AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (63)

•Diagnostic Errors (43)

•Identification Errors (35)

•Discontinuities, Gaps, and Hand-Off Problems (166)

•Fatigue and Sleep Deprivation (68)

•Medication Safety (367)

•Medical Complications (187)

•Nonsurgical Procedural Complications (33)

•Surgical Complications (176)

•Transfusion Complications (8)

•Psychological and Social Complications (74)

Origin/Sponsor

•Asia (7)

•Australia and New Zealand (12)

•Central and South America (1)

•Europe (63)

•North America (1758)

Resource Types

•Journal Article (1221)

•Legislation/Regulation (24)

•Meeting/Conference (19)

•Newsletter/Journal (6)

•Newspaper/Magazine Article (258)

•Press Release/Announcement (6)

•Special or Theme Issue (44)

•Tools/Toolkit (23)

•Web Resource (42)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (248)

•Active Errors (137)

•Latent Errors (87)

•Near Miss (21)

Approach to Improving Safety

•Quality Improvement Strategies (501)

•Legal and Policy Approaches (269)

•Error Reporting and Analysis (463)

•Communication Improvement (423)

•Human Factors Engineering (185)

•Teamwork (257)

•Specialization of Care (131)

•Logistical Approaches (142)

•Culture of Safety (414)

•Technologic Approaches (277)

•Education and Training (602)

Clinical Areas

•Allied Health Services (7)

Target Audience
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Health Care Executives and Administrators

•Facility and Group Administrators (31)

•Nurse Managers (72)

•Risk Managers (36)

•Quality and Safety Professionals (281)

Setting of Care

•Hospitals (1099)

•Psychiatric Facilities (8)

•Residential Facilities (25)

•Ambulatory Care (102)

•Outpatient Surgery (14)

•Patient Transport (5)

1 - 20 of 1840

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NEWSPAPER/MAGAZINE ARTICLE

Robots help keep doctors up on skills.

Bohan S. Oakland Tribune. January 27, 2007.

STUDY

Design and evaluation of simulation scenarios for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders and managers.

Cooper JB, Singer SJ, Hayes J, et al. Simul Healthc. 2011;6:231-238.

COMMENTARY

Surgical team training: promoting high reliability with nontechnical skills.

Paige JT. Surg Clin North Am. 2010;90:569-581.

STUDY

Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care.

Paige JT, Kozmenko V, Yang T, et al. Am Surg. 2009;75:584-591.

COMMENTARY

Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system.

Deering S, Rosen MA, Salas E, King HB. Simul Healthc. 2009;4:166-173.

COMMENTARY

Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward.

Hamman WR, Beaudin-Seiler BM, Beaubien JM, et al. J Patient Saf. 2009;5:184-187.

STUDY

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.

STUDY

Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations.

Freeth D, Ayida G, Berridge EJ, et al. J Contin Educ Health Prof. 2009;29:98-104.

REVIEW

Approaching the evidence basis for aviation-derived teamwork training in medicine.

Zeltser MV, Nash DB. Am J Med Qual. 2010;25:13-23.

SPECIAL OR THEME ISSUE

Symposium on Simulation Science in Health and Medicine.

J Emerg Trauma Shock. 2010;3:348-394.

STUDY

Medical team training: applying crew resource management in the Veterans Health Administration.

Dunn EJ, Mills PD, Neily J, Crittenden MD, Carmack AL, Bagian JP. Jt Comm J Qual Patient Saf. 2007;33:317-325.

NEWSPAPER/MAGAZINE ARTICLE

Standardizing safety.

Meyers S. Trustee. July/August 2006;59:12, 14, 21.

STUDY

Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals.

Guise J, Lowe NK, Deering S, et al. Jt Comm J Qual Patient Saf. 2010;36:443-453:AP1-AP2.

GRANT RECIPIENT

Improving Patient Safety Through Simulation Research.

Rockville, MD: Agency for Healthcare Research and Quality; June 2008.

SPECIAL OR THEME ISSUE

Medical errors and safety systems.

Pearlman MD, ed. Clin Obstet Gynecol. 2010;53:471-585.

STUDY

A case for safety leadership team training of hospital managers.

Singer SJ, Hayes J, Cooper JB, et al. Health Care Manage Rev. 2011;36:1-13.

SPECIAL OR THEME ISSUE

Obstetric Quality and Safety.

J Healthc Qual. 2009;31:3-52.

REVIEW

Teamwork in obstetric critical care.

Guise JM, Segel S. Best Pract Res Clin Obstet Gynaecol. 2008;22:937-951.

COMMENTARY

What are the critical success factors for team training in health care?

Salas E, Almeida SA, Salisbury M, et al. Jt Comm J Qual Patient Saf. 2009;35:398-405.

NEWSPAPER/MAGAZINE ARTICLE

Medical simulation: a holistic approach to highly reliable healthcare.

Fanning RM. Patient Saf Qual Healthc. March/April 2013;10:18-20,22-23.

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