Provider: NIHR Journals Library Content:text/plain; charset="UTF-8" TY - ELEC LB - 1. AU - NHS England J2 - Serious Incident Framework: Supporting Learning to Prevent Recurrence PY - 2015 ER - TY - ELEC LB - 2. AU - NHS Improvement J2 - NRLS National Patient Safety Incident Reports: Commentary PY - 2018 ER - TY - ELEC LB - 3. AU - House of Commons’ Public Administration Select Committee (PASC) J2 - Public Administration – Sixth Report Investigating Clinical Incidents in the NHS PY - 2015 ER - TY - JOUR LB - 4. AU - Tingle, J TI - Investigating clinical incidents in the NHS: a future road map J2 - Br J Nurs SP - 462 PY - 2015 VL - 24 SP - 462 ER - TY - JOUR LB - 5. AU - Fox, R AU - Yelland, A AU - Draycott, T TI - Analysis of legal claims – informing litigation systems and quality improvement J2 - BJOG SP - 6 PY - 2014 VL - 121 SP - 6 ER - TY - ELEC LB - 6. AU - NHS Resolution J2 - Delivering Fair Resolution and Learning from Harm. Our Strategy to 2022 PY - 2017 ER - TY - ELEC LB - 7. AU - National Quality Board J2 - National Guidance on Learning from Deaths: A Framework for NHS Trusts and NHS Foundation Trusts on Identifying, Reporting, Investigating and Learning from Deaths in Care PY - 2017 ER - TY - ELEC LB - 8. AU - Care Quality Commission J2 - Regulation 20: Duty of Candour PY - 2015 ER - TY - ELEC LB - 9. AU - Care Quality Commission J2 - Learning from Serious Incidents in NHS Acute Hospitals: A Review of the Quality of Investigation Reports PY - 2016 ER - TY - other LB - 10. AU - Coates, T TI - Personal communication PY - 2018 ER - TY - JOUR LB - 11. AU - Anderson, K AU - Allan, D AU - Finucane, P TI - A 30-month study of patient complaints at a major Australian hospital J2 - J Qual Clin Pract SP - 109 PY - 2001 VL - 21 SP - 109 ER - TY - JOUR LB - 12. AU - O’Hara, JK AU - Reynolds, C AU - Moore, S AU - Armitage, G AU - Sheard, L AU - Marsh, C TI - What can patients tell us about the quality and safety of hospital care? Findings from a UK multicentre survey study J2 - BMJ Qual Saf SP - 673 PY - 2018 VL - 27 SP - 673 ER - TY - JOUR LB - 13. AU - Armitage, G AU - Moore, S AU - Reynolds, C AU - Laloë, PA AU - Coulson, C AU - McEachan, R TI - Patient-reported safety incidents as a new source of patient safety data: an exploratory comparative study in an acute hospital in England J2 - J Health Serv Res Policy SP - 36 PY - 2018 VL - 23 SP - 36 ER - TY - JOUR LB - 14. AU - McEachan, RR AU - Lawton, RJ AU - O’Hara, JK AU - Armitage, G AU - Giles, S AU - Parveen, S AU - Yorkshire Quality and Safety Research Group TI - Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study J2 - BMJ Qual Saf SP - 565 PY - 2014 VL - 23 SP - 565 ER - TY - JOUR LB - 15. AU - O’Hara, JK AU - Aase, K AU - Waring, J TI - Scaffolding our systems? Patients and families ‘reaching in’ as a source of healthcare resilience J2 - BMJ Qual Saf SP - 3 PY - 2019 VL - 28 SP - 3 ER - TY - JOUR LB - 16. AU - Etchegaray, JM AU - Ottosen, MJ AU - Burress, L AU - Sage, WM AU - Bell, SK AU - Gallagher, TH AU - Thomas, EJ TI - Structuring patient and family involvement in medical error event disclosure and analysis J2 - Health Aff (Millwood) SP - 46 PY - 2014 VL - 33 SP - 46 ER - TY - JOUR LB - 17. AU - Etchegaray, JM AU - Ottosen, MJ AU - Aigbe, A AU - Sedlock, E AU - Sage, WM AU - Bell, SK TI - Patients as partners in learning from unexpected events J2 - Health Serv Res SP - 2600 PY - 2016 VL - 51 SP - 2600 ER - TY - JOUR LB - 18. AU - Ottosen, MJ AU - Sedlock, EW AU - Aigbe, A AU - Etchegaray, JM AU - Bell, SK AU - Gallagher, TH AU - Thomas, EJ TI - Developing the improving post-event analysis and communication together (IMPACT) tool to involve patients and families in post-event analysis J2 - J Nurs Interprofessional Leadersh Qual Saf SP - 5 PY - 2016 VL - 1 SP - 5 ER - TY - JOUR LB - 19. AU - Zimmerman, TM AU - Amori, G TI - Including patients in root cause and system failure analysis: legal and psychological implications J2 - J Healthc Risk Manag SP - 27 PY - 2007 VL - 27 SP - 27 ER - TY - JOUR LB - 20. AU - Peerally, MF AU - Carr, S AU - Waring, J AU - Dixon-Woods, M TI - The problem with root cause analysis J2 - BMJ Qual Saf SP - 417 PY - 2017 VL - 26 SP - 417 ER - TY - JOUR LB - 21. AU - Unruh, KT AU - Pratt, W TI - Patients as actors: the patient’s role in detecting, preventing, and recovering from medical errors J2 - Int J Med Inform SP - S236 PY - 2007 VL - 76 SP - S236 ER - TY - JOUR LB - 22. AU - Rafter, N AU - Hickey, A AU - Condell, S AU - Conroy, R AU - O’Connor, P AU - Vaughan, D TI - Adverse events in healthcare: learning from mistakes J2 - QJM SP - 273 PY - 2015 VL - 108 SP - 273 ER - TY - JOUR LB - 23. AU - Ullström, S AU - Andreen Sachs, M AU - Hansson, J AU - Ovretveit, J AU - Brommels, M TI - Suffering in silence: a qualitative study of second victims of adverse events J2 - BMJ Qual Saf SP - 325 PY - 2014 VL - 23 SP - 325 ER - TY - JOUR LB - 24. AU - Vincent, C TI - Understanding and responding to adverse events J2 - N Engl J Med SP - 1051 PY - 2003 VL - 348 SP - 1051 ER - TY - ELEC LB - 25. AU - NHS England J2 - The Patient Safety Incident Response Framework and Supporting Guidance PY - 2022 ER - TY - BOOK LB - 26. AU - Reason, J J2 - Managing the Risks of Organizational Accidents PY - 1997 ER - TY - JOUR LB - 27. AU - Marshall, CD TI - Justice as care J2 - Int J Restor Just SP - 175 PY - 2019 VL - 2 SP - 175 ER - TY - ELEC LB - 28. AU - Wailling, J AU - Wilkinson, J AU - Marshall, C J2 - Healing after Harm: An Evaluation of a Restorative Approach for Addressing Harm from Surgical Mesh PY - 2020 ER - TY - JOUR LB - 29. AU - Ramsey, L AU - McHugh, S AU - Simms-Ellis, R AU - Perfetto, K AU - O’Hara, JK TI - Patient and family involvement in serious incident investigations from the perspectives of key stakeholders: a review of the qualitative evidence J2 - J Patient Saf SP - e1203 PY - 2022 VL - 18 SP - e1203 ER - TY - JOUR LB - 30. AU - McHugh, S AU - Louch, G AU - Ludwin, K AU - Sheard, L AU - O’Hara, JK TI - Involvement in serious incident investigations: a qualitative documentary analysis of NHS trust policies in England J2 - BMC Health Serv Res SP - 1207 PY - 2024 VL - 24 SP - 1207 ER - TY - BOOK LB - 31. AU - Popay, J AU - Roberts, HM AU - Sowden, AJ AU - Petticrew, M AU - Arai, L AU - Rodgers, M J2 - Guidance on the conduct of narrative synthesis in systematic reviews. A product from the ESRC Methods Programme. Version 1 PY - 2006 ER - TY - JOUR LB - 32. AU - Campbell, M AU - Katikireddi, SV AU - Sowden, A AU - McKenzie, JE AU - Thomson, H TI - Improving conduct and reporting of narrative synthesis of quantitative data (ICONS-Quant): protocol for a mixed methods study to develop a reporting guideline J2 - BMJ Open SP - e020064 PY - 2018 VL - 8 SP - e020064 ER - TY - JOUR LB - 33. AU - Bowen, GA TI - Document analysis as a qualitative research method J2 - Qual Res J SP - 27 PY - 2009 VL - 9 SP - 27 ER - TY - JOUR LB - 34. AU - Duclos, CW AU - Eichler, M AU - Taylor, L AU - Quintela, J AU - Main, DS AU - Pace, W TI - Patient perspectives of patient–provider communication after adverse events J2 - Int J Qual Health Care SP - 479 PY - 2005 VL - 17 SP - 479 ER - TY - JOUR LB - 35. AU - O’Hara, JK AU - Lawton, RJ TI - At a crossroads? Key challenges and future opportunities for patient involvement in patient safety J2 - BMJ Qual Saf SP - 565 PY - 2016 VL - 25 SP - 565 ER - TY - JOUR LB - 36. AU - Harrison, R AU - Birks, Y AU - Bosanquet, K AU - Iedema, R TI - Enacting open disclosure in the UK National Health Service: a qualitative exploration J2 - J Eval Clin Pract SP - 713 PY - 2017 VL - 23 SP - 713 ER - TY - JOUR LB - 37. AU - Hennink, MM AU - Kaiser, BN AU - Marconi, VC TI - Code saturation versus meaning saturation: how many interviews are enough? J2 - Qual Health Res SP - 591 PY - 2017 VL - 27 SP - 591 ER - TY - JOUR LB - 38. AU - Sheridan, J AU - Chamberlain, K AU - Dupuis, A TI - Timelining: visualizing experience J2 - Qual Res SP - 552 PY - 2011 VL - 11 SP - 552 ER - TY - JOUR LB - 39. AU - Braun, V AU - Clarke, V TI - One size fits all? What counts as quality practice in (reflexive) thematic analysis? J2 - Qual Res Psychol SP - 328 PY - 2021 VL - 18 SP - 328 ER - TY - JOUR LB - 40. AU - Wailling, J AU - Kooijman, A AU - Hughes, J AU - O’Hara, JK TI - Humanizing harm: using a restorative approach to heal and learn from adverse events J2 - Health Expect SP - 1192 PY - 2022 VL - 25 SP - 1192 ER - TY - JOUR LB - 41. AU - Bismark, M AU - Paterson, R TI - ‘Doing the right thing’ after an adverse event J2 - N Z Med J SP - U1593 PY - 2005 VL - 118 SP - U1593 ER - TY - JOUR LB - 42. AU - Wiig, S AU - Schibevaag, L AU - Tvete Zachrisen, R AU - Hannisdal, E AU - Anderson, JE AU - Haraldseid-Driftland, C TI - Next-of-kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation (part II: the inspectors’ perspective) J2 - J Patient Saf SP - e1707 PY - 2021 VL - 17 SP - e1707 ER - TY - JOUR LB - 43. AU - Wiig, S AU - Haraldseid-Driftland, C AU - Tvete Zachrisen, R AU - Hannisdal, E AU - Schibevaag, L TI - Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation (part I – the next of kin’s perspective) J2 - J Patient Saf SP - e1713 PY - 2021 VL - 17 SP - e1713 ER - TY - ELEC LB - 44. AU - National Patient Safety Agency J2 - Being Open: Communicating Patient Safety Incidents with Patients, Their Families and Carers PY - 2009 ER - TY - ELEC LB - 45. AU - Legislation.gov.uk J2 - The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 PY - 2014 ER - TY - ELEC LB - 46. AU - Department of Health and Social Care J2 - The NHS Constitution for England PY - 2012 ER - TY - JOUR LB - 47. AU - Edrees, HH AU - Paine, LA AU - Feroli, ER AU - Wu, AW TI - Health care workers as second victims of medical errors J2 - Pol Arch Med Wewn SP - 101 PY - 2011 VL - 121 SP - 101 ER - TY - JOUR LB - 48. AU - Cabilan, CJ AU - Kynoch, K TI - Experiences of and support for nurses as second victims of adverse nursing errors: a qualitative systematic review J2 - JBI Database System Rev Implement Rep SP - 2333 PY - 2017 VL - 15 SP - 2333 ER - TY - JOUR LB - 49. AU - Burlison, JD AU - Scott, SD AU - Browne, EK AU - Thompson, SG AU - Hoffman, JM TI - The second victim experience and support tool: validation of an organizational resource for assessing second victim effects and the quality of support resources J2 - J Patient Saf SP - 93 PY - 2017 VL - 13 SP - 93 ER - TY - JOUR LB - 50. AU - Willis, D AU - Yarker, J AU - Lewis, R TI - Lessons for leadership and culture when doctors become second victims: a systematic literature review J2 - BMJ Lead SP - 81 PY - 2019 VL - 3 SP - 81 ER - TY - BOOK LB - 51. AU - Tavory, I AU - Timmermans, S J2 - Abductive Analysis: Theorizing Qualitative Research PY - 2014 ER - TY - JOUR LB - 52. AU - Davidoff, F AU - Dixon-Woods, M AU - Leviton, L AU - Michie, S TI - Demystifying theory and its use in improvement J2 - BMJ Qual Saf SP - 228 PY - 2015 VL - 24 SP - 228 ER - TY - JOUR LB - 53. AU - McQueen, JM AU - Gibson, KR AU - Manson, M AU - Francis, M TI - Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family J2 - BMJ Open SP - e060158 PY - 2022 VL - 12 SP - e060158 ER - TY - ELEC LB - 54. AU - Design Council J2 - The Double Diamond: A Universally Accepted Depiction of the Design Process PY - 2023 ER - TY - ELEC LB - 55. AU - Bowen, S AU - Dearden, A AU - Wright, P AU - Cobb, M AU - Wolstenholme, D J2 - User-Centred Healthcare Design: A New Model of Engagement (Conference Workshop) PY - 2010 ER - TY - BOOK LB - 56. AU - Hickey, G AU - Brearley, S AU - Coldham, T AU - Denegri, S AU - Green, G AU - Staniszewska, S TI - Guidance on co-producing a research project PY - 2018 ER - TY - JOUR LB - 57. AU - Metz, A AU - Jensen, T AU - Farley, A AU - Boaz, A AU - Bartley, L AU - Villodas, M TI - Building trusting relationships to support implementation: a proposed theoretical model J2 - Front Health Serv SP - 894599 PY - 2022 VL - 2 SP - 894599 ER - TY - BOOK LB - 58. AU - Shaw, C AU - Nickpour, F AU - Lockton, D AU - Lenzi, S AU - Hekkert, P AU - Oak, A AU - Sádaba, J AU - Lloyd, P TI - Design as an agent of narratives: a conceptual framework and a first exploration in the context of inclusive paediatric mobility design J2 - DRS2022 PY - 2022 ER - TY - JOUR LB - 59. AU - Knoblauch, H TI - Focused ethnography J2 - Qual Soc Res SP - 44 PY - 2005 VL - 6 SP - 44 ER - TY - JOUR LB - 60. AU - Flyvbjerg, B TI - Five misunderstandings about case-study research J2 - Qual Inq SP - 219 PY - 2006 VL - 12 SP - 219 ER - TY - JOUR LB - 61. AU - Nicolini, D AU - Waring, J AU - Mengis, J TI - Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap J2 - Soc Sci Med SP - 217 PY - 2011 VL - 73 SP - 217 ER - TY - BOOK LB - 62. AU - Macrae, C J2 - Close Calls: Managing Risk and Resilience in Airline Flight Safety PY - 2014 ER - TY - BOOK LB - 63. AU - Fetterman, DM J2 - Ethnography: Step-by-Step PY - 2019 ER - TY - BOOK LB - 64. AU - Hammersley, M AU - Atkinson, P J2 - Ethnography: Principles in Practice PY - 2019 ER - TY - JOUR LB - 65. AU - Whitney, C AU - Evered, JA TI - The qualitative research distress protocol: a participant-centered tool for navigating distress during data collection J2 - Int J Qual Methods PY - 2022 VL - 21 ER - TY - JOUR LB - 66. AU - Sheard, L AU - Marsh, C TI - How to analyse longitudinal data from multiple sources in qualitative health research: the pen portrait analytic technique J2 - BMC Med Res Methodol SP - 169 PY - 2019 VL - 19 SP - 169 ER - TY - BOOK LB - 67. AU - Braun, V AU - Clarke, V J2 - Thematic Analysis: A Practical Guide PY - 2021 ER - TY - BOOK LB - 68. AU - Stake, RE J2 - Multiple Case Study Analysis PY - 2013 ER - TY - ELEC LB - 69. AU - Parliamentary and Health Service Ombudsman (PHSO) J2 - Broken Trust: Making Patient Safety More Than Just a Promise PY - 2023 ER - TY - JOUR LB - 70. AU - Louch, G AU - Albutt, A AU - Harlow-Trigg, J AU - Moore, S AU - Smyth, K AU - Ramsey, L TI - Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a scoping review J2 - BMJ Open SP - e047102 PY - 2021 VL - 11 SP - e047102 ER - TY - JOUR LB - 71. AU - Ramsey, L AU - Albutt, A AU - Perfetto, K AU - Quinton, N AU - Baker, J AU - Louch, G TI - Systemic safety inequities for people with learning disabilities: a qualitative integrative analysis of the experiences of English health and social care for people with learning disabilities, their families and carers J2 - Int J Equity Health SP - 13 PY - 2022 VL - 21 SP - 13 ER - TY - ELEC LB - 72. AU - Office for National Statistics J2 - Change in the Standard of Proof Used by Coroners and the Impact on Suicide Death Registrations Data in England and Wales PY - 2020 ER - TY - ELEC LB - 73. AU - Office for National Statistics J2 - Number of Suicides by Clinical Commissioning Group, 2017 to 2019 Death Registrations PY - 2021 ER - TY - ELEC LB - 74. AU - Samaritans UK and ROI J2 - Suicide Statistics Report PY - 2019 ER - TY - JOUR LB - 75. AU - Berman, AL TI - Risk factors proximate to suicide and suicide risk assessment in the context of denied suicide ideation J2 - Suicide Life Threat Behav SP - 340 PY - 2018 VL - 48 SP - 340 ER - TY - JOUR LB - 76. AU - Braun, V AU - Clarke, V AU - Boulton, E AU - Davey, L AU - McEvoy, C TI - The online survey as a qualitative research tool J2 - Int J Soc Res Methodol SP - 641 PY - 2020 VL - 24 SP - 641 ER - TY - BOOK LB - 77. AU - Cronin, A AU - Alexander, VD AU - Fielding, J AU - Moran-Ellis, J J2 - The SAGE Handbook of Social Research Methods PY - 2008 ER - TY - JOUR LB - 78. AU - Fröding, E AU - Vincent, C AU - Andersson-Gäre, B AU - Westrin, A AU - Ros, A TI - Six major steps to make investigations of suicide valuable for learning and prevention J2 - Arch Suicide Res SP - 1 PY - 2022 VL - 28 SP - 1 ER - TY - JOUR LB - 79. AU - Wood, D AU - Robinson, C AU - Nathan, R AU - Mcphillips, R TI - The practice of incident reporting and management: current challenges and opportunities for mental health trusts in England J2 - J Ment Health Train Educ Pract SP - 248 PY - 2023 VL - 18 SP - 248 ER - TY - JOUR LB - 80. AU - Fröding, E AU - Gäre, BA AU - Westrin, A AU - Ros, A TI - Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective J2 - BMJ Open SP - e044068 PY - 2021 VL - 11 SP - e044068 ER - TY - JOUR LB - 81. AU - Robertson, JP AU - Collinson, C TI - Positive risk taking: whose risk is it? An exploration in community outreach teams in adult mental health and learning disability services J2 - Health Risk Soc SP - 147 PY - 2011 VL - 13 SP - 147 ER - TY - JOUR LB - 82. AU - Stickley, T AU - Felton, A TI - Promoting recovery through therapeutic risk taking J2 - Ment Health Pract SP - 26 PY - 2006 VL - 9 SP - 26 ER - TY - JOUR LB - 83. AU - Busch, IM AU - Saxena, A AU - Wu, AW TI - Putting the patient in patient safety investigations: barriers and strategies for involvement J2 - J Patient Saf SP - 358 PY - 2021 VL - 17 SP - 358 ER - TY - JOUR LB - 84. AU - Kok, J AU - Leistikow, I AU - Bal, R TI - Patient and family engagement in incident investigations: exploring hospital manager and incident investigators’ experiences and challenges J2 - J Health Serv Res Policy SP - 252 PY - 2018 VL - 23 SP - 252 ER - TY - JOUR LB - 85. AU - Kok, J AU - de Kam, D AU - Leistikow, I AU - Grit, K AU - Bal, R TI - Epistemic injustice in incident investigations: a qualitative study J2 - Health Care Anal SP - 254 PY - 2022 VL - 30 SP - 254 ER - TY - ELEC LB - 86. AU - NHS England J2 - Compassionate Communication, Meaningful Engagement: A Best Practice Guide for Supporting Patients and Families after a Patient Safety Event PY - 2023 ER - TY - ELEC LB - 87. AU - O’Hara, JK J2 - Involving Patients and Families Following Safety Events in Healthcare – Commissioned Blog. Patient Safety Commissioner PY - 2023 ER - TY - JOUR LB - 88. AU - Wade, C AU - Malhotra, AM AU - McGuire, P AU - Vincent, C AU - Fowler, A TI - Action on patient safety can reduce health inequalities J2 - BMJ SP - e067090 PY - 2022 VL - 376 SP - e067090 ER - TY - JOUR LB - 89. AU - Chauhan, A AU - Walton, M AU - Manias, E AU - Walpola, RL AU - Seale, H AU - Latanik, M TI - The safety of health care for ethnic minority patients: a systematic review J2 - Int J Equity Health SP - 118 PY - 2020 VL - 19 SP - 118 ER - TY - JOUR LB - 90. AU - Metersky, ML AU - Hunt, DR AU - Kliman, R AU - Wang, Y AU - Curry, M AU - Verzier, N TI - Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System J2 - Med Care SP - 504 PY - 2011 VL - 49 SP - 504 ER - TY - JOUR LB - 91. AU - Agerström, J AU - Carlsson, M AU - Bremer, A AU - Herlitz, J AU - Israelsson, J AU - Årestedt, K TI - Discriminatory cardiac arrest care? Patients with low socioeconomic status receive delayed cardiopulmonary resuscitation and are less likely to survive an in-hospital cardiac arrest J2 - Eur Heart J SP - 861 PY - 2021 VL - 42 SP - 861 ER - TY - ELEC LB - 92. AU - Thomas, A AU - Krevat, S AU - Ratwani, R J2 - Health Affairs Forefront: Policy Changes to Address Racial/Ethnic Inequities in Patient Safety PY - 2022 ER - TY - ELEC LB - 93. AU - Knight, M AU - Bunch, K AU - Felker, A AU - Patel, R AU - Kotnis, R AU - Kenyon, S J2 - Saving Lives, Improving Mothers’ Care Core Report – Lessons Learned to Inform Maternity Care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2019–21 PY - 2023 ER - TY - JOUR LB - 94. AU - Piccardi, C AU - Detollenaere, J AU - Vanden Bussche, P AU - Willems, S TI - Social disparities in patient safety in primary care: a systematic review J2 - Int J Equity Health SP - 114 PY - 2018 VL - 17 SP - 114 ER -