AHRQ Patient Safety Network

The Collection > Organizational Behaviorists

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Safety Target

•Device-related Complications (3)

•Diagnostic Errors (8)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (45)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (65)

•Medical Complications (33)

•Nonsurgical Procedural Complications (5)

•Surgical Complications (67)

•Psychological and Social Complications (93)

Origin/Sponsor

•Africa (1)

•Asia (10)

•Australia and New Zealand (34)

•Europe (105)

•North America (363)

Resource Types

•Book/Report (27)

•Journal Article (459)

•Legislation/Regulation (2)

•Meeting/Conference (6)

•Newspaper/Magazine Article (24)

•Press Release/Announcement (1)

•Special or Theme Issue (8)

•Tools/Toolkit (5)

•Web Resource (6)

Error Types

•Epidemiology of Errors and Adverse Events (43)

•Active Errors (47)

•Latent Errors (39)

•Near Miss (9)

Approach to Improving Safety

•Quality Improvement Strategies (118)

•Legal and Policy Approaches (41)

•Error Reporting and Analysis (146)

•Communication Improvement (179)

•Human Factors Engineering (57)

•Teamwork (144)

•Specialization of Care (24)

•Logistical Approaches (29)

•Culture of Safety (230)

•Technologic Approaches (39)

•Education and Training (133)

Clinical Areas

•Allied Health Services (2)

Target Audience
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Organizational Behaviorists

Setting of Care

•Hospitals (320)

•Psychiatric Facilities (1)

•Residential Facilities (4)

•Ambulatory Care (34)

•Outpatient Surgery (1)

•Patient Transport (6)

1 - 20 of 538

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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.

STUDY

Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety.

Castle NG, Wagner LM, Perera S, Ferguson JC, Handler SM. J Patient Saf. 2010;6:59-67.

STUDY

Organizational climate determinants of resident safety culture in nursing homes.

Arnetz JE, Zhdanova LS, Elsouhag D, Lichtenberg P, Luborsky MR, Arnetz BB. Gerontologist. 2011;51:739-749.

COMMENTARY

40 of K.

Lesar TS. AHRQ WebM&M [serial online]. November 2003.

STUDY

Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators.

Coffey RM, Andrews RM, Moy E. Med Care. 2005;43(suppl 3):I48-I57.

STUDY

Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units.

Mayer CM, Cluff L, Lin WT, et al. Jt Comm J Qual Patient Saf. 2011;37:365-374.

STUDY

Patterns of medical and nursing staff communication in nursing homes: implications and insights from complexity science.

Colon-Emeric CS, Ammarell N, Bailey D, et al. Qual Health Res. 2006;16:173-188.

STUDY

Organizational and cultural changes for providing safe patient care.

Odwazny R, Hasler S, Abrams R, McNutt R. Qual Manag Health Care. 2005;14:132-143.

STUDY

Patient safety in surgery.

Makary MA, Sexton JB, Freischlag JA, et al. Ann Surg. 2006;243:628-635.

MEETING/CONFERENCE PROCEEDINGS

A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing.

Texas Medical Institute of Technology. June 16, 2011.

COMMENTARY classic

Fixing healthcare from the inside, today.

Spear SJ. Harv Bus Rev. September 2005;83:78-91.

STUDY

The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases.

Wolf FA, Way LW, Stewart L. Ann Surg. 2010;252:477-485.

STUDY

A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.

Nurok M, Lipsitz S, Satwicz P, Kelly A, Frankel A. Arch Surg. 2010;145:489-495.

STUDY

Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes.

Hastings SN, Barrett A, Weinberger M, et al. J Patient Saf. 2011;7:19-25.

NEWSPAPER/MAGAZINE ARTICLE

If safety is your yardstick, measuring culture from the top down must be a priority.

ISMP Medication Safety Alert! Acute Care Edition. March 22, 2007;12:1-2.

COMMENTARY

Error reporting in organizations.

Zhao B, Olivera F. Acad Manage Rev. 2006;31:1012-1030.

COMMENTARY

A leadership initiative to improve communication and enhance safety.

Donahue M, Miller M, Smith L, Dykes P, Fitzpatrick JJ. Am J Med Qual. 2011;26:206-211.

STUDY

Treatment errors in healthcare: a safety climate approach.

Naveh E, Katz-Navon T, Stern Z. Manage Sci. 2005;51:948-960.

STUDY

The effect of the fit between organizational culture and structure on medication errors in medical group practices.

Kaissi A, Kralewski J, Dowd B, Heaton A. Health Care Manage Rev. 2007;32:12-21.

STUDY

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.

Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.

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