AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (120)

•Diagnostic Errors (76)

•Identification Errors (74)

•Discontinuities, Gaps, and Hand-Off Problems (354)

•Fatigue and Sleep Deprivation (90)

•Medication Safety (810)

•Medical Complications (389)

•Nonsurgical Procedural Complications (47)

•Surgical Complications (233)

•Transfusion Complications (11)

•Psychological and Social Complications (200)

Origin/Sponsor

•Africa (2)

•Asia (35)

•Australia and New Zealand (77)

•Europe (307)

•North America (2737)

Resource Types

•Clinical Guideline (1)

•Journal Article (2269)

•Legislation/Regulation (44)

•Meeting/Conference (29)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (345)

•Press Release/Announcement (14)

•Special or Theme Issue (63)

•Tools/Toolkit (50)

•Web Resource (72)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (599)

•Active Errors (327)

•Latent Errors (197)

•Near Miss (46)

Approach to Improving Safety

•Quality Improvement Strategies (875)

•Legal and Policy Approaches (442)

•Error Reporting and Analysis (942)

•Communication Improvement (740)

•Human Factors Engineering (467)

•Teamwork (299)

•Specialization of Care (232)

•Logistical Approaches (262)

•Culture of Safety (640)

•Technologic Approaches (552)

•Education and Training (582)

Clinical Areas

•Allied Health Services (8)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (216)

•Nurse Managers (265)

•Risk Managers (239)

•Quality and Safety Professionals (1000)

Setting of Care

•Hospitals (2294)

•Psychiatric Facilities (10)

•Residential Facilities (45)

•Ambulatory Care (218)

•Outpatient Surgery (22)

•Patient Transport (11)

1 - 20 of 3214

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NEWSPAPER/MAGAZINE ARTICLE

No bad apples.

Thrall TH. Hosp Health Netw. December 2008.

STUDY

An organizational assessment of disruptive clinician behavior: findings and implications.

Walrath JM, Dang D, Nyberg D. J Nurs Care Qual. 2013;28:110-121.

COMMENTARY

Perspective: a culture of respect—part 1 and part 2.

Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87:845-858.

BOOK/REPORT

Strategies for Addressing Health Care Worker Fatigue.

Oakbrook Terrace, IL: Joint Commission Resources; 2008. ISBN: 9781599402291.

NEWSPAPER/MAGAZINE ARTICLE

Disruptive physicians.

Sandrick K. Trustee. November 2009.

BOOK/REPORT

Pulse Report 2009: Safety Culture: Staff Perspectives on American Health Care.

South Bend, IN: Press Ganey Associates, Inc: 2009.

BOOK/REPORT

Patient Safety: An Engineering Approach.

Dhillon BS. New York, NY: CRC Press; 2011. ISBN: 9781439873861.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing violence in the health care setting.

Sentinel Event Alert. June 3, 2010;(45):1-3.

MISSOURI MEETING/CONFERENCE

The Second Victim Experience: Train-the-Trainer Workshop.

Center for Patient Safety. June 11, 2013; University of Missouri Health System Health System, Columbia, MO.

STUDY

Health care workers as second victims of medical errors.

Edrees HH, Paine LA, Feroli ER, Wu AW. Pol Arch Med Wewn. 2011;121:101-108.

COMMENTARY

A strategic approach for managing conflict in hospitals: responding to The Joint Commission leadership standard—part 1 and part 2.

Scott C, Gerardi D. Jt Comm J Qual Patient Saf. 2011;37:59-69, 70-80.

STUDY

Practically speaking: rethinking hand hygiene improvement programs in health care settings.

Son C, Chuck T, Childers T, et al. Am J Infect Control. 2011;39:716-724.

NEWSPAPER/MAGAZINE ARTICLE

Making hospitals accountable.

Peters PG Jr. Regulation. Summer 2009;32:30-36.

STUDY

The association of workflow interruptions and hospital doctors' workload: a prospective observational study.

Weigl M, Müller A, Vincent C, Angerer P, Sevdalis N. BMJ Qual Saf. 2012;21:399-407.

COMMENTARY

The ongoing quality improvement journey: next stop, high reliability.

Chassin MR, Loeb JM. Health Aff (Millwood). 2011;30:559-568.

NEWSPAPER/MAGAZINE ARTICLE

For all the right reasons.

Hagland M. Healthc Informatics. 2009;26:40-44.

COMMENTARY

Ashamed to admit it: owning up to medical error.

Ofri D. Health Aff (Millwood). 2010;29:1549-1551.

TOOLKIT

Wristband Standardization Initiative.

Austin, TX: Texas Hospital Association; October 2008.

STUDY

Hospital governance and the quality of care.

Jha AK, Epstein AM. Health Aff (Millwood). 2010;29:182-187.

NEWSPAPER/MAGAZINE ARTICLE

Effective use of medication-related decision support in CPOE.

Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.

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