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| 1. |  Study: A surgical safety checklist to reduce morbidity and mortality in a global population. |
| | Haynes AB, Weiser TG, Berry WR, et al, for the Safe Surgery Saves Lives Study Group. N Engl J Med. 2009;360:491-499. |
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| 2. | Study: Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. |
| | Koppel R, Wetterneck T, Telles JL, Karsh BT. J Am Med Inform Assoc. 2008;15:408-423. |
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| 3. | Newspaper/Magazine Article: The checklist. |
| | Gawande A. The New Yorker. December 10, 2007;83:86-95. |
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| 4. | Study: An intervention to decrease catheter-related bloodstream infections in the ICU. |
| | Pronovost P, Needham D, Berenholtz S, et al. N Engl J Med. 2006;355:2725-2732. |
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| 5. | Study: Literacy and misunderstanding prescription drug labels. |
| | Davis TC, Wolf MS, Bass PF III, et al. Ann Intern Med. 2006;145:887-94. |
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| 6. | Study: A prospective study of patient safety in the operating room. |
| | Christian CK, Gustafson ML, Roth EM, et al. Surgery. 2006;139:159-173. |
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| 7. | Study: Video capture of clinical care to enhance patient safety. |
| | Weinger MB, Gonzales DC, Slagle J, Syeed M. Qual Saf Health Care. 2004;13:136-144. |
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| 8. | Commentary: From patients to politicians: a cognitive engineering view of patient safety. |
| | Vicente KJ. Qual Saf Health Care. 2002;11:302-304. |
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| 9. | Study: Improving patient safety by identifying side effects from introducing bar coding in medication administration. |
| | Patterson ES, Cook RI, Render ML. J Am Med Inform Assoc. 2002;9:540-553. |
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| 10. | Book/Report: The Design of Everyday Things. |
| | Norman DA. New York, NY: Basic Books; 2002. |
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| 11. | Study: Preventable anesthesia mishaps: a study of human factors. |
| | Cooper JB, Newbower RS, Long CD, McPeek M. Anesthesiology. 1978;49:399-406. |
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| 12. | Review: Human factor in cardiac surgery: errors and near misses in a high technology medical domain. |
| | Carthey J, de Leval MR, Reason JT. Ann Thorac Surg. 2001;72:300-305. |
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| 13. | Study: A look into the nature and causes of human errors in the intensive care unit. |
| | Donchin Y, Gopher D, Olin M, et al. Crit Care Med. 1995;23:294-300. |
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| 14. | Book/Report: Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error. |
| | Casey SM. Santa Barbara, CA: Aegean Publishing Company; 1993. |
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| 15. | Study: A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital. |
| | Raschke RA, Gollihare B, Wunderlich TA, et al. [published correction appears in JAMA. 1999;281:420]. JAMA. 1998;280:1317-1320. |
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| 16. | Study: An objective methodology for task analysis and workload assessment in anesthesia providers. |
| | Weinger MB, Herndon OW, Zornow MH, Paulus MP, Gaba DM, Dallen LT. Anesthesiology. 1994;80:77-92. |
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| 17. | Review: Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. |
| | Weinger MB, Englund CE. Anesthesiology 1990;73:995-1021. |
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| 18. | Study: Motion study in surgery. |
| | Gilbreth FB. Can J Med Surg. 1916;40:22-31. |
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| 19. | Study: Protocol-based computer reminders, the quality of care and the non-perfectability of man. |
| | McDonald CJ. N Engl J Med. 1976;295:1351-1355. |
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| 20. | Study: Misleading one detail: a preventable mode of diagnostic error? |
| | Arzy S, Brezis M, Khoury S, Simon SR, Ben-Hur T. J Eval Clin Pract. 2009;15:804-806. |
