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 (53)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (58)

•Medical Complications (28)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (48)

•Psychological and Social Complications (90)

Origin/Sponsor

•Africa (1)

•Asia (8)

•Australia and New Zealand (31)

•Europe (80)

•North America (360)

Resource Types

•Book/Report (31)

•Journal Article (415)

•Legislation/Regulation (1)

•Meeting/Conference (8)

•Newspaper/Magazine Article (29)

•Press Release/Announcement (1)

•Special or Theme Issue (9)

•Tools/Toolkit (3)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (40)

•Active Errors (44)

•Latent Errors (39)

•Near Miss (10)

Approach to Improving Safety

•Quality Improvement Strategies (118)

•Legal and Policy Approaches (47)

•Error Reporting and Analysis (134)

•Communication Improvement (170)

•Human Factors Engineering (53)

•Teamwork (132)

•Specialization of Care (28)

•Logistical Approaches (29)

•Culture of Safety (178)

•Technologic Approaches (34)

•Education and Training (111)

Clinical Areas

•Allied Health Services (1)

Target Audience
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Organizational Behaviorists

Setting of Care

•Hospitals (282)

•Residential Facilities (5)

•Ambulatory Care (33)

•Patient Transport (4)

1 - 20 of 502

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NEWSPAPER/MAGAZINE ARTICLE

Hospitals combat errors at the 'hand-off.'

Landro L. Wall Street Journal (Eastern edition). June 28, 2006:D1. [reprinted on Post-gazette.com].

NEWSPAPER/MAGAZINE ARTICLE

The five rights: a destination without a map.

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

REVIEW

Information transfer and communication in surgery: a systematic review.

Nagpal K, Vats A, Lamb B, et al. Ann Surg. 2010;252:225-239.

NEWSPAPER/MAGAZINE ARTICLE

A hospital races to learn lessons of Ferrari pit stop.

Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].

COMMENTARY

40 of K.

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

BOOK/REPORT

Safe Handover: Safe Patients.

Kingston, ACT, Australia: Australian Medical Association; 2006.

COMMENTARY

Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience

Conway JB, Weingart SN. AHRQ WebM&M [serial online]. May 2005.

BOOK/REPORT

Patient Safety Framework for Albertans.

Calgary, Alberta, Canada: Health Quality Council of Alberta; 2010.

COMMENTARY

In Conversation with…Jack Barker, PhD

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

MULTI-USE WEBSITE

BOOSTing Care Transitions Resource Room.

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

CANADA MEETING/CONFERENCE

9th Annual Paediatric Patient Safety Symposium.

Hospital for Sick Children. June 13, 2013; Hospital for Sick Children, Toronto, ON.

NEWSPAPER/MAGAZINE ARTICLE

What's the trouble? How doctors think.

Groopman J. The New Yorker. January 29, 2007;47:36-41.

COMMENTARY

Disclosing medical errors to patients: a challenge for health care professionals and institutions.

Levinson W. Patient Educ Couns. 2009;76:296-299.

REVIEW

Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety.

Manojlovich M. Med Care. 2010;48:941-946.

COMMENTARY

Patient safety: lessons learned.

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

COMMENTARY

Improving patient care by linking evidence-based medicine and evidence-based management.

Shortell SM, Rundall TG, Hsu J. JAMA. 2007;298:673-676.

COMMENTARY

Patient-physician racial and ethnic concordance and perceived medical errors.

Stepanikova I. Soc Sci Med. 2006;63:3060-3066.

STUDY

The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure.

Hess DR, Tokarczyk A, O’Malley M, Gavaghan S, Sullivan J, Schmidt U. Chest. 2010;138:1475-1479.

STUDY

Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy.

Sydor DT, Bould MD, Naik VN, et al. Br J Anaesth. 2013;110:463-471.

COMMENTARY

Danger in Disruption

Fontaine DK. AHRQ WebM&M [serial online]. October 2009.

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