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1

Osman, Mansoor, ed. Immunization safety surveillance: Guidelines for managers of immunization programmes on reporting and investigating adverse events following immunization. World Health Organization, Regional Office for the Western Pacific, 1999.

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2

Health, Zambia Ministry of. Guidelines for detecting and reporting adverse drug or vaccine reactions and events in Zambia: The safety of medicines in Zambia : why health workers need to take action. National Pharmacovigilance Unit, 2006.

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3

Saskatchewan. Joint Committee on Drug Utilization. Drug Adverse Event Reporting in Saskatchewan. s.n, 1986.

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4

Health, Zambia Ministry of, and Pharmaceutical Regulatory Authority (Zambia). National Pharmacovigilance Unit., eds. Guidelines for detecting and reporting adverse drug or vaccine reactions and events in Zambia: The safety of medicines in Zambia : why health workers need to take action. National Pharmacovigilance Unit, 2006.

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5

Health, Zambia Ministry of, and Pharmaceutical Regulatory Authority (Zambia). National Pharmacovigilance Unit., eds. Guidelines for detecting and reporting adverse drug or vaccine reactions and events in Zambia: The safety of medicines in Zambia : why health workers need to take action. National Pharmacovigilance Unit, 2006.

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6

Megan, Beckett, ed. A review of current state-level adverse medical event reporting practices: Toward national standards. RAND Corporation, 2006.

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7

1946-, Drazen Jeffrey M., Institute of Medicine (U.S.). Forum on Drug Discovery, Development, and Translation., and Institute of Medicine (U.S.). Board on Health Sciences Policy., eds. Adverse drug event reporting: The roles of consumers and health-care professionals : workshop summary. National Academies Press, 2007.

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8

Brown, Michael A. A history of a cGMP medical event investigation. John Wiley & Sons, 2013.

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9

Ray, Sumantra (Shumone), Sue Fitzpatrick, Rajna Golubic, Susan Fisher, and Sarah Gibbings, eds. Safety reporting. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199608478.003.0019.

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10

Albrecht, Douglas. Guide to Reporting and Data Mangement of Adverse Events Involving Medical Devices. Wiley & Sons, Incorporated, John, 2011.

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11

Guffey, Patrick J., and Martin Culwick. Adverse Event Prevention and Management. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199366149.003.0009.

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Adverse events are an unfortunate reality of caring for patients in our current healthcare system. Preventing and mitigating these events are an important part of quality improvement. First, an understanding of what events occur and how often they are occurring is critical to planning improvements. Incident reporting systems are one way of gathering this information. Then, events should be categorized and analyzed for improvement. The failure mode and effects analysis (FMEA) and bow-tie diagram are two tools for this purpose. Once an event has occurred, consideration should be given to the car
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12

WHO Regional Office for the Western Pacific. Immunization Safety Surveillance: Guidelines for Immunization Programme Managers on Surveillance of Adverse Events Following Immunization. World Health Organization, 2015.

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13

WHO Regional Office for the Western Pacific. Immunization Safety Surveillance: Guidelines for Immunization Programme Managers on Surveillance of Adverse Events Following Immunization. World Health Organization, 2014.

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14

Detection and prevention of adverse drug events: Information technologies and human factors. IOS Press, 2009.

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15

Iroaga, Uchenwa. The incidence and characterization of adverse drug events in the critical care unit: development and implementation of a reporting methodology. 2000.

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16

Adverse Drug Event Reporting. National Academies Press, 2007. http://dx.doi.org/10.17226/11897.

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17

Dutton, Richard P. Creating a Quality Management Program. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199366149.003.0014.

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This chapter provides an overview of how to create a quality improvement (QI) program. It is intended as a high-level reference guide for a department, division or practice quality improvement officer. It covers the topics of recruiting allies; finding, aggregating and creating data; basic analytic techniques; mechanisms for feedback of QI data to healthcare providers; implementing cyclical QI activities; managing individual adverse events and complications; and benchmarking to outside data sources. A template quality capture form for an anesthesia practice is included, and examples of reporti
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18

Adverse Event Reporting for Dietary Supplements: An Inadequate Safety Valve. Diane Pub Co, 2001.

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19

Scrip's Essential EEC Texts: Medical Device, Medical Device Vigilance and Adverse Event Reporting. Brookwood Medical Publications Ltd, 1999.

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20

Begg, Heather. Adverse Drug Event Reporting : The Roles of Consumers and Health-Care Professionals: Workshop Summary. National Academies Press, 2007.

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21

Begg, Heather. Adverse Drug Event Reporting : The Roles of Consumers and Health-Care Professionals: Workshop Summary. National Academies Press, 2007.

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22

Begg, Heather. Adverse Drug Event Reporting : The Roles of Consumers and Health-Care Professionals: Workshop Summary. National Academies Press, 2007.

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23

Development, and Translation Forum on Drug Discovery (Editor), Jeffrey M. Drazen (Editor), Jennifer Rainey (Editor), Heather Begg (Editor), and Adrienne Stith Butler (Editor), eds. Adverse Drug Event Reporting: The Roles of Consumers and Health-Care Professionals: Workshop Summary. National Academies Press, 2007.

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24

Painter, Lisa M., Cheryl Janov, and Richard L. Simmons. Patient Safety and Quality Improvement (DRAFT). Edited by Raghavan Murugan and Joseph M. Darby. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190612474.003.0034.

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Patients expect safe accountable care from their healthcare providers. Quality is doing the right thing, in the right way, at the right time, for the right reason, and to the right person. A number of governmental and non-governmental organizations have emerged to set standards for quality and safety. Rapid response systems (RRSs) are an important part of safety structure and this chapter aims to provide a basic understanding of the patient safety and quality movement, medical error and adverse events, and the role of the rapid response team (RRT) in identifying and reporting threats to patien
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25

A Review of Current State-Level Adverse Medical Event Reporting Practices: Toward National Standards (Technical Report). RAND Corporation, 2006.

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26

Stoelting, Robert K. Patient Safety. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199366149.003.0001.

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Patient safety is a new and distinct healthcare discipline that emphasizes the reporting, analysis, and prevention of medical error that often leads to adverse healthcare events. Anesthesiology, via its professional society, the American Society of Anesthesiologists (ASA), was the first medical specialty to champion patient safety as a specific focus. The Anesthesia Patient Safety Foundation (APSF) was launched in late 1985. Evidence from randomized trials is important, but it is neither sufficient nor necessary for acceptance of safety practices. There will never be complete evidence for ever
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27

McDougald, Laura. Recommendations for the implementation of an adverse drug event reporting and monitoring system for Hamilton Health Sciences Corporation. 1998.

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28

Sharon, Robert, and Erik Eberhardt, eds. Guidelines for Slope Performance Monitoring. CSIRO Publishing, 2020. http://dx.doi.org/10.1071/9781486311002.

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Although most mining companies utilise systems for slope monitoring, experience indicates that mining operations continue to be surprised by the occurrence of adverse geotechnical events. A comprehensive and robust performance monitoring system is an essential component of slope management in an open pit mining operation. The development of such a system requires considerable expertise to ensure the monitoring system is effective and reliable.
 Written by instrumentation experts and geotechnical practitioners, Guidelines for Slope Performance Monitoring is an initiative of the Large Open
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29

Staender, Sven, and Andrew Smith. Safety and quality assurance in anaesthesia. Edited by Philip M. Hopkins. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0036.

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Quality assurance has its roots in industry and therefore is strongly influenced by concepts from business, hence the reference to the definition of the term ‘quality’ according to the International Standard Organization (ISO), for example. In order to better understand the various concepts of quality assurance, this chapter clarifies concepts such as ‘effectiveness’, ‘efficiency’, ‘patient-centredness’, and ‘equity’. Of major importance in clinical medicine are guidelines, standards, recommendations, and their grade of evidence. Guidelines in particular have the advantage of facilitation of t
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30

Grant, Robert. Tumours of the brain and skull. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780198569381.003.0624.

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Over the last 10 years, there have been several important advances in cell biology, molecular genetics, and targeted therapies in neuro-oncology. Improved neurosurgical techniques such as frameless stereotaxy, awake craniotomy, and intra-operative MRI, safer methods of directing radiotherapy, new chemotherapy approaches, and novel modalities of therapy provide optimism that there will eventually be some improvements in treatment-related morbidity and survival. There has also been an increasing change from individual clinician decision making to decision making by multidisciplinary teams of neu
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31

Reading, Paul. Sleep disorders. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780198569381.003.0736.

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Despite major advances in our understanding of its neurobiology, sleep remains an enigma. Its true function and even the amount needed for optimum brain performance remain uncertain (Frank 2006). However, the need to sleep is imperative, reflecting the fact that sleepiness, like hunger and thirst, is a true drive state. Sleepiness can only be satiated by sleep itself. Moreover, severely disordered sleep can profoundly affect cognition, mental health, and physical well-being.Although sleep medicine has a traditionally low profile in neurology teaching and practice, sleep-related phenomena are f
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