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|CPPS Resource List|
The exam development process considered both current practice and relevant sources from the body of literature. The following resources were referred to and served as background information for the exam development process:
Reason J. Human error: models and management. BMJ. 2000;320:768-70.
Institute for Healthcare Improvement “Safety Briefings” (2004).
Leape LL, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA. 2005 May 18;293(19):2384-90.
Cook R, Rasmussen J. “Going Solid”: a model of system dynamics and consequences for patient safety. Qual Saf Health Care. 2005 Apr;14(2):130-4.
When Things Go Wrong: Responding to Adverse Events. A Consensus Statement of the Harvard Hospitals. Burlington, MA: Massachusetts Coalition for the Prevention of Medical Errors; March 2006.
Leape, Lucian. Full disclosure and apology—an idea whose time has come. Physic Exec. 2006 Mar-Apr;32(2):16-8.
Transforming healthcare: a safety imperative. Qual Saf Health Care. 2009 Dec;18(6):424-8. Leape L, Berwick D, Clancy C, Conway J, Gluck P, Guest J, Lawrence D, Morath J, O’Leary D, O’Neill P, Pinakiewicz D, Isaac T; Lucian Leape Institute at the National Patient Safety Foundation.
Influencing leadership perceptions of patient safety through just culture training. J Nurs Care Qual. 2010 Oct-Dec;25(4):288-94.Vogelsmeier A, Scott-Cawiezell J, Miller B.
Guidelines for the prevention of intra-vascular catheter related infections. Center for Disease Control and Prevention. (2011).
The Joint Commission—Sentinel Events. (2012). Available at:
IHI Improvement Map, Medication Administration. Institute for Healthcare Improvement.
IHI Improvement Map, High Alert Medication Safety. Institute for Healthcare Improvement.
AHRQ- Patient Safety Network- Patient Safety Primers. Wachter R, Sehgal N, Ranji S, Shojania K, Cucina R.
Marx D. Outcomes engineering—A Just Culture
Books and Monographs
Rasmussen J. The definition of human error and a taxonomy for technical system design. In Rasmussen J, Duncan K, Leplat J, eds. New Technology and Human Error. Toronto: John Wiley & Sons; 1987.
Reason J. Human Error. Cambridge, UK: Cambridge University Press; 1990.
Reason J. Managing the Risks of Organizational Accidents. Burlington, VT: Ashgate Publishing, 1997:8.
Kohn LT, Corrigan JM, Donaldson MS, eds. To Err Is Human: Building a Safer Health System. Committee on Quality of Health Care in America, Institute of Medicine. Washington, DC: National Academy Press; 2000.
Crossing the Quality Chasm: A New Health System for the 21st Century. Committee on Quality of Health Care in America, Institute of Medicine. Washington, DC: National Academy Press; 2001.
Marx D. Patient Safety and the “Just Culture”: A Primer for Health Care Executives. New York, NY: Columbia University; 2001.
Youngberg B. The Patient Safety Handbook. 2nd edition. Burlington, MA: Jones and Bartlett Learning; 2013.
Cohen MR. Medication Errors. 2nd edition. Washington, DC: American Pharmacists Association; 2007.
Wachter R. Understanding Patient Safety. New York, NY: McGraw-Hill Professional; 2007.
Studer Group. (2010). The Nurse Leader Handbook: The Art and Science of Nurse Leadership. Gulf Breeze, FL: Fire Starter Publishing; 2009. Page 150, paragraph 2.
Gawande A. The Checklist Manifesto: How to Get Things Right. New York: Metropolitan Books; 2009.