AHRQ Patient Safety Network

The Collection > Organizational Behaviorists

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Safety Target

•Device-related Complications (4)

•Diagnostic Errors (8)

•Identification Errors (6)

•Discontinuities, Gaps, and Hand-Off Problems (43)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (66)

•Medical Complications (34)

•Nonsurgical Procedural Complications (5)

•Surgical Complications (62)

•Psychological and Social Complications (99)

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•Africa (1)

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Resource Types

•Journal Article (464)

•Legislation/Regulation (2)

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•Newspaper/Magazine Article (37)

•Press Release/Announcement (1)

•Special or Theme Issue (9)

•Tools/Toolkit (3)

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Error Types

•Epidemiology of Errors and Adverse Events (46)

•Active Errors (48)

•Latent Errors (47)

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Approach to Improving Safety

•Quality Improvement Strategies (137)

•Legal and Policy Approaches (51)

•Error Reporting and Analysis (157)

•Communication Improvement (185)

•Human Factors Engineering (56)

•Teamwork (143)

•Specialization of Care (29)

•Logistical Approaches (29)

•Culture of Safety (235)

•Technologic Approaches (39)

•Education and Training (134)

Clinical Areas

•Allied Health Services (2)

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Organizational Behaviorists

Setting of Care

•Hospitals (318)

•Residential Facilities (5)

•Ambulatory Care (34)

•Outpatient Surgery (1)

•Patient Transport (6)

1 - 20 of 565

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STUDY

The long road to patient safety: a status report on patient safety systems.

Longo DR, Hewett JE, Ge B, Schubert S. JAMA. 2005;294:2858-2865.

COMMENTARY

Do Not Disturb!

Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.

NEWSPAPER/MAGAZINE ARTICLE

Raising the index of suspicion: red flags that represent credible threats to patient safety.

ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3.

COMMENTARY

Organizational Change in the Face of Highly Public Errors—II. The Duke Experience

Frush K. AHRQ WebM&M [serial online]. May 2005.

REVIEW

The business case for patient safety.

Hwang RW, Herndon JH. Clin Orthop Relat Res. 2007;457:21-34.

SPECIAL OR THEME ISSUE

Front-Line Ownership: Generating a Cure Mindset for Patient Safety.

Kitts J, ed. Healthcare Papers. 2013;13:1-82.

COMMENTARY

The Soil, Not the Seed: The Real Problem with Root Cause Analysis

Patrice Spath, BA, RHIT, and William Minogue, MD AHRQ WebM&M [serial online]. July 2008.

STUDY

Stories from the sharp end: case studies in safety improvement.

McCarthy D, Blumenthal D. Milbank Q. 2006;84:165-200.

COMMENTARY

It's All in the Syringe

Weingart SN. AHRQ WebM&M [serial online]. August 2006.

COMMENTARY

Disruptive clinician behavior: a persistent threat to patient safety.

Porto G, Lauve R. Patient Safety Qual Healthc. July/August 2006;3:16-24.

STUDY

Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors.

Schwappach DLB, Hochreutener MA, Wernli M. Oncol Nurs Forum. 2010;37:E84-E91.

COMMENTARY

Patient safety: lessons learned.

Bagian JP. Pediatr Radiol. 2006;36:287-290.

COMMENTARY

In Conversation with...J. Bryan Sexton, PhD, MA

AHRQ WebM&M [serial online]. December 2006.

COMMENTARY

Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons from other parts of the public sector?

Ocloo JE, Fulop NJ. Health Expect. 2012;15:424-432.

BOOK/REPORT

First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety.

Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778.

BOOK/REPORT

Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care.

Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA: National Patient Safety Foundation; 2013.

NEWSPAPER/MAGAZINE ARTICLE

Survive your doctor.

Holt TE. Men's Health. November 3, 2006.

COMMENTARY

Production Pressures

Carayon P. AHRQ WebM&M [serial online]. May 2007.

COMMENTARY

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

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

SPECIAL OR THEME ISSUE

Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability.

Health Serv Res. 2006;41:1535-1720.

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