AHRQ Patient Safety Network

The Collection > Organizational Behaviorists

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Safety Target

•Device-related Complications (4)

•Diagnostic Errors (6)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (32)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (49)

•Medical Complications (18)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (23)

•Psychological and Social Complications (69)

Origin/Sponsor

•Asia (5)

•Australia and New Zealand (42)

Resource Types

•Journal Article (292)

•Legislation/Regulation (2)

•Meeting/Conference (6)

•Newspaper/Magazine Article (27)

•Press Release/Announcement (1)

•Special or Theme Issue (9)

•Tools/Toolkit (2)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (28)

•Active Errors (30)

•Latent Errors (47)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (101)

•Legal and Policy Approaches (39)

•Error Reporting and Analysis (101)

•Communication Improvement (102)

•Human Factors Engineering (34)

•Teamwork (79)

•Specialization of Care (21)

•Logistical Approaches (39)

•Culture of Safety (152)

•Technologic Approaches (27)

•Education and Training (68)

Clinical Areas

•Allied Health Services (1)

Target Audience
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Organizational Behaviorists

Setting of Care

•Hospitals (197)

•Residential Facilities (2)

•Ambulatory Care (21)

•Patient Transport (3)

1 - 20 of 372

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NEWSPAPER/MAGAZINE ARTICLE

The five rights: a destination without a map.

ISMP Medication Safety Alert! Acute Care Edition. January 25, 2007;12:1.

STUDY

Investigating patient safety culture across a health system: multilevel modelling of differences associated with service types and staff demographics.

Gallego B, Westbrook MT, Dunn AG, Braithwaite J. Int J Qual Health Care. 2012;24:311-320.

COMMENTARY

Nursing crew resource management: a follow-up report from the Veterans Health Administration.

Sculli GL, Fore AM, West P, Neily J, Mills PD, Paull DE. J Nurs Adm. 2013;43:122-126.

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.

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.

STUDY

Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room.

ElBardissi AW, Wiegmann DA, Dearani JA, Daly RC, Sundt TM 3rd. Ann Thorac Surg. 2007;83:1412-1418; discussion 1418-1419.

BOOK/REPORT

Using Workforce Practices to Drive Quality Improvement: A Guide for Hospitals.

McHugh M, Garman A, McAlearney A, Song P, Harrison M. Chicago, IL: Health Research & Educational Trust; June 2010.

COMMENTARY

Making Just Culture a Reality: One Organization's Approach

Page AH. AHRQ WebM&M [serial online]. October 2007.

STUDY

Determination of health-care teamwork training competencies: a Delphi study.

Clay-Williams R, Braithwaite J. Int J Qual Health Care. 2009;21:433-440.

COMMENTARY

Making it easier to do the right thing: a modern communication QI agenda.

Wynia MK. Patient Educ Couns. 2012;88:364-366.

STUDY

Improving organizational climate for quality and quality of care: does membership in a collaborative help?

Nembhard IM, Northrup V, Shaller D, Cleary PD. Med Care. 2012;50(suppl):S74-S82.

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

Implementing computerized provider order entry with an existing clinical information system.

Barron WM, Reed RL, Forsythe S, et al. Jt Comm J Qual Patient Saf. 2006;32:506-516.

REVIEW

Overarching goals: a strategy for improving healthcare quality and safety?

Nanji KC, Ferris TG, Torchiana DF, Meyer GS. BMJ Qual Saf. 2013;22:187-193.

NEWSPAPER/MAGAZINE ARTICLE

Healing by design: new hospitals create places that improve patient outcomes.

Trewyn P, Sneider J. The Business Journal of Milwaukee. September 16, 2005.

STUDY

Nurses' attitudes to a medical emergency team service in a teaching hospital.

Jones D, Baldwin I, McIntyre T, et al. Qual Saf Health Care. 2006;15:427-432.

COMMENTARY classic

Shaping systems for better behavioral choices: lessons learned from a fatal medication error.

Smetzer J, Baker C, Byrne FD, Cohen MR. Jt Comm J Qual Patient Saf. 2010;36:152-163, 1AP-2AP.

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.

STUDY

Working conditions in primary care: physician reactions and care quality.

Linzer M, Manwell LB, Williams ES, et al; MEMO Investigators. Ann Intern Med. 2009;151:28-36.

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.

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