Pittsburgh, PA: Software Engineering Institute, Carnegie Mellon University 1996. A Mature Profession of Software Engineering. Springfield, MA: Merriam-Webster Incorporated n.d. Bethesda, MD: National Library of Medicine May-June 2012. Proceedings of the 2016 3rd International Conference on Education, Language, Art and Inter-cultural Communication (ICELAIC 2016). An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. Hettinger AZ, Fairbanks RJ, Hegde S, et al.Our current approach to root cause analysis: Is it contributing to our failure to improve patient safety? BMJ Qual Saf. Kellogg KM, Hettinger Z, Shah M, et al. Making a paradigm shift is not easy and might take a long time.Towards high-reliability organising in healthcare: A strategy for building organisational capacity. Aboumatar HJ, Weaver SJ, Rees D, Rosen MA, Sawyer MD, Pronovost PJ.Competencies for patient safety and quality improvement. PARADIGM SHIFTS: Music &Film Festival celebrates true stories of courageous people from around. Greer M, Curdy N, Kopolow A, Mercado SE.Competencies for patient safety and quality improvement: A synthesis of recommendations in influential position papers. Kairos Pronounced: Kai-ros is a Greek word meaning. My thanks to Garth Hewitt, founder of Amos Trust, for inviting me to share the stage with him. Farnham, Surrey: Ashgate Publishing Ltd 2015. It's the text of my talk given on Friday 30 September 2016 at Victoria Methodist Church to the Sheffield Kairos group, part of the Kairos Britain movement for church solidarity with Palestine. Resilient Health Care Volume 2: The Resilience of Everyday Clinical Work. Wears RL, Hollnagel E, Braithwaite J, eds.Washington, DC: The National Academies Press 2000. To Err is Human: Building a Safer Health System. Safety-I, Safety-II and resilience engineering. Published simultaneously by the University of Southern Denmark, University of Florida, USA, and Macquarie University, Australia: The Resilient Health Care Net 2015. From Safety-I to Safety-II: A white paper. Resilient health care: turning patient safety on its head. Oxford, UK: Oxford University Press 2016:325-351. The Oxford Handbook of Health Care Management. In: Ferlie E, Montgomery K, Pederson AR, eds. False dawns and new horizons in patient safety research and practice.
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