Getting better at being worse.

[1]  D. Schoen,et al.  The Reflective Practitioner: How Professionals Think in Action , 1985 .

[2]  R. Cook,et al.  “Going solid”: a model of system dynamics and consequences for patient safety , 2005, Quality and Safety in Health Care.

[3]  J. Sterman.  Learning from evidence in a complex world. , 2006, American journal of public health.

[4]  J. Lave.  Cognition in practice , 1988 .

[5]  H. Fineberg,et al.  When doctors meet numbers. , 1981, The American journal of medicine.

[6]  K. Tham,et al.  An emergency department response to severe acute respiratory syndrome☆ , 2003, Annals of Emergency Medicine.

[7]  Asa Viccellio,et al.  The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience. , 2009, Annals of emergency medicine.

[8]  Azad M. Madni,et al.  Towards a Conceptual Framework for Resilience Engineering , 2009, IEEE Systems Journal.

[9]  C. Shah,et al.  Triage: a working solution to over crowding in the emergency department. , 1974, Canadian Medical Association journal.

[10]  Erik Hollnagel,et al.  Being Bumpable: Consequences of Resource Saturation and Near-Saturation for Cognitive Demands on ICU Practitioners , 2006 .

[11]  D. Vaughan.  THE DARK SIDE OF ORGANIZATIONS: Mistake, Misconduct, and Disaster , 1999 .

[12]  L. Clarke.  Mission Improbable: Using Fantasy Documents to Tame Disaster , 1999 .

[13]  James T. Reason,et al.  Diagnosing “vulnerable system syndrome”: an essential prerequisite to effective risk management , 2001 .

[14]  G. Innes,et al.  Safety of assessment of patients with potential ischemic chest pain in an emergency department waiting room: a prospective comparative cohort study. , 2010, Annals of emergency medicine.

[15]  Jens Rasmussen,et al.  Risk management in a dynamic society: a modelling problem , 1997 .

[16]  Donald A. Schön.  The reflective practitioner : how professionals think in action , 1986 .

[17]  W M Tierney,et al.  Physicians' Estimates of the Probability of Myocardial Infarction in Emergency Boom Patients with chest Pain , 1986, Medical decision making : an international journal of the Society for Medical Decision Making.

[18]  A. Tversky,et al.  The framing of decisions and the psychology of choice. , 1981, Science.

[19]  Erik Hollnagel,et al.  Joint Cognitive Systems: Patterns in Cognitive Systems Engineering , 2006 .

[20]  D. L. Simms,et al.  Normal Accidents: Living with High-Risk Technologies , 1986 .

[21]  Terje Aven,et al.  A semi-quantitative approach to risk analysis, as an alternative to QRAs , 2008, Reliab. Eng. Syst. Saf..

[22]  Americancollegeofemergencyphy.  Hospital and emergency department overcrowding. , 1990, Annals of emergency medicine.

[23]  James T. Reason,et al.  Managing the risks of organizational accidents , 1997 .

[24]  Diane Vaughan,et al.  The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA , 1996 .

[25]  K. Weick,et al.  Hospitals as Cultures of Entrapment: A Re-Analysis of the Bristol Royal Infirmary , 2003 .

[26]  Frances J. Milliken,et al.  Challenger: Fine-Tuning the Odds Until Something Breaks , 1988 .

[27]  Anita L. Tucker,et al.  Why Hospitals Don't Learn from Failures: Organizational and Psychological Dynamics That Inhibit System Change , 2003 .

[28]  R. Wigton,et al.  Relation of Physicians' Predicted Probabilities of Pneumonia to Their Utilities for Ordering Chest X-rays to Detect Pneumonia , 1992, Medical decision making : an international journal of the Society for Medical Decision Making.

[29]  R. D'Agostino,et al.  How do physicians adapt when the coronary care unit is full? A prospective multicenter study. , 1987, JAMA.

[30]  G. Innes,et al.  Impact of an Overcapacity Care Protocol on Emergency Department Overcrowding , 2007 .

[31]  Vicki M. Bier,et al.  Implications of the research on expert overconfidence and dependence , 2004, Reliab. Eng. Syst. Saf..