REFERENCE LIST. Effective Governance for Quality and Patient Safety 54

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1 REFERENCE LIST 5 Million Lives Campaign. Getting Started Kit: Governance Leadership Boards on Board How-to-Guide. Cambridge, MA: Institute for Healthcare Improvement; ( Altman, DE, Clancy, C, Blendon, RJ (2004) Improving Patient Safety Five Years after the IOM Report New England Journal of Medicine 351(20): Bader, BS and Zablock, E (2008) Evaluating and Improving Board Committees Great Boards VIII (2) Bader, BS and O Malley, S (2006) 7 Things Your Board Can Do to Improve Quality and Patient Safety GreatBoards.org Newsletter. Spring 2006 VI(I) Retrieved on November 27, 2009 from greatboards.pdf Baker, GR, Norton, PG, Flintoft, V et al. (2004) Canadian Adverse Events Study Canadian Medical Association Journal 170(11): Baker, GR, Grosso, F, Heinz, C, Sharpe, G, Beardwood, J, Fabiano, D, Jeffs, L, McIvor, P and Parsons, D (2007) Review of Provincial, Territorial and Federal Legislation and Policy Related to the Reporting and Review of Adverse Events in Healthcare in Canada (Appendix B of The Canadian Adverse Event Reporting and Learning System Consultation Paper, July 2008). Retrieved on December 18, 2009 from CanadianAdverseEventsReportingAndLearningSystem/Documents/CAERLS%20 Consultation%20Paper.pdf Baker, GR, Denis, J-L, Pomey, P-M, MacIntosh-Murray, A (2009) Effective Governance for Quality and Patient Safety in Canadian Healthcare Organizations: A report to the Canadian Health Services Research Foundation and the Canadian Patient Safety Institute. Baker, M, Corbett, A, Reinertsen, JL. Governance Centers of Excellence & Ontario Hospital Association (2008) Quality and Patient Safety: Understanding the Role of the Board. Barraclough, B (2006) The Role of Safety and Quality Councils in Improving the Quality of Healthcare : An Australian Perspective HealthcarePapers 6(3): Barraclough, BH, Birch, J (2006) Healthcare safety and quality: where have we been and where are we going? Medical Journal of Australia 184(10): S48-S50. Budrevics, G, O Neill, C (2005) Changing a Culture with Patient Safety Walkarounds Healthcare Quarterly 8: Building a Safer System: A National Integrated Strategy for Improving Patient Safety in Canadian Health Care. September National Steering Committee on Patient Safety. Canadian Health Services Research Foundation (2008) Evidence Boost for Quality: Performance Reporting to Help Organizations Promote Quality Improvement. Retrieved on November 27, 2009 from Effective Governance for Quality and Patient Safety 54

2 Canadian Health Services Research Foundation Mythbusters: People Use Health System Report Cards to Make Decisions about their Care. Retrieved on November 27, 2009 from Canadian Health Services Research Foundation Pass it on! (November 2009): Patient Safety Tops the Agenda at the Winnipeg Regional Health Authority. Retrieved on December 18, 2009 from Canadian Health Services Research Foundation Backgrounder: Public Reporting on the Quality of Healthcare. Retrieved on November 27, 2009 from Public_Reporting_Backgrounder_E.pdf Campbell, SM, Sheaff, R, Sibbald, B, Marshall, MN, Pickard, S, Gask, L, Halliwell, S, Rogers, A, Roland, MO (2002) Implementing clinical governance in English primary care groups/trusts: reconciling quality improvement and quality assurance Quality and Safety in Healthcare 11: Clough, J, Nash, DB (2007) Health Care Governance for Quality and Safety: The New Agenda American Journal of Medical Quality 22(3): Conway, J (2008) Getting Boards on Board: Engaging Governance in Quality and Safety. Joint Commission Journal on Quality and Patient Safety 34(4): Coroner s Jury Recommendations: Progress Report on Responses and Actions at Hotel Dieu Grace Hospital. June Retrieved on November 27, 2009 from hdgh.org/assets/coronerinquestprogressreporttoboardofdirectors-june2008.pdf Dana Farber Cancer Institute. The Dana Farber Institute Principles of a Fair and Just Culture. Retrieved on November 27, 2009 from docs/dana-farber_principlesjustculture.pdf DeLashmutt, St, Albertalli, S, Bass, L, Beck, C et al. (2003) Opening Doors to Patient Safety: A Board Checklist Trustee 56(1): Denis JL, Champagne F, Pomey MP, Préval J, Tré G (2005) Towards a framework for the analysis of governance in healthcare organizations. Preliminary report presented to the Canadian Council on Health Services Accreditation. October Université de Montréal. Devers, KJ, Hoangmai, HP, Liu, G (2004) What Is Driving Hospitals Patient-Safety Efforts? Health Affairs 23(2): Disclosure Working Group. Canadian Disclosure Guidelines. Edmonton, AB: Canadian Patient Safety Institute; Dunn, P (2007) Shedding Light on Quality Trustee 60(8): Etchells, E, Lester, R, Morgan, B, Johnson, B (2005) Striking a Balance: Who is Accountable for Patient Safety? Healthcare Quarterly 8 (Special Issue): Fleming, M, Wentzell, N (2008) Patient Safety Culture Improvement Tool: Development and Guidelines for Use Healthcare Quarterly 11 (Special Edition): Effective Governance for Quality and Patient Safety 55

3 Fleming, M (2005) Patient Safety Culture Measurement and Improvement: A How To Guide Healthcare Quarterly 8 (Special Issue): Freeman, T, Walshe, K (2004) Achieving progress through clinical governance? A national study of healthcare managers perceptions in the NHS in England Quality and Safety in Healthcare 13: Gribbin, JT (2007) Quality and Patient Safety: Governance at the Crossroads Trustee 60(8): Hawkins, PG. Partner. Borden Ladner Gervais LLP. Toronto. communication July 14, Health Council of Canada Annual Report (2006). Clearing the Road to Quality. Retrieved on November 27, 2009 from php?option=com_content&task=view&id=107&itemid=107 Health Quality Council of Alberta (2009) Measuring and Monitoring for Success. Retrieved on November 27, 2009 from Monitoring/HQCA_2009_Measuring_Monitoring_for_Success.pdf Health Quality Council of Alberta. Alberta Quality Matrix for Health. Retrieved on November 27, 2009 from Health Quality Council of Alberta. Alberta Provincial Disclosure of Harm to Patients and Families Framework. July Retrieved on November 27, 2009 from hqca.ca/index.php?id=58 Hundert, M, Topp, A (2003) Issues in the Governance of Canadian Hospitals IV: Quality of Hospital Care Hospital Quarterly 6(4): Institute for Healthcare Improvement. Get Boards on Board Campaign Tools. Retrieved on November 27, 2009 from BoardsonBoard.htm Joint Commission Resources (2007) Getting the Boards on Board: What Your Board Needs to Know About Quality and Patient Safety. Illinois: Joint Commission on Healthcare Accreditation: Illinois. Kovacs Burns, K (2008) Canadian Patient Safety Champions: Collaborating on Improving Patient Safety Healthcare Quarterly 11(Special Edition): Langley, GJ et al. (2009) The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. Jossey-Bass. Learning from adverse events: Fostering a just culture of safety in Canadian hospitals and health care institutions. Ottawa, ON: Canadian Medical Protective Association; Retrieved on November 27, 2009 from docs/submissions_papers/com_learning_from_adverse_events-e.cfm Lockee, C, Droom, K, Zablocki, E, & Bader, B (2006) Quality: The Governance Institute. Cited in Conway, Effective Governance for Quality and Patient Safety 56

4 Mastal, MF, Joshi, M, Shulke, K (2007) Nursing Leadership: Championing Quality and Patient Safety in the Boardroom. Nursing Economic$ 25(6): Maulik, SJ, Hines, SC (2006) Getting the Board on Board Joint Commission on Journal of Quality and Patient Safety 32(4): Mcdonagh, KJ, Chenoweth, J, Totten, MK, Orlikoff, JE (2008) Connecting Governance Culture and Hospital Performance Improvement Trustee 61(4). Meyer, JA, Silow-Carroll, S, Kutyla, T, Stepnick, LS, Rybowski, LS (2004) Hospital Quality: Ingredients for Success Overview and Lessons Learned. Retrieved on March 25, 2009 from < Hospital-Quality--Ingredients-for-Success----Overview-and-Lessons-Learned.aspx> Meyers, S (2008) Cultivating Trust: the Board-Medical Trust Relationship Trustee 61(10): Mohr, JJ, Abelson, HT, Barach, P (2002) Creating Effective Leadership for Improving Patient Safety Quality Management in Healthcare 11(1): Mycek, S (2001) Patient Safety: It Starts with the Board Trustee 54(5): Nash, DB, Oetgen, WJ, Pracillo, VP (Eds.) Governance for Healthcare Providers: The Call to Leadership (2009). New York: CRC Press. National Patient Safety Agency. Questions are the answer? 7 Questions every board member should ask about patient safety. Retrieved on November 27, 2009 from National Patient Safety Agency. Act on Reporting Five Actions to Improve Safety Reporting Briefing. June 2008 Issue 161. Retrieved on November 27, 2009 from Nininger, J. PowerPoint Presentation Leading Quality on Canadian Boards: The Ottawa Hospital Experience February 26, 2008 Flo Collaborative. nininger_ pdf Ontario Health Quality Council (2009) Quality Improvement Guide. Retrieved on November 20, 2009 from Ontario Health Quality Council (2009) Quality Improvement Guide for Long-Term Care. Retrieved on November 20, 2009 from Ontario Health Quality Council Annual Report (2009) Retrieved on November 23, 2009 from Ontario Hospital Association (2008) Quality and Patient Safety: Understanding the Role of the Board. Ontario Hospital Association Publication 414. Orlikoff, James (2005) Building Better Boards in an Era of Accountability Frontiers of Health Services Management 21(3): Effective Governance for Quality and Patient Safety 57

5 Pomey, M-P, Denis, J-L, Baker, R, Preval, J, MacIntosh-Murray, A. The Role of the Board in the Improvement of Quality and Safety of Healthcare Organizations (Manuscript June 27, 2008). Prybil, L et al. (2009) Governance in High Performing Community Health Systems: A Report on CEO and Trustee Views. Chicago: Grant Thornton LLP. Reinertsen, JL, Schellekens, W (2005) 10 Powerful Ideas for Improving Patient Care. Chicago: Health Administration Press. Rooney, Al, van Ostenberg, PR (1999) Licensure, Accreditation, and Certification: Approaches to Health Services Quality. Bethesda: USAID Quality Assurance Project. Royal College of Physicians and Surgeons of Canada. Davies, JM, Hebert, P, Hoffman, C. The Canadian Patient Safety Dictionary. Ottawa, ON: Royal College of Physicians and Surgeons of Canada; Retrieved on September 23, 2009 from medical.org/publications/patientsafetydictionary_e.pdf Runy, L-A (2008) A Clear-Eyed Approach to Quality Hospital & Health Networks September, Schmidt, D Murder Suicide Shocked the Community The Windsor Star November 4, Retrieved on November 27, 2009 from features/dupont/features/dupont/story.html?id=c79312d5-a2c7-43e8-a274-30f2e8ec1b1d Sexual Violence in the Workplace: The Murder of Lori Dupont Queens Human Rights Bulletin Number 1 1. Retrieved on November 27, 2009 from humanrights/hreb/roundup%203/index.htm Singer, S, Meterko, M, Baker, L, Gaba, D, Falwell, A, Rosen, A (2007) Workforce Perceptions of Hospital Safety Culture: Development and Validation of the Patient Safety Climate in Healthcare Organizations Survey Health Services Research 42(5): St. Thomas Elgin General Hospital Meeting of Board Governors. Minutes 25 February Retrieved on August 26, 2009 from Minutes/Document%20Library/ %20Open%20Board%20Minutes.pdf The Joint Commission: Sentinel Event Alert Behaviors that Undermine a Culture of Quality and Safety Issue 40, July 9, Retrieved on November 27, 2009 from Wilson, K (2007) The Krever Commission 10 Years Later Canadian Medical Association Journal 177(1 1): Wong J and Beglaryan H (2004). Strategies for hospitals to improve patient safety: A review of the research The Change Foundation. Creative Change for Better Health. February, World Health Organization (2009, January) The conceptual framework for the international classification for patient safety, v.1. Final technical report. January Retrieved on October 2, 2009, from full_report.pdf Effective Governance for Quality and Patient Safety 58