References
Creating a Policy
AHS Resources
Communication Resources
Culture Change Resources
References

References

  1. Alberta Health Services. Policy PS-95: Recognizing and responding to hazards, close calls and clinical adverse events [Internet]. November 1, 2017 [cited 2018 Jan 25]. Available from: https://extranet.ahsnet.ca/teams/policydocuments/1/clp-recognizing-responding-hazards-close-calls-clinical-adverse-events-ps-95-policy.pdf
  2. Baines Simmons Limited. FAiR2 system – A behaviour-based system for supporting and sustaining a just culture, Version 2.0 [Internet]. March 2015 [cited 2018 Jan 25]. Available from: https://www.bainessimmons.com/aviation-consulting-services/smarrt-tools/fair-system/
  3. British Columbia Patient Safety and Quality Council. Culture change toolbox, p. 4 [Internet]. December 2017 [cited 2018 Jan 25]. Available from: https://bcpsqc.ca/resources/culture-improvement/
  4. Canadian Medical Protective Association. Learning from adverse events: Fostering a just culture of safety in Canadian hospitals and health care institutions [Internet]. Ottawa, ON: 2009 [cited 2018 Jan 25] Available from: https://www.cmpa-acpm.ca/en/advice-publications/browse-articles/2009/learning-from-adverse-events-fostering-a-just-culture-of-safety-in-canadian-hospitals-and-health-care-institutions
  5. Covenant Health. Corporate Policy & Procedures Manual, Policy No. 5.23: Building a Just Culture. October 1, 2011 [cited 2018 Jan 25].
  6. Davies J, Hébert P, Hoffman C. The Canadian Patient Safety Dictionary [Internet]. 2003 [cited 2018 Jan 25]. Available from: http://www.royalcollege.ca/portal/page/portal/rc/common/documents/publications/patient_safety_dictionary_e.pdf
  7. Diffen. Accountability vs. responsibility [Internet]. 2018 [cited Feb 1, 2018]. Available from: https://www.diffen.com/difference/Accountability_vs_Responsibility
  8. Duchscherer C, Davies JM. Systematic systems analysis: A practical approach to patient safety reviews. Calgary: Health Quality Council of Alberta; 2012.
  9. English Oxford Living Dictionaries. Definition: accountable [Internet]. 2018 [cited 2018 Jan 25]. Available from: https://en.oxforddictionaries.com/definition/accountable
  10. English Oxford Living Dictionaries. Definition: compliance [Internet]. 2018 [cited 2018 Jan 25]. Available from: https://en.oxforddictionaries.com/definition/compliance
  11. English Oxford Living Dictionaries. Definition: discipline, sanction [Internet]. 2018 [cited 2018 Jan 25]. Available from: https://en.oxforddictionaries.com/definition/discipline
  12. English Oxford Living Dictionaries. Definition: drift [Internet]. 2018 [cited 2018 Jan 25]. Available from: https://en.oxforddictionaries.com/definition/drift
  13. Flemons W, Davies J. Patients are harmed (again), fingers point. What’s wrong? Can Med Assoc J 2011;184(4):520.
  14. Health Quality Council of Alberta. Healthcare Quality and Safety Management: A Framework for Alberta. Calgary, Alberta, Canada: Health Quality Council of Alberta; July 2017.
  15. Henriksen K, Kaplan H. Hindsight bias, outcome knowledge and adaptive learning. BMJ Qual Saf 2003;12(Suppl 2).
  16. Institute of Healthcare Improvement. The IHI Triple Aim [Internet]. 2018 [cited Feb 1, 2018]. Available from: http://www.ihi.org/Engage/Initiatives/TripleAim/Pages/default.aspx
  17. Reason J. Achieving a safe culture: Theory and practice. Work & Stress 1998;12: 293-306.
  18. Reason J. Human Error. Cambridge: Cambridge University Press, 1990.
  19. Reason J. Managing the risks of organizational accidents. Aldershot (UK): Ashgate Publishing Company; 1997.
  20. Canadian Medical Protective Association. Creating a culture of accountability promotes safe medical care [Internet]. 2018 [cited Oct 31, 2018]. Available from: https://www.cmpa-acpm.ca/en/advice-publications/browse-articles/2018/creating-a-culture-of-accountability-promotes-safe-medical-care
  21. Parker D, Lawton R. Psychological contribution to the understanding of adverse events in health care. Qual Saf Health Care 2003; 12:453-457.