AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (60)

•Diagnostic Errors (23)

•Identification Errors (32)

•Discontinuities, Gaps, and Hand-Off Problems (215)

•Fatigue and Sleep Deprivation (45)

•Medication Safety (355)

•Medical Complications (255)

•Nonsurgical Procedural Complications (19)

•Surgical Complications (111)

•Transfusion Complications (6)

•Psychological and Social Complications (99)

Origin/Sponsor

•Africa (4)

•Asia (29)

•Australia and New Zealand (140)

•Central and South America (3)

•Europe (271)

•North America (1315)

Resource Types

•Clinical Guideline (1)

•Journal Article (1303)

•Legislation/Regulation (13)

•Meeting/Conference (15)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (151)

•Press Release/Announcement (6)

•Special or Theme Issue (33)

•Tools/Toolkit (28)

•Web Resource (37)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (384)

•Active Errors (153)

•Latent Errors (126)

•Near Miss (27)

Approach to Improving Safety

•Quality Improvement Strategies (493)

•Legal and Policy Approaches (194)

•Error Reporting and Analysis (539)

•Communication Improvement (439)

•Human Factors Engineering (181)

•Teamwork (217)

•Specialization of Care (129)

•Logistical Approaches (130)

•Culture of Safety (652)

•Technologic Approaches (269)

•Education and Training (333)

Clinical Areas

•Allied Health Services (7)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (89)

•Nurse Managers (100)

•Risk Managers (102)

•Quality and Safety Professionals (546)

Setting of Care

•Hospitals (1388)

•Psychiatric Facilities (4)

•Residential Facilities (22)

•Ambulatory Care (88)

•Outpatient Surgery (5)

•Patient Transport (9)

1 - 20 of 1781

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COMMENTARY

Culture, language, and patient safety: making the link.

Johnstone MJ, Kanitsaki O. Int J Qual Health Care. 2006;18:383-8.

STUDY

Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study.

Braithwaite J, Greenfield D, Westbrook J, et al. Qual Saf Health Care. 2010;19:14-21.

NEWSPAPER/MAGAZINE ARTICLE

Case study: sustaining a culture of safety in the U.S. Department of Veterans Affairs Health Care System.

Chase D, McCarthy D. Quality Matters. April/May 2010.

STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

STUDY

Organisational culture: variation across hospitals and connection to patient safety climate.

Speroff T, Nwosu S, Greevy R, et al. Qual Saf Health Care. 2010;19:592-596.

STUDY

Patient safety climate in 92 US hospitals: differences by work area and discipline.

Singer SJ, Gaba DM, Falwell A, Lin S, Hayes J, Baker L. Med Care. 2009;47:23-31.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing violence in the health care setting.

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

SPECIAL OR THEME ISSUE

Front-Line Ownership: Generating a Cure Mindset for Patient Safety.

Kitts J, ed. Healthcare Papers. 2013;13:1-82.

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

The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study.

Saint S, Kowalski CP, Banaszak-Holl J, Forman J, Damschroder L, Krein SL. Infect Control Hosp Epidemiol. 2010;31:901-907.

STUDY

Analysis of staff safety concerns.

Davidson J, Lamontagne G, Burnell L, et al. J Nurs Care Qual. 2013;28:147-152.

STUDY

Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia.

Bismark MM, Spittal MJ, Gurrin LC, Ward M, Studdert DM. BMJ Qual Saf. 2013;22:532-540.

REVIEW

Promoting a culture of safety as a patient safety strategy: a systematic review.

Weaver SJ, Lubomski LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Ann Intern Med. 2013;158(5 Pt 2):369-374.

COMMENTARY

Integrating CUSP and TRIP to improve patient safety.

Romig M, Goeschel C, Pronovost P, Berenholtz SM. Hosp Pract (Minneap). 2010;38:114-121.

STUDY

AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses.

Blegen MA, Gearhart S, O'Brien R, Sehgal NL, Alldredge BK. J Patient Saf. 2009;5:139-144.

BOOK/REPORT

Second Victim: Error, Guilt, Trauma, and Resilience.

Dekker S. Boca Raton, FL: CRC Press; 2013. ISBN: 9781466583412.

STUDY

Safety leadership: a meta-analytic review of transformational and transactional leadership styles as antecedents of safety behaviours.

Clarke S. J Occup Organ Psychol. 2013;86:22-49.

STUDY

Hospital safety climate and safety outcomes: is there a relationship in the VA?

Rosen AK, Singer S, Zhao S, Shokeen P, Meterko M, Gaba D. Med Care Res Rev. 2010;67:590-608.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

STUDY

Patient safety climate in US hospitals: variation by management level.

Singer SJ, Falwell A, Gaba DM, Baker LC. Med Care. 2008;46:1149-1156.

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