Educational Resources

Online Courses

IHI Open School

ABA MOCA program

AHRQ PSNet-Systems Approach

AHRQ PSNet-Root Cause Analysis

WHO Patient Safety


Dekker, Sidney:

The Field Guide to Understanding Human Error
Ashgate Publishing, Burlington VT

Institute of Medicine:

To Err is Human: Building a Safer Health System
National Academy Press, Washington DC

Reason, James:

Managing the Risks of Organizational Accidents
Ashgate Publishing, Burlington VT

Reason, James:

Human Error
Cambridge University Press, New York

Wheeler, Donald:

Understanding Variation: the key to managing chaos
SPC press

Langely GJ, Moen R, Nolan KM, Nolan TW, Norman CL, Provost LP:

The Improvement Guide: a practical approach to enhancing organizational performance
Jossey-Bass, San Francisco

Weick, K and Sutcliffe, K:

Managing the Unexpected
Jossey-Bass, San Francisco

Nance, John:

Why Hospitals Should Fly
Second River Healthcare Press, Bozeman MT

Christensen, Clayton:

The Innovator’s Prescription: a disruptive solution for health care
McGraw-Hill, New York

Michelli, Joseph:

Prescription for Excellence
McGraw-Hill, New York


Pratap JN, Varughese AM, Kurth CD, Adler E:

Getting started with the model for improvement: introduction and understanding variation.
Br J Hosp Med (Lond). 2012, Dec;73(12):701-5


Pratap JN, Varughese AM, Adler E, Kurth CD:

Getting started with the model for improvement: the model in practice.
Br J Hosp Med (Lond). 2013 Jan;74(1):42-6


Pratap JN, Varughese AM, Adler E, Kurth CD:

Getting started with the model for improvement: psychology and leadership in quality improvement.
Br J Hosp Med (Lond). 2013 Feb;74(2):104-8


Hudson DW, Holzmueller CG, Pronovost PJ, Gianci SJ, Pate ZT, Wahr J, Heitmiller ES, Thompson DA, Martinez EA, Marsteller JA, Gurses AP, Lubomski LH, Goeschel CA, Pham JC:

Toward improving patient safety through voluntary peer-to-peer assessment.
Am J Med Qual. 2012 May-Jun;27(3):201-9