1Reason J.Human error:Models and management[J].BMJ,2000,320(7237):768-770.
2Linda TK,Janet MC,Molla SD.Institute of medicine(IOM) to err is human:Building a safer health system[M].Washington DC:National Academies Press,2000:1.
3Duijm NJ.Safety barrier diagrams as a safety management tool[J].Reliability Engineering and System Safety,2008,94:332-341.
5Singer SJ,Gaba DM,Geppcrt JJ,et al.The culture of safety:Results from an organization wide survey in 15 California hospitals[J].Qual Saf Health Care,2003,12(2):112-118.
2Institute of Medicine.To err is human:Building a safer health system[M].Washington DC:National Academies Press,1999:1~4.
3Leape LL.Error in medicine[J].JAMA,1994,272(23):1851 ~ 1857.
4Reason J.Understanding adverse events:human factors[J].Quality in Health Care,1995,4(2):80 ~ 89.
5Vincent C,Taylor-Adams S,Stanhope N.Framework for analyzing risk and safety in clinical medicine[J].BM J,1998,316 (7138):1154~1157.
6Reason J.Human error:Models and management[J].BMJ,2000,320(7237):768~770.
7BS Dhillon.Methods for performing human reliability and error analysis in health care[J].International Journal of Health Care Quality Assurance,2003,16 (6):306~317.
8Shojania KG,Duncan BW,McDonald KM,et al.Making Health Care Safer:A Critical Analysis of Patient Safety Practices[M].AHRQ Publication,2001:59~569.
9Singer SJ,Gaba DM,Geppen JJ,et al.The culture of safety:results of an organization wide survey in 15 California hospitals[J].Quality & safety in Health Care,2003,12 (2):112~118.
10Nolan TW.System changes to improve patient safety[J].BMJ,2000,320 (7237):771~773.