AHRQ Patient Safety Network

The Collection > Organizational Behaviorists

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (12)

•Identification Errors (7)

•Discontinuities, Gaps, and Hand-Off Problems (52)

•Fatigue and Sleep Deprivation (12)

•Medication Safety (78)

•Medical Complications (39)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (72)

•Psychological and Social Complications (129)

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Resource Types

•Journal Article (536)

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•Newspaper/Magazine Article (43)

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•Special or Theme Issue (11)

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Error Types

•Epidemiology of Errors and Adverse Events (63)

•Active Errors (60)

•Latent Errors (42)

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Approach to Improving Safety

•Quality Improvement Strategies (141)

•Legal and Policy Approaches (52)

•Error Reporting and Analysis (165)

•Communication Improvement (213)

•Human Factors Engineering (63)

•Teamwork (173)

•Specialization of Care (31)

•Logistical Approaches (44)

•Culture of Safety (216)

•Technologic Approaches (52)

•Education and Training (168)

Clinical Areas

•Allied Health Services (2)

Target Audience
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Organizational Behaviorists

Setting of Care

•Hospitals (390)

•Residential Facilities (5)

•Ambulatory Care (34)

•Outpatient Surgery (1)

•Patient Transport (6)

1 - 20 of 651

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COMMENTARY

Critical conversations: a call for a nonprocedural "time out."

Sehgal NL, Fox M, Sharpe BA, Vidyarthi AR, Blegen M, Wachter RM. J Hosp Med. 2011;6:157-162.

STUDY

Computerized provider order entry adoption: implications for clinical workflow.

Campbell EM, Guappone KP, Sittig DF, Dykstra RH, Ash JS. J Gen Intern Med. 2009;24:21-26.

NEWSPAPER/MAGAZINE ARTICLE

Effective use of medication-related decision support in CPOE.

Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.

STUDY

Evaluating the medication process in the context of CPOE use: the significance of working around the system.

Niazkhani Z, Pirnejad H, van der Sijs H, Aarts J. Int J Med Inform. 2011;80:490-506.

REVIEW

What is patient safety culture? A review of the literature.

Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. J Nurs Scholarsh. 2010;42:156-165.

BOOK/REPORT classic

The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives.

Maxfield D, Grenny J, Lavandero R, Groah L. Provo, UT: VitalSmarts; 2011.

STUDY

Improving teamwork on general medical units: when teams do not work face-to-face.

McComb SA, Henneman EA, Hinchey KT, et al. Jt Comm J Qual Patient Saf. 2012;38:471-478.

STUDY

Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.

Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. J Interprof Care. 2009;23:169-84.

STUDY

Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.

Sehgal NL, Green A, Vidyarthi AR, Blegen MA, Wachter RM. J Hosp Med. 2010;5:234-239.

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.

STUDY

Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system.

Lin C-P, Payne TH, Nichol WP, et al. J Am Med Inform Assoc. 2008;15:620-626.

STUDY

Putting the 'patient' in patient safety: a qualitative study of consumer experiences.

Rathert C, Brandt J, Williams ES. Health Expect. 2012;15:327-336.

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

What’s past is prologue: organizational learning from a serious patient injury.

Tamuz M, Franchois KE, Thomas EJ. Safety Sci. 2011;49:75-82.

STUDY

Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions.

Tomietto M, Sartor A, Mazzocoli E, Palese A. J Nurs Manag. 2012;20:335-343.

STUDY

A relational leadership perspective on unit-level safety climate.

Thompson DN, Hoffman LA, Sereika SM, et al. J Nurs Adm. 2011;41:479-487.

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.

COMMENTARY

Building high reliability teams: progress and some reflections on teamwork training.

Salas E, Rosen MA. BMJ Qual Saf. 2013;22:369-373.

NEWSPAPER/MAGAZINE ARTICLE

No bad apples.

Thrall TH. Hosp Health Netw. December 2008.

STUDY

Exploring relationships between hospital patient safety culture and adverse events.

Mardon RE, Khanna K, Sorra J, Dyer N, Famolaro T. J Patient Saf. 2010;6:226-232.

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