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| 1. |  Study: An epistemology of patient safety research: a framework for study design and interpretation. |
| | Brown C, Hofer T, Johal A, Thomson R, et al. Qual Saf Health Care. 2008;17(3, pt 1, pt 2, pt 3, pt 4):158-181. |
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| 2. | Study: Perceptions of safety culture vary across the intensive care units of a single institution. |
| | Huang DT, Clermont G, Sexton JB, et al. Crit Care Med. 2007;35:165-176. |
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| 3. | Study: The investigation and analysis of critical incidents and adverse events in healthcare. |
| | Woloshynowych M, Rogers S, Taylor-Adams S, Vincent C. Health Technol Assess. May 2005;9:1-158. |
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| 4. | Commentary: Understanding and responding to adverse events. |
| | Vincent C. N Engl J Med. 2003;348:1051-1056. |
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| 5. | Study: Research designs for studies evaluating the effectiveness of change and improvement strategies. |
| | Eccles M, Grimshaw J, Campbell M, Ramsay C. Qual Saf Health Care. 2003;12:47-52. |
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| 6. | Commentary: Patient safety: what about the patient? |
| | Vincent CA, Coulter A. Qual Saf Health Care. 2002;11:76-80. |
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| 7. | Study: One-stop diagnostic breast clinics: how often are breast cancers missed? |
| | Britton P, Duffy SW, Sinnatamby R, et al. Br J Cancer. 2009;100:1873-1878. |
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| 8. | Commentary: When things go wrong: how health care organizations deal with major failures. |
| | Walshe K, Shortell SM. Health Aff. 2004;23:103-111. |
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| 9. | 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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| 10. | Commentary: Human error: models and management. |
| | Reason J. BMJ. 2000;320:768-770. |
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| 11. | Book/Report: An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. |
| | Donaldson L. London, England: The Stationery Office; 2000. |
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| 12. | Book/Report: Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. |
| | Helmreich RL, Merritt AC. Aldershot, Hampshire, England: Ashgate; 1998. |
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| 13. | Book/Report: Judgment under Uncertainty: Heuristics and Biases. |
| | Kahneman D, Slovic P, Tversky A. Cambridge, England: Cambridge University Press; 1987. |
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| 14. | Book/Report: Errors, Medicine, and the Law. |
| | Merry A, Smith AM. Cambridge, England: Cambridge University Press; 2001. |
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| 15. | Book/Report: Managing the Risks of Organizational Accidents. |
| | Reason JT. Aldershot, Hampshire, England: Ashgate; 1997. |
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| 16. | Book/Report: Clinical Risk Management. Enhancing Patient Safety. |
| | Vincent CA, ed. London: British Medical Journal Publications; 2001. |
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| 17. | Review: Prescribing for the elderly. Part I: Sensitivity of the elderly to adverse drug reactions. |
| | Nolan L, O'Malley K. J Am Geriatr Soc. 1988;36:142-149. |
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| 18. | Book/Report: Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984–1995. |
| | London, England: The Stationery Office; July 2001. |
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| 19. | Study: Why do people sue doctors? A study of patients and relatives taking legal action. |
| | Vincent C, Young M, Phillips A. Lancet. 1994;343:1609-1613. |
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| 20. | Study: Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. |
| | Barber ND, Alldred DP, Raynor DK, et al. Qual Saf Health Care. 2009;18:341-346. |
