AHRQ Patient Safety Network

The Collection > Organizational Behaviorists

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (13)

•Identification Errors (7)

•Discontinuities, Gaps, and Hand-Off Problems (42)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (73)

•Medical Complications (39)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (73)

•Psychological and Social Complications (109)

Origin/Sponsor

•Asia (13)

•Australia and New Zealand (21)

Resource Types

•Journal Article (487)

•Legislation/Regulation (3)

•Meeting/Conference (7)

•Newspaper/Magazine Article (42)

•Special or Theme Issue (9)

•Tools/Toolkit (3)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (55)

•Active Errors (58)

•Latent Errors (40)

•Near Miss (12)

Approach to Improving Safety

•Quality Improvement Strategies (147)

•Legal and Policy Approaches (45)

•Error Reporting and Analysis (151)

•Communication Improvement (179)

•Human Factors Engineering (63)

•Teamwork (155)

•Specialization of Care (26)

•Logistical Approaches (35)

•Culture of Safety (197)

•Technologic Approaches (50)

•Education and Training (146)

Clinical Areas

•Allied Health Services (3)

Target Audience
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Organizational Behaviorists

Setting of Care

•Hospitals (353)

•Psychiatric Facilities (1)

•Residential Facilities (4)

•Ambulatory Care (31)

•Outpatient Surgery (1)

•Patient Transport (5)

1 - 20 of 594

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STUDY

The need for organizational change in patient safety initiatives.

Anderson JG, Ramanujam R, Hensel D, Anderson MM, Sirio CA. Int J Med Inform. 2006;75:809-817.

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

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

Physician characteristics, attitudes, and use of computerized order entry.

Lindenauer PK, Ling D, Pekow PS, et al. J Hosp Med. 2006;1:221-230.

NEWSPAPER/MAGAZINE ARTICLE

What pilots can teach hospitals about patient safety.

Murphy K. New York Times. October 31, 2006:F5.

COMMENTARY classic

Fixing healthcare from the inside, today.

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

STUDY

Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"?

Soleimani F. N Z Med J. 2006;119:U2099.

COMMENTARY

Key Issues in Developing a Successful Hospital Safety Program

Whittington J. AHRQ WebM&M [serial online]. July 2006.

STUDY

Strategies used by critical care nurses to identify, interrupt, and correct medical errors.

Henneman EA, Gawlinski A, Blank FS, Henneman PL, Jordan D, McKenzie JB. Am J Crit Care. 2010;19:500-509.

NEWSPAPER/MAGAZINE ARTICLE

Our long journey towards a safety-minded just culture. Part I: Where we've been.

ISMP Medication Safety Alert! Acute Care Edition. September 7, 2006;11:1-3.

BOOK/REPORT

Framework for a High Performance Health System for the United States.

The Commonwealth Fund Commission on a High Performance Health System. New York, NY: The Commonwealth Fund; August 2006.

REVIEW

Quality and safety in the intensive care unit.

Stockwell DC, Slonim AD. J Intensive Care Med. 2006;21:199-210.

NEWSPAPER/MAGAZINE ARTICLE

Naval aviation safety and its application to medicine.

Harmon KT. Patient Safety & Quality Healthcare. March/April 2006;3:20-26.

COMMENTARY

Passing the "Yo' Mama" test.

Blair R. Health Manage Tech. June 2006;27:16.

STUDY

The safety culture in a children's hospital.

Grant MJC, Donaldson AE, Larsen GY. J Nurs Care Qual. 2006;21:223-229.

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.

STUDY

Factors associated with disclosure of medical errors by housestaff.

Kronman AC, Paasche-Orlow M, Orlander JD. BMJ Qual Saf. 2012;21:271-278.

STUDY

Care management implementation and patient safety.

Alexander JA, Weiner BJ, Baker LC, Shortell SM, Becker M. J Patient Saf. 2006:2:83-96.

STUDY

Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes.

Effken JA, Carley KM, Gephart S, et al. Int J Med Inform. 2011;80:507-517.

COMMENTARY

The creation and impact of a dedicated section on quality and patient safety in a clinical academic department.

Boudreaux AM, Vetter TR. Acad Med. 2013;88:173-178.

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