AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (95)

•Diagnostic Errors (102)

•Identification Errors (63)

•Discontinuities, Gaps, and Hand-Off Problems (294)

•Fatigue and Sleep Deprivation (103)

•Medication Safety (579)

•Medical Complications (228)

•Nonsurgical Procedural Complications (46)

•Surgical Complications (280)

•Transfusion Complications (10)

•Psychological and Social Complications (117)

Origin/Sponsor

•Asia (11)

•Australia and New Zealand (36)

•Central and South America (1)

•Europe (144)

•North America (2370)

Resource Types

•Clinical Guideline (1)

•Journal Article (1780)

•Legislation/Regulation (40)

•Meeting/Conference (25)

•Newsletter/Journal (9)

•Newspaper/Magazine Article (331)

•Press Release/Announcement (18)

•Special or Theme Issue (53)

•Tools/Toolkit (34)

•Web Resource (66)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (414)

•Active Errors (246)

•Latent Errors (153)

•Near Miss (37)

Approach to Improving Safety

•Quality Improvement Strategies (674)

•Legal and Policy Approaches (344)

•Error Reporting and Analysis (722)

•Communication Improvement (741)

•Human Factors Engineering (270)

•Teamwork (334)

•Specialization of Care (172)

•Logistical Approaches (212)

•Culture of Safety (512)

•Technologic Approaches (407)

•Education and Training (714)

Clinical Areas

•Allied Health Services (11)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (188)

•Nurse Managers (142)

•Risk Managers (235)

•Quality and Safety Professionals (684)

Setting of Care

•Hospitals (1516)

•Psychiatric Facilities (8)

•Residential Facilities (37)

•Ambulatory Care (161)

•Outpatient Surgery (25)

•Patient Transport (9)

1 - 20 of 2607

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REVIEW

Teamwork in obstetric critical care.

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

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.

BOOK/REPORT

Medical Team Training.

Oakbrook, IL: Joint Commission Resources; 2008. ISBN: 9781599400921.

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.

STUDY

Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills.

Hamman WR, Beaudin-Seiler BM, Beaubien JM. J Patient Saf. 2010;6:137-146.

GRANT RECIPIENT

Improving Patient Safety Through Simulation Research.

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

STUDY

Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork.

Carbo AR, Tess AV, Roy C, Weingart SN. J Patient Saf. 2011;7:72-76.

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.

STUDY

Teaching but not learning: how medical residency programs handle errors.

Hoff TJ, Pohl H, Bartfield J. J Org Behav. 2006;27:869-896.

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

Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses.

Holden LM, Watts DD, Walker PH. Qual Saf Health Care. 2010;19:169-172.

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.

AUDIOVISUAL

Apology May Cut Medical Cost.

"The Early Show." CBS News Video. February 7, 2007.

STUDY

Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital.

Riley W, Davis S, Miller K, Hansen H, Sainfort F, Sweet R. Jt Comm J Qual Patient Saf. 2011;37:357-364.

STUDY

Content analysis of team communication in an obstetric emergency scenario.

Siassakos D, Draycott T, Montague I, Harris M. J Obstet Gynaecol. 2009;29:499-503.

STUDY

The effect of workload reduction on the quality of residents' discharge summaries.

Coit MH, Katz JT, McMahon GT. J Gen Intern Med. 2011;26:28-32.

STUDY

Interprofessional education in team communication: working together to improve patient safety.

Brock D, Abu-Rish E, Chiu CR, et al. BMJ Qual Saf. 2013;22:414-423.

COMMENTARY

Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness.

Gosbee J. Clin Obstet Gynecol. 2010;53:545-558.

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