AHRQ Patient Safety Network

The Collection > Organizational Behaviorists

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Safety Target

•Device-related Complications (3)

•Diagnostic Errors (8)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (34)

•Fatigue and Sleep Deprivation (6)

•Medication Safety (45)

•Medical Complications (26)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (50)

•Psychological and Social Complications (81)

Origin/Sponsor

•Africa (1)

•Asia (4)

•Australia and New Zealand (43)

•Europe (77)

•North America (312)

Resource Types

•Book/Report (30)

•Journal Article (379)

•Legislation/Regulation (1)

•Meeting/Conference (7)

•Newspaper/Magazine Article (24)

•Press Release/Announcement (1)

•Special or Theme Issue (8)

•Tools/Toolkit (2)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (39)

•Active Errors (40)

•Latent Errors (30)

•Near Miss (9)

Approach to Improving Safety

•Quality Improvement Strategies (109)

•Legal and Policy Approaches (48)

•Error Reporting and Analysis (128)

•Communication Improvement (150)

•Human Factors Engineering (43)

•Teamwork (121)

•Specialization of Care (27)

•Logistical Approaches (21)

•Culture of Safety (165)

•Technologic Approaches (31)

•Education and Training (111)

Clinical Areas

•Medicine (267)

•Nursing (35)

•Pharmacy (18)

Target Audience
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Organizational Behaviorists

Setting of Care

•Hospitals (261)

•Residential Facilities (5)

•Ambulatory Care (30)

•Patient Transport (4)

1 - 20 of 457

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COMMENTARY

A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity.

Iedema RA, Jorm C, Braithwaite J, Travaglia J, Lum M. Soc Sci Med. 2006;63:1201-1212.

STUDY

Doctors' stress responses and poor communication performance in simulated bad-news consultations.

Brown R, Dunn S, Byrnes K, Morris R, Heinrich P, Shaw J. Acad Med. 2009;84:1595-1602.

COMMENTARY

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

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

STUDY

Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.

Braithwaite J, Westbrook MT, Robinson M, Michael S, Pirone C, Robinson P. BMJ Qual Saf. 2011;20:424-431.

COMMENTARY

Practising open disclosure: clinical incident communication and systems improvement.

Iedema R, Jorm C, Wakefield J, Ryan C, Dunn S. Sociol Health Illn. 2009;31:262-77.

REVIEW

Adverse events in hospitals: the patient's point of view.

Massó Guijarro P, Aranaz Andrés JM, Mira JJ, Perdiguero E, Aibar C. Qual Saf Health Care. 2010;19:144-147.

BOOK/REPORT

Safe Handover: Safe Patients.

Kingston, ACT, Australia: Australian Medical Association; 2006.

COMMENTARY

In the wake of hospital inquiries: impact on staff and safety.

Dunbar JA, Reddy P, Beresford B, Ramsey WP, Lord RS. Med J Aust. 2007;186:80-83.

COMMENTARY

Disclosing harmful medical errors to patients: tackling three tough cases.

Gallagher TH, Bell SK, Smith KM, Mello MM, McDonald TB. Chest. 2009;136:897-903.

COMMENTARY

Disclosing medical errors to patients: a challenge for health care professionals and institutions.

Levinson W. Patient Educ Couns. 2009;76:296-299.

COMMENTARY

Ashamed to admit it: owning up to medical error.

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

STUDY

Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery.

Latimer K, Pendleton C, Olivi A, Cohen-Gadol AA, Brem H, Quiñones-Hinojosa A. Arch Surg. 2011;146:226-232.

STUDY

Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the "100 patient stories" qualitative study.

Iedema R, Allen S, Britton K, et al. BMJ. 2011;343:d4423.

BOOK/REPORT

Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians.

Carr S. Chestnut Hill, MA: Medically Induced Trauma Support Services; 2009.

STUDY

The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork, and provider support.

Lown BA, Manning CF. Acad Med. 2010;85:1073-1081.

MULTI-USE WEBSITE

GAPS Center.

3200 Vine Street, MDP 111, Cincinnati, OH 45220.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals combat errors at the 'hand-off.'

Landro L. Wall Street Journal (Eastern edition). June 28, 2006:D1. [reprinted on Post-gazette.com].

BOOK/REPORT

Patient Safety Framework for Albertans.

Calgary, Alberta, Canada: Health Quality Council of Alberta; 2010.

STUDY

Medical engagement in organisation-wide safety and quality-improvement programmes: experience in the UK Safer Patients Initiative.

Parand A, Burnett S, Benn J, Iskander S, Pinto A, Vincent C. Qual Saf Health Care. 2010;19:e44.

MULTI-USE WEBSITE

Safe Use Initiative.

US Food and Drug Administration.

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