AHRQ Patient Safety Network

The Collection > Organizational Behaviorists

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Safety Target

•Device-related Complications (5)

•Diagnostic Errors (12)

•Identification Errors (7)

•Discontinuities, Gaps, and Hand-Off Problems (50)

•Fatigue and Sleep Deprivation (12)

•Medication Safety (78)

•Medical Complications (38)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (79)

•Psychological and Social Complications (132)

Origin/Sponsor

•Africa (1)

•Asia (13)

•Australia and New Zealand (35)

Resource Types

•Journal Article (557)

•Legislation/Regulation (3)

•Meeting/Conference (8)

•Newspaper/Magazine Article (43)

•Press Release/Announcement (1)

•Special or Theme Issue (11)

•Tools/Toolkit (4)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (62)

•Active Errors (60)

•Latent Errors (43)

•Near Miss (13)

Approach to Improving Safety

•Quality Improvement Strategies (150)

•Legal and Policy Approaches (57)

•Error Reporting and Analysis (176)

•Communication Improvement (218)

•Human Factors Engineering (68)

•Teamwork (185)

•Specialization of Care (29)

•Logistical Approaches (41)

•Culture of Safety (226)

•Technologic Approaches (53)

•Education and Training (165)

Clinical Areas

•Allied Health Services (3)

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Organizational Behaviorists

Setting of Care

•Hospitals (401)

•Residential Facilities (5)

•Ambulatory Care (36)

•Outpatient Surgery (1)

•Patient Transport (6)

1 - 20 of 676

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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

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.

MULTI-USE WEBSITE

BOOSTing Care Transitions Resource Room.

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

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.

ORGANIZATIONAL POLICY/GUIDELINES

Safely implementing health information and converging technologies.

Sentinel Event Alert. December 11, 2008;(42):1-4.

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

Assessment of teamwork during structured interdisciplinary rounds on medical units.

O'Leary KJ, Boudreau YN, Creden AJ, Slade ME, Williams MV. J Hosp Med. 2012;7:679-683.

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: impact of structured interdisciplinary rounds on a medical teaching unit.

O'Leary KJ, Wayne DB, Haviley C, Slade ME, Lee J, Williams MV. J Gen Intern Med. 2010;25:826-832.

BOOK/REPORT

First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety.

Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778.

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

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.

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.

COMMENTARY classic

Fixing healthcare from the inside, today.

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

STUDY

Teamwork on inpatient medical units: assessing attitudes and barriers.

O'Leary KJ, Ritter CD, Wheeler H, Szekendi MK, Brinton TS, Williams MV. Qual Saf Health Care. 2010;19:117-121.

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.

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

Disruptive physicians.

Sandrick K. Trustee. November 2009.

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.

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.

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