Brennan, TA, LL Leape, N Laird, et al. :Incidence of adverse events and negligence in hospitalized patients: Results of the Harvard Medical Practice Study I. .N Engl J Med 324::377. ,1991. .
Institute for Healthcare Improvement :Breakthrough Series Guide: Reducing Drug Events. ,Institute for Healthcare Improvement. ,Boston. ,1998. .
Sentinel Event Policy and Procedures. .The Joint Commission Web site .Available at: http://wwwjointcommission.org/Sentinel_Event_Policy_and_Procedures. .Accessed September 24, 2012.
Institute of Medicine :To Err Is Human: Building a Safer Health System. , p180. ,National Academy Press. ,Washington, DC. ,1999..
Accreditation Council for Graduate Medical Education : “Institutional Responsibilities for Residents: Resident Participation in Educational and Professional Activities. , ” inACGME Institutional Requirements. , p8. ,Accreditation Council for Graduate Medical Education. ,Chicago. ,July 2007. .
Improving America’s Hospitals :The Joint Commission’s Annual Report on Quality and Safety 2007. ,The Joint Commission. ,Oakbrook Terrace, IL. ,November 2007. .
Lenert, LA, H Burstin, L Connell, et al. :Federal patient safety initiatives panel summary. .J Am Med Inform Assoc .9 ( suppl 1:):S8. ,2002. .
Amalberti, R, Y Auroy, D Berwick, et al. :Five system barriers to achieving ultrasafe health care. .Ann Intern Med 142::756. ,2005. .
Tamuz, M and MI Harrison. :Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory. .Health Serv Res 41::1654. ,2006. .
Williams, MV, RM Parker, DW Baker, et al. :Inadequate functional health literacy among patients at two public hospitals. .JAMA 274::1677. ,1995. .
Institute of Medicine :Health Literacy: A Prescription to End Confusion. ,Institute of Medicine. ,Washington, DC. ,April 2004. .
Davis, TC, MS Wolf, PF Bass III, et al. :Literacy and misunderstanding prescription drug labels. .Ann Intern Med 145::887. ,2006. .
US Dept of Health and Human Services, Office of Disease Prevention and Health Promotion :Quick Guide to Health Literacy .Available at: http//www.health.gov/communication/literacy/quickguide/Quickguide.pdf. .Accessed September 12, 2012.
Parker, RM, DW Baker, MV Williams, et al. :The test of functional health literacy in adults: a new instrument for measuring patients’ literacy skills. .J Gen Intern Med 10::537. ,1995. .
VHA National Patient Safety Improvement Handbook. ,Department of Veteran Affairs, Veterans Health Administration. ,Washington, DC. ,March 4,2011. . VHA Handbook 1050.01.
Halbach, JL and LS Sullivan. :Medical Errors and Patient Safety. ,Department of Family Medicine, New York Medical College. ,Valhalla. ,2003. .