Kohn, LT, Corrigan, J, Donaldson, MS. To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press; 2000.Google Scholar

Leape, L. Error in medicine. JAMA. 1994;272(23):851–857.CrossRefGoogle ScholarPubMed

Lucian Leape Institute at the National Patient Safety Foundation. The Patient Safety Imperative for Health Care Reform: Building Safe, Effective Health Care. Position Statement issued October, 2009. www.npsf.org/LLI (accessed January 1, 2014).Google Scholar

Wachter, RM, Pronovost, PJ. Balancing “no blame” with accountability in patient safety. N Engl J Med. 2009;361(14):1401–1406.Google Scholar

Reason, J. Human Error. Cambridge: Cambridge University Press; 1990.Google Scholar

Bogner, MS, ed. Human Error in Medicine: Hillsdale, NJ: Lawrence Erlbaum Associates; 1994.Google Scholar

Weick, KE, Sutcliffe, KM. Managing the Unexpected: Resilient Performance in an Age of Uncertainty, 2nd ed. San Francisco, CA: Jossey-Bass; 2007.Google Scholar

Petschonek, S, Burlison, J, Cross, C, et al. Development of the Just Culture assessment tool: measuring the perceptions of healthcare professionals in hospitals. J Patient Saf. 2013;9(4):190–197.Google Scholar

Bonacum, D, Frush, K, Balik, B, Conway, J. The role of leadership. In: The Essential Guide for Patient Safety Officers. Oakbrook, IL: Joint Commission Resources; 2013: 1–12.Google Scholar

Gosbee, JW, Gosbee, LL, eds. Human Human Factors Engineering to Improve Patient Safety. Oakbrook, IL: Joint Commission Resources; 2005.Google Scholar

Vaughn, D. The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. Chicago, IL: University of Chicago Press; 1996.Google Scholar

Reason, J. Managing the Risk of Organizational Accidents. Aldershot: Ashgate; 1997.Google Scholar

Marx, D. Patient Safety and the “Just Culture”: A Primer for Health Care executives. New York, NY: Columbia University Press; 2001.Google Scholar

Dekker, S. The Field Guide to Understanding Human Error. Burlington, VT. Ashgate; 2006.Google Scholar

Crossing the Quality Chasm. A New Health System of the 21st Century. Washington, DC: National Academy Press, 2001.Google Scholar

Kirch, DG. Culture and the Courage to Change. AAMC President’s Address; 2007.Google Scholar