4819-119-5-199309010-00004
- Poon, EG, Blumenthal D, Jaggi T, Honour MM, Bates DW, Kaushal R. Overcoming Barriers To Adopting And Implementing Computerized Physician Order Entry Systems In U.S. Hospitals. Health Affairs 2004; 23(4): 184-190 https://doi.org/10.1377/hlthaff.23.4.184
- Pronovost PJ, Weast B, Holzmueller CG, Rosestein BJ, Kidwell RP, Haller KB, Feroli ER, Sexton JB, Rubin HR. Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. Qual Saf Health Care 2003; 12: 405-410 https://doi.org/10.1136/qhc.12.6.405
- Reason J. Managing the Risks of Organizational Accidents. Aldershot' Ashgate; 1997
- Reason, J. Human error: models and management. BMJ 2000; 320: 768-70 https://doi.org/10.1136/bmj.320.7237.768
- Sexton JB, Thomas EJ, Helmreich RL. Error, Stress, and Teamwork in Medicine and Aviation: Cross Sectional Surveys. BMJ 2000; 320: 745-749 https://doi.org/10.1136/bmj.320.7237.745
- Singer SJ, Gaba DM, Geppert JJ, Sinaiko AD, Howard SK, Park KC. The culture of safety: results of an organization-wide survey in 15 California hospitals. Qual Saf Health Care 2003; 12: 112-118 https://doi.org/10.1136/qhc.12.2.112
- Stephenson, J. CDC campaign targets anti-microbial resistance in hospitals. JAMA 2002; 287: 2351-2 https://doi.org/10.1001/jama.287.18.2351
- Thomas EJ, Sexton JB, Helmreich RL. Discrepant attitudes about teamwork among critical care nurses and physicians. Crit Care Med 2003; 31(3): 956-959 https://doi.org/10.1097/01.CCM.0000056183.89175.76
- Thomas, EJ, Studdert DM, Newhouse JP, Zbar BIW, Howard KM, Williams EJ, Cost of medical injuries in Utah and Colorado. Inquiry 1999; 36: 255-64 https://doi.org/10.1080/00201749308602322
- Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. BMJ 2001; 322:517-9 https://doi.org/10.1136/bmj.322.7285.517
- Vincent C, Stanhope N, Crowley-Murphy M. Reasons for not reporting adverse incidents: an empirical study. J Eval Clin Pract 1999; 5: 13-21 https://doi.org/10.1046/j.1365-2753.1999.00147.x
- Walshe K, T Freeman. Effectiveness of quality improvement: learning from evaluations. Qual Saf Health Care. 2002;11:85-87 https://doi.org/10.1136/qhc.11.1.85
- Waring JJ, A qualitative study of the intra-hospital variations in incident reporting, Int J Qual Health Care 2004; 16: 347-352 https://doi.org/10.1093/intqhc/mzh068
- Weeks WB and Bagian JP Developing a Cultura of Safety in the Veterans Health Administration. Eff Clin Pract 2000;6;270-276
- Wolff A, Bourke J. Reducing medical error: a practical guide. Med J Aus 2000; 173: 247-251
- Wu AW, Folkman S, Mcphee SJ, La B. Do house officers learn from their mistakes? Qual Saf Health Care 2003;12:221-228 https://doi.org/10.1136/qhc.12.3.221
피인용 문헌
- Concept Analysis of Patient Safety vol.41, pp.1, 2011, https://doi.org/10.4040/jkan.2011.41.1.1
- Safety Accident Occurrence to Perceptions of Patient Safety Culture of Hospital Nurses vol.13, pp.1, 2012, https://doi.org/10.5762/KAIS.2012.13.1.117
- Barriers to the Operation of Patient Safety Incident Reporting Systems in Korean General Hospitals vol.18, pp.4, 2012, https://doi.org/10.4258/hir.2012.18.4.279
- Development of a Perception of Importance on Patient Safety Management Scale (PI-PSM)for Hospital Employee vol.13, pp.5, 2013, https://doi.org/10.5392/JKCA.2013.13.05.332
- Perception of Patient Safety Culture and Safety Care Activity of Entry-level Nurses vol.22, pp.1, 2013, https://doi.org/10.5807/kjohn.2013.22.1.24
- A Systematic Review of Clinical Nurses' Patient Safety Culture for Improving Nursing Work Environment vol.23, pp.2, 2014, https://doi.org/10.5807/kjohn.2014.23.2.67
- Content Analysis of Patient Safety Culture in Nursing Homes vol.19, pp.1, 2013, https://doi.org/10.11111/jkana.2013.19.1.118
- Measuring Patient Safety Culture in Korean Nursing Homes vol.19, pp.2, 2013, https://doi.org/10.11111/jkana.2013.19.2.315
- Application of the hospital survey on patient safety culture (HSOPSC) to dentistry vol.37, pp.4, 2013, https://doi.org/10.11149/jkaoh.2013.37.4.216
- Perioperative Nurse's Experience of Nursing Errors and Emotional Distress, Coping Strategies, and Changes in Practice vol.20, pp.5, 2014, https://doi.org/10.11111/jkana.2014.20.5.481
- Effect of Nurses' Perception of Patient Safety Culture on Reporting of Patient Safety Events vol.24, pp.4, 2018, https://doi.org/10.11111/jkana.2018.24.4.319
- Barriers to reporting of patient safety incidents in tertiary hospitals: A qualitative study of nurses and resident physicians in South Korea pp.07496753, 2018, https://doi.org/10.1002/hpm.2616
- Undergraduate medical students’ perceptions and intentions regarding patient safety during clinical clerkship vol.18, pp.1, 2018, https://doi.org/10.1186/s12909-018-1180-8