AHRQ Patient Safety Network

The Collection > Organizational Behaviorists

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Safety Target

•Device-related Complications (4)

•Diagnostic Errors (11)

•Identification Errors (6)

•Discontinuities, Gaps, and Hand-Off Problems (47)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (70)

•Medical Complications (35)

•Nonsurgical Procedural Complications (5)

•Surgical Complications (60)

•Psychological and Social Complications (119)

Origin/Sponsor

•Asia (8)

•Australia and New Zealand (26)

Resource Types

•Journal Article (480)

•Legislation/Regulation (3)

•Meeting/Conference (7)

•Newspaper/Magazine Article (43)

•Press Release/Announcement (1)

•Special or Theme Issue (10)

•Tools/Toolkit (4)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (62)

•Active Errors (53)

•Latent Errors (37)

•Near Miss (11)

Approach to Improving Safety

•Quality Improvement Strategies (137)

•Legal and Policy Approaches (54)

•Error Reporting and Analysis (141)

•Communication Improvement (199)

•Human Factors Engineering (54)

•Teamwork (162)

•Specialization of Care (29)

•Logistical Approaches (41)

•Culture of Safety (210)

•Technologic Approaches (46)

•Education and Training (144)

Clinical Areas

•Allied Health Services (2)

Target Audience
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Organizational Behaviorists

Setting of Care

•Hospitals (347)

•Residential Facilities (4)

•Ambulatory Care (31)

•Patient Transport (6)

1 - 20 of 593

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COMMENTARY

Creating high reliability in health care organizations.

Pronovost PJ, Berenholtz SM, Goeschel CA, et al. Health Serv Res. 2006;41:1599-1617.

STUDY

The effects of computerized provider order entry implementation on communication in intensive care units.

Hoonakker PL, Carayon P, Walker JM, Brown RL, Cartmill RS. Int J Med Inform. 2013;82:e107-e117.

COMMENTARY

Patient safety and collaboration of the intensive care unit team.

Despins LA. Crit Care Nurse. April 2009;29:85-91.

NEWSPAPER/MAGAZINE ARTICLE

Too many abandon the "second victims" of medical errors.

ISMP Medication Safety Alert! Acute Care Edition. July 14, 2011;16:1-3.

STUDY

Measuring and comparing safety climate in intensive care units.

France DJ, Greevy RA Jr, Liu X, et al. Med Care. 2010;48:279-284.

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].

STUDY

Sensemaking, safety, and cooperative work in the intensive care unit.

Albolino S, Cook R, O’Connor M. Cogn Technol Work. 2007;9:131-137.

STUDY

Sustained effectiveness of a primary-team-based rapid response system.

Howell MD, Ngo L, Folcarelli P, et al. Crit Care Med. 2012;40:2562-2568.

STUDY

Teamwork behaviours and errors during neonatal resuscitation.

Williams AL, Lasky RE, Dannemiller JL, Andrei AM, Thomas EJ. Qual Saf Health Care. 2010;19:60-64.

STUDY

Surgeon-reported conflict with intensivists about postoperative goals of care.

Paul Olson TJ, Brasel KJ, Redmann AJ, Alexander GC, Schwarze ML. JAMA Surg. 2013;148:29-35.

STUDY

Assessing and improving safety climate in a large cohort of intensive care units.

Sexton JB, Berenholtz SM, Goeschel CA, et al. Crit Care Med. 2011;39:934-939.

COMMENTARY

For whom the Bell Commission tolls: unintended effects of limiting residents' hours.

Millard WB. Ann Emerg Med. 2009;54:A25-A29.

REVIEW

The business case for patient safety.

Hwang RW, Herndon JH. Clin Orthop Relat Res. 2007;457:21-34.

REVIEW

Intimidation: a concept analysis.

Lamontagne C. Nurs Forum. 2010;45:54-65.

STUDY

Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study.

Gustafsson M, Wennerholm S, Fridlund B. Intensive Crit Care Nurs. 2010;26:138-145.

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.

STUDY

The impact of a tele-ICU on provider attitudes about teamwork and safety climate.

Chu-Weininger MYL, Wueste L, Lucke JF, Weavind L, Mazabob J, Thomas EJ. Qual Saf Health Care. 2010;19:e39.

STUDY

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

STUDY

ICU nurses' acceptance of electronic health records.

Carayon P, Cartmill R, Blosky MA, et al. J Am Med Inform Assoc. 2011;18:812-819.

STUDY

Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes.

Helms AS, Perez TE, Baltz J, et al. J Gen Intern Med. 2012;27:287-291.

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