5Kohn LT,Corrigan JM,Donaldson MS,et al. To error is human,building a safer health system[M].Washington DC: National Academies Press, 2000.1-2.
6Institute of Medicine.To error is human,building a safer health system[M].Washington DC: National Academies Press, 1999.124.
7Institute of Medicine. Crossing the quality chasm,a new health system ibr the 21st Century[M]. Washington DC: National Academies Press,2001.61-62.
8Pronovost PJ,Needham DM, Berenhohz SM, et al. An intervention to decrease catheterrelated bloodstream infections in the ICU[J]. N Engl J Med, 2006,355(26): 2725-2732.
9Pronovost PJ, Berenhohz SM, Goeschel C, et al. Improving patient safety in intensive care units in Michigan[J]. Journal of Critical Care, 2008, 23(2):207-221.
10Reason J. Human error: models and management[J].British Medical Journal, 2000,320(7237):768-770.
