AHRQ Patient Safety Network

The Collection > Organizational Behaviorists

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (11)

•Identification Errors (6)

•Discontinuities, Gaps, and Hand-Off Problems (47)

•Fatigue and Sleep Deprivation (13)

•Medication Safety (76)

•Medical Complications (30)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (56)

•Psychological and Social Complications (143)

Origin/Sponsor

•Asia (12)

•Australia and New Zealand (29)

Resource Types

•Journal Article (507)

•Legislation/Regulation (3)

•Meeting/Conference (8)

•Newspaper/Magazine Article (41)

•Press Release/Announcement (1)

•Special or Theme Issue (10)

•Tools/Toolkit (4)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (54)

•Active Errors (55)

•Latent Errors (41)

•Near Miss (11)

Approach to Improving Safety

•Quality Improvement Strategies (143)

•Legal and Policy Approaches (55)

•Error Reporting and Analysis (152)

•Communication Improvement (189)

•Human Factors Engineering (66)

•Teamwork (150)

•Specialization of Care (30)

•Logistical Approaches (42)

•Culture of Safety (215)

•Technologic Approaches (48)

•Education and Training (147)

Clinical Areas

•Allied Health Services (3)

Target Audience
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Organizational Behaviorists

Setting of Care

•Hospitals (356)

•Residential Facilities (4)

•Ambulatory Care (36)

•Patient Transport (5)

1 - 20 of 619

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NEWSPAPER/MAGAZINE ARTICLE

No bad apples.

Thrall TH. Hosp Health Netw. December 2008.

STUDY

An organizational assessment of disruptive clinician behavior: findings and implications.

Walrath JM, Dang D, Nyberg D. J Nurs Care Qual. 2013;28:110-121.

COMMENTARY

Perspective: a culture of respect—part 1 and part 2.

Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87:845-858.

BOOK/REPORT

Strategies for Addressing Health Care Worker Fatigue.

Oakbrook Terrace, IL: Joint Commission Resources; 2008. ISBN: 9781599402291.

NEWSPAPER/MAGAZINE ARTICLE

Disruptive physicians.

Sandrick K. Trustee. November 2009.

BOOK/REPORT

Pulse Report 2009: Safety Culture: Staff Perspectives on American Health Care.

South Bend, IN: Press Ganey Associates, Inc: 2009.

BOOK/REPORT

Patient Safety: An Engineering Approach.

Dhillon BS. New York, NY: CRC Press; 2011. ISBN: 9781439873861.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing violence in the health care setting.

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

MISSOURI MEETING/CONFERENCE

The Second Victim Experience: Train-the-Trainer Workshop.

Center for Patient Safety. June 11, 2013; University of Missouri Health System Health System, Columbia, MO.

STUDY

Health care workers as second victims of medical errors.

Edrees HH, Paine LA, Feroli ER, Wu AW. Pol Arch Med Wewn. 2011;121:101-108.

MULTI-USE WEBSITE

BOOSTing Care Transitions Resource Room.

Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.

STUDY

The association of workflow interruptions and hospital doctors' workload: a prospective observational study.

Weigl M, Müller A, Vincent C, Angerer P, Sevdalis N. BMJ Qual Saf. 2012;21:399-407.

COMMENTARY

The ongoing quality improvement journey: next stop, high reliability.

Chassin MR, Loeb JM. Health Aff (Millwood). 2011;30:559-568.

COMMENTARY

Ashamed to admit it: owning up to medical error.

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

NEWSPAPER/MAGAZINE ARTICLE

Effective use of medication-related decision support in CPOE.

Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.

REVIEW

Supporting involved health care professionals (second victims) following an adverse health event: a literature review.

Seys D, Scott S, Wu A, et al. Int J Nurs Stud. 2013;50:678-687.

BOOK/REPORT

Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees.

Adler-Milstein JR, Singer SJ, Toffel MW. Cambridge, MA: Harvard Business School; August 25, 2010. HBS Working Paper No. 11-005.

BOOK/REPORT

Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care.

Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011.

MEETING/CONFERENCE PROCEEDINGS

The 2012 Fifth International High Reliability Conference Proceedings.

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

COMMENTARY

The competitive imperative of learning.

Edmondson AC. Harv Bus Rev. 2008;86:60-67, 160.

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