AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (18)

•Diagnostic Errors (12)

•Identification Errors (11)

•Discontinuities, Gaps, and Hand-Off Problems (53)

•Fatigue and Sleep Deprivation (13)

•Medication Safety (117)

•Medical Complications (102)

•Nonsurgical Procedural Complications (10)

•Surgical Complications (74)

•Transfusion Complications (2)

•Psychological and Social Complications (72)

Origin/Sponsor

•Asia (6)

•Australia and New Zealand (28)

Resource Types

•Clinical Guideline (1)

•Journal Article (553)

•Legislation/Regulation (5)

•Meeting/Conference (19)

•Newspaper/Magazine Article (74)

•Press Release/Announcement (9)

•Special or Theme Issue (29)

•Tools/Toolkit (21)

•Web Resource (37)

•Grant (9)

Error Types

•Epidemiology of Errors and Adverse Events (83)

•Active Errors (42)

•Latent Errors (57)

•Near Miss (13)

Approach to Improving Safety

•Quality Improvement Strategies (353)

•Legal and Policy Approaches (131)

•Error Reporting and Analysis (292)

•Communication Improvement (196)

•Human Factors Engineering (92)

•Teamwork (157)

•Specialization of Care (46)

•Logistical Approaches (45)

•Culture of Safety (578)

•Technologic Approaches (114)

•Education and Training (166)

Clinical Areas

•Allied Health Services (3)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (29)

•Nurse Managers (29)

•Risk Managers (19)

•Quality and Safety Professionals (97)

Setting of Care

•Hospitals (502)

•Psychiatric Facilities (2)

•Residential Facilities (17)

•Ambulatory Care (49)

•Outpatient Surgery (4)

•Patient Transport (5)

1 - 20 of 896

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BOOK/REPORT classic

Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report.

Rockville, MD: Agency for Healthcare Research and Quality; April 2007. AHRQ Publication No. 07-0025.

GOVERNMENT RESOURCE

Survey on Patient Safety Culture Database: Overview.

Rockville, MD: Agency for Healthcare Research and Quality; April 2006.

BOOK/REPORT

Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report.

Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0026.

STUDY

The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units.

Vogus TJ, Sutcliffe KM. Med Care. 2007;45:46-54.

STUDY

Organizational factors associated with high performance in quality and safety in academic medical centers.

Keroack MA, Youngberg BJ, Cerese JL, Krsek C, Prellwitz LW, Trevelyan EW. Acad Med. 2007;82:1178-1186.

REVIEW

Measuring patient safety climate: a review of surveys.

Colla JB, Bracken AC, Kinney LM, Weeks WB. Qual Saf Health Care. 2005;14:364-366.

STUDY

Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework.

Ashcroft DM, Morecroft C, Parker D, Noyce PR. Qual Saf Health Care. 2005;14:417-421.

STUDY

Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel.

Sexton JB, Makary MA, Tersigni AR, et al. Anesthesiology. 2006;105:877-884.

COMMENTARY

Integrating CUSP and TRIP to improve patient safety.

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

BOOK/REPORT classic

Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report.

Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare Research and Quality; April 2011. AHRQ Publication No. 11-0030.

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

Creating high reliability in health care organizations.

Pronovost PJ, Berenholtz SM, Goeschel CA, et al. Health Serv Res. 2006;41:1599-1617.

STUDY

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

STUDY

Measuring and comparing safety climate in intensive care units.

France DJ, Greevy RA Jr, Liu X, et al. Med Care. 2010;48:279-284.

STUDY

Working conditions in primary care: physician reactions and care quality.

Linzer M, Manwell LB, Williams ES, et al; MEMO Investigators. Ann Intern Med. 2009;151:28-36.

COMMENTARY classic

Five system barriers to achieving ultrasafe health care.

Amalberti R, Auroy Y, Berwick D, Barach P. Ann Intern Med. 2005;142:756-764.

STUDY

Nurse–physician communication in the long-term care setting: perceived barriers and impact on patient safety.

Tjia J, Mazor KM, Field T, Meterko V, Spenard A, Gurwitz JH. J Patient Saf. 2009;5:145-152.

BOOK/REPORT

Hospital Survey on Patient Safety Culture: 2009 Comparative Database Report.

Sorra J, Famloaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; 2009. AHRQ Publication No. 09-0030.

COMMENTARY

Environmental Safety in the OR.

Linkin DR, Lautenbach E. AHRQ WebM&M [serial online]. February 2004.

GRANT ANNOUNCEMENT

AHRQ Health Services Research Demonstration and Dissemination Grants (R18).

US Department of Health and Human Services. Program Announcement No. PA-09-071.

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