AHRQ Patient Safety Network

PATIENT SAFETY PRIMERS
Safety Culture

Glossary >
Safety Culture: High-reliability organizations consistently minimize adverse events despite carrying out intrinsically hazardous work... Read Full Glossary Entry >

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Safety Target

•Device-related Complications (33)

•Diagnostic Errors (21)

•Identification Errors (20)

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

•Fatigue and Sleep Deprivation (8)

•Medication Safety (168)

•Medical Complications (117)

•Nonsurgical Procedural Complications (25)

•Surgical Complications (111)

•Transfusion Complications (3)

•Psychological and Social Complications (45)

Origin/Sponsor

•Africa (1)

•Asia (14)

•Australia and New Zealand (28)

•Central and South America (3)

Resource Types

•Clinical Guideline (1)

•Journal Article (754)

•Legislation/Regulation (14)

•Meeting/Conference (18)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (101)

•Press Release/Announcement (4)

•Special or Theme Issue (41)

•Tools/Toolkit (21)

•Web Resource (36)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (109)

•Active Errors (80)

•Latent Errors (86)

•Near Miss (19)

Approach to Improving Safety
< All

Culture of Safety

•Learning Organization (92)

•Red Rules (4)

•Institutional Patient Safety Plan (29)

•Just Culture (42)

Clinical Areas

•Allied Health Services (6)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (651)

•Health Care Executives and Administrators (976)

•Non-Health Care Professionals (536)

•Patients (63)

Setting of Care

•Hospitals (637)

•Psychiatric Facilities (5)

•Residential Facilities (29)

•Ambulatory Care (71)

•Outpatient Surgery (6)

•Patient Transport (8)

1 - 20 of 1152

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MULTI-USE WEBSITE classic

Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety.

Oakbrook Terrace, IL: Joint Commission.

COMMENTARY classic

Balancing "no blame" with accountability in patient safety.

Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.

BOOK/REPORT classic

Best Care at Lower Cost: The Path to Continuously Learning Health Care in America.

Smith M, Saunders R, Stuckhardt L, McGinnis JM, eds. Committee on the Learning Health Care System in America, Institute of Medicine. Washington, DC: National Academies Press; 2012. ISBN: 9780309260732.

TOOLKIT

CUSP Toolkit.

Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.

PRESS RELEASE/ANNOUNCEMENT classic

AHRQ Patient Safety Project Reduces Bloodstream Infections by 40 Percent.

Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.

STUDY

Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.

Aiken LH, Sermeus W, Van den Heede K, et al. BMJ. 2012;344:e1717.

REVIEW

Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review.

Etchells E, Koo M, Daneman N, et al. BMJ Qual Saf. 2012;21:448-456.