AHRQ Patient Safety Network

The Collection > Organizational Behaviorists

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Safety Target

•Device-related Complications (4)

•Diagnostic Errors (10)

•Identification Errors (6)

•Discontinuities, Gaps, and Hand-Off Problems (53)

•Fatigue and Sleep Deprivation (12)

•Medication Safety (69)

•Medical Complications (33)

•Nonsurgical Procedural Complications (5)

•Surgical Complications (69)

•Psychological and Social Complications (143)

Origin/Sponsor

•Africa (1)

•Asia (15)

•Australia and New Zealand (42)

•Europe (116)

•North America (420)

Resource Types

•Book/Report (33)

•Journal Article (516)

•Legislation/Regulation (3)

•Meeting/Conference (8)

•Newspaper/Magazine Article (38)

•Press Release/Announcement (1)

•Special or Theme Issue (9)

•Tools/Toolkit (5)

•Web Resource (6)

Error Types

•Epidemiology of Errors and Adverse Events (56)

•Active Errors (53)

•Latent Errors (41)

•Near Miss (11)

Approach to Improving Safety

•Quality Improvement Strategies (141)

•Legal and Policy Approaches (56)

•Error Reporting and Analysis (160)

•Communication Improvement (201)

•Human Factors Engineering (58)

•Teamwork (159)

•Specialization of Care (30)

•Logistical Approaches (40)

•Culture of Safety (234)

•Technologic Approaches (42)

•Education and Training (147)

Clinical Areas

•Allied Health Services (3)

Target Audience
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Organizational Behaviorists

Setting of Care

•Hospitals (371)

•Residential Facilities (5)

•Ambulatory Care (37)

•Outpatient Surgery (1)

•Patient Transport (6)

1 - 20 of 619

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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.

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.

MULTI-USE WEBSITE

BOOSTing Care Transitions Resource Room.

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

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.

STUDY

Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia.

Bismark MM, Spittal MJ, Gurrin LC, Ward M, Studdert DM. BMJ Qual Saf. 2013 Apr 10; [Epub ahead of print].

STUDY

Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign.

Sinkowitz-Cochran RL, Garcia-Williams A, Hackbarth AD, et al. Infect Control Hosp Epidemiol. 2012;33:135-143.

REVIEW

Adverse events in hospitals: the patient's point of view.

Massó Guijarro P, Aranaz Andrés JM, Mira JJ, Perdiguero E, Aibar C. Qual Saf Health Care. 2010;19:144-147.

STUDY

Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study.

Braithwaite J, Greenfield D, Westbrook J, et al. Qual Saf Health Care. 2010;19:14-21.

STUDY

Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units.

Steyrer J, Schiffinger M, Huber C, Valentin A, Strunk G. Health Care Manage Rev. 2012 Oct 18; [Epub ahead of print].

STUDY

Safety leadership: a meta-analytic review of transformational and transactional leadership styles as antecedents of safety behaviours.

Clarke S. J Occup Organ Psychol. 2013;86:22-49.

REVIEW

Promoting a culture of safety as a patient safety strategy: a systematic review.

Weaver SJ, Lubomski LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Ann Intern Med. 2013;158(5 Pt 2):369-374.

COMMENTARY

Integrating CUSP and TRIP to improve patient safety.

Romig M, Goeschel C, Pronovost P, Berenholtz SM. Hosp Pract (Minneap). 2010;38:114-121.

STUDY

Explaining ethnic disparities in patient safety: a qualitative analysis.

Suurmond J, Uiters E, De Bruijne MC, Stronks K, Essink-Bot ML. Am J Public Health. 2010;100 (suppl 1):S113-117.

STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

SPECIAL OR THEME ISSUE

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

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

STUDY

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.

STUDY

The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study.

Saint S, Kowalski CP, Banaszak-Holl J, Forman J, Damschroder L, Krein SL. Infect Control Hosp Epidemiol. 2010;31:901-907.

STUDY

Analysis of staff safety concerns.

Davidson J, Lamontagne G, Burnell L, et al. J Nurs Care Qual. 2013;28:147-152.

COMMENTARY

Do Not Disturb!

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

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.

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