AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (83)

•Diagnostic Errors (49)

•Identification Errors (46)

•Discontinuities, Gaps, and Hand-Off Problems (187)

•Fatigue and Sleep Deprivation (58)

•Medication Safety (450)

•Medical Complications (248)

•Nonsurgical Procedural Complications (37)

•Surgical Complications (201)

•Transfusion Complications (12)

•Psychological and Social Complications (122)

Origin/Sponsor

•Africa (1)

•Asia (10)

•Australia and New Zealand (32)

•Central and South America (1)

•Europe (154)

•North America (2087)

Resource Types

•Clinical Guideline (1)

•Journal Article (1508)

•Legislation/Regulation (30)

•Meeting/Conference (34)

•Newsletter/Journal (6)

•Newspaper/Magazine Article (285)

•Press Release/Announcement (9)

•Special or Theme Issue (63)

•Tools/Toolkit (39)

•Web Resource (75)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (287)

•Active Errors (156)

•Latent Errors (120)

•Near Miss (29)

Approach to Improving Safety

•Quality Improvement Strategies (871)

•Legal and Policy Approaches (337)

•Error Reporting and Analysis (654)

•Communication Improvement (502)

•Human Factors Engineering (243)

•Teamwork (277)

•Specialization of Care (148)

•Logistical Approaches (158)

•Culture of Safety (802)

•Technologic Approaches (325)

•Education and Training (451)

Clinical Areas

•Allied Health Services (8)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (110)

•Nurse Managers (126)

•Risk Managers (88)

•Quality and Safety Professionals (465)

Setting of Care

•Hospitals (1349)

•Psychiatric Facilities (9)

•Residential Facilities (47)

•Ambulatory Care (137)

•Outpatient Surgery (20)

•Patient Transport (12)

1 - 20 of 2322

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COMMENTARY

The normalization of deviance in healthcare delivery.

Banja J. Bus Horiz. 2010;53:139-148.

COMMENTARY

The Preventable Harm Index: an effective motivator to facilitate the drive to zero.

Brilli RJ, McClead RE Jr, Davis T, Stoverock L, Rayburn A, Berry JC. J Pediatr. 2010;157:681-683.

STUDY

Healthcare climate: a framework for measuring and improving patient safety.

Zohar D, Livne Y, Tenne-Gazit O, Admi H, Donchin Y. Crit Care Med. Crit Care Med. 2007;35:1312-1317.

STUDY

Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture.

Pringle J, Weber RJ, Rice K, Kirisci L, Sirio C. Am J Med Qual. 2009; 24:374-384.

NEWSPAPER/MAGAZINE ARTICLE

High-reliability organizations (HROs): What they know that we don't (Part II).

ISMP Medication Safety Alert! Acute Care Edition. July 28, 2005;10:1-3.

STUDY

Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign.

Sinkowitz-Cochran RL, Garcia-Williams A, Hackbarth AD, et al. Infect Control Hosp Epidemiol. 2012;33:135-143.

STUDY

Struggling to invent high-reliability organizations in health care settings: insights from the field.

Dixon NM, Shofer M. Health Serv Res. 2006;41(4 Pt 2):1618-1632.June 6, 2006 E-pub.

BOOK/REPORT

Improving the Reliability of Health Care.

Nolan T, Resar R, Haraden C, Griffin FA. Boston, MA: Institute for Healthcare Improvement; 2004.

STUDY

Identifying organizational cultures that promote patient safety.

Singer SJ, Falwell A, Gaba DM, et al. Health Care Manage Rev. 2009;34:300-311.

STUDY

The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study.

Williams ES, Manwell LB, Konrad TR, Linzer M. Health Care Manage Rev. 2007;32:203-212.

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.

SPECIAL OR THEME ISSUE

Improving the Health Care Work Environment.

Jt Comm J Qual Patient Saf. November 2007;33(suppl 1):3-84.

COMMENTARY

Developing a medication patient safety program — infrastructure and strategy.

Mark SM, Weber RJ. Hosp Pharm. 2007;42:149-156.

COMMENTARY

Advancing nursing home quality through quality improvement itself.

Werner RM, Konetzka RT. Health Aff (Millwood). 2010;29:81-86.

COMMENTARY

Journey to no preventable risk: The Baylor Health Care System patient safety experience.

Kennerly D, Richter KM, Good V, Compton J, Ballard DJ. Am J Med Qual. 2011;26:43-52.

MEETING/CONFERENCE PROCEEDINGS

The 2012 Fifth International High Reliability Conference Proceedings.

Oakbrook Terrace, IL: Joint Commission; May 21–23, 2012.

STUDY

Medical error reduction: the effect of employee satisfaction with organizational support.

Lee D, Lee SM, Schniederjans MJ. Serv Ind J. 2011;31:1311-1325.

BOOK/REPORT

Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety.

Boston, MA: Institute for Healthcare Improvement; 2005.

STUDY

Ethics, oversight and quality improvement initiatives.

Taylor HA, Pronovost PJ, Sugarman J. Qual Saf Health Care. 2010;19:271-274.

REVIEW

Intimidation: a concept analysis.

Lamontagne C. Nurs Forum. 2010;45:54-65.

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