7Hu CY,Raymond DJ. Lessons learned from hazardous chemical inci- dents--Louisiana Hazardous Substances Emergency Events Surveillance (HSEES) system[J]. J Hazard Mater,2004,115(l-3):33-38.
8Wilson RM,Harrison BT,Gibberd RW,et al. An analysis of the causes of adverse events from the Quality in Australian Health Care Study[J]. Med J Aust, 1999,170(9) : 411-415.
9Holden RJ,Karsh BT. A review of medical error reporting system de- sign considerations and a proposed cross-level systems research frame- work[J]. Hmn Factors,2007,49(2) :257-276.
10Forthofer P. Flow and Fish Bones:visualizing Changes in Practice[Z]. American Nurses Credentialing Center,2009.
5Unbeck M,Sterner E,Elg M,et al. Design,application and impact ofquality improvement theme months'in orthopaedic nursing ; a mixedmethod case study on pressure ulcer prevention[ J]. Int J Nurs Stud,2013,50(4):527 -535.
6Aydin AK, Karadag A. Assessment of nurses' knowledge and prac-tice in prevention and management of deep tissue injury and stage Ipressure ulcer [ J ]. J Wound Ostomy Continence Nurs, 2010, 37(5):487 -494.
7Gregersen M,Zintchouk D,Hougaard K,et al. Interdisciplinary geri-atric intervention among nursing home residents with hip fracture re-duces mortality[ J]. Ugeskr Laeger,2010,172(25) : 1902 - 1907.
8O'Malley NT,Blauth M’Suhm N,et al. Hip fracture mmiagement,be-fore and beyond surgery and medication : a synthesis of the evidence[J]. Arch Orthop Trauma Surg,2011,131 (11 ) :1519 - 152.. :(11.
9Greene D,Dell RM. Outcomes of an osteoporosis disease - manage-ment program managed by nurse practitioners[ J]. J Am Acad NursePract,2010,22(6) :326 -329..