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Culture of Safety
PATIENT SAFETY PRIMERS
Safety Culture
Glossary
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Safety Culture:
High-reliability organizations consistently minimize adverse events despite carrying out intrinsically hazardous work...
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Device-related Complications (29)
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Diagnostic Errors (13)
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Identification Errors (15)
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Discontinuities, Gaps, and Hand-Off Problems (42)
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Fatigue and Sleep Deprivation (8)
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Medication Safety (134)
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Medical Complications (97)
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Epidemiology of Errors and Adverse Events (81)
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Approach to Improving Safety
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Culture of Safety
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Learning Organization (44)
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BOOK/REPORT
Advances in Patient Safety: New Directions and Alternative Approaches.
Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-4).
BOOK/REPORT
Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III.
Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2007. ISBN: 9780833042170
MEETING/CONFERENCE PROCEEDINGS
AHRQ 2009 Annual Conference.
Rockville, MD: Agency for Healthcare Research and Quality; December 2009.
MEETING/CONFERENCE PROCEEDINGS
AHRQ 2008 Annual Conference.
Rockville, MD: Agency for Healthcare Research and Quality; February 2009.
SPECIAL OR THEME ISSUE
Navigating the perfect storm: balancing a culture of safety with workforce challenges.
Nurs Res. 2008;57(suppl 1):S1-S24.
AUDIOVISUAL
Chasing Zero: Winning the War on Healthcare Harm.
Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.
STUDY
Hospital governance and the quality of care.
Jha AK, Epstein AM. Health Aff (Millwood). 2010;29:182-187.
BOOK/REPORT
Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement.
McCarthy D, Klein S. New York, NY: The Commonwealth Fund; March 15, 2011.
SPECIAL OR THEME ISSUE
Contributions by the Agency for Healthcare Research and Quality and Grantees.
Health Serv Res. 2009;44:623-776.
SPECIAL OR THEME ISSUE
Quality of Anesthesia Care.
Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.
STUDY
Patient safety culture and the association with safe resident care in nursing homes.
Thomas KS, Hyer K, Castle NG, Branch LG, Andel R, Weech-Maldonado R. Gerontologist. 2012;52:802-811.
COMMENTARY
Improving patient safety: patient-focused, high-reliability team training.
McKeon LM, Cunningham PD, Detty Oswaks JS. J Nurs Care Qual. 2009;24:76-82.
STUDY
The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units.
Vogus TJ, Sutcliffe KM. Med Care. 2007;45:46-54.
COMMENTARY
On the scene at Children's Hospitals and Clinics of Minnesota.
Malone G, Akre M, Hauck M. Nurs Adm Q. 2009;33:54-61.
COMMENTARY
Framework for patient safety—part 1 and part 2.
Blouin AS, McDonagh KJ. J Nurs Adm. 2011;41:397-400, 450-452.
STUDY
Adoption of National Quality Forum safe practices by magnet hospitals.
Jayawardhana J, Welton JM, Lindrooth R. J Nurs Adm. 2011;41:350-356.
COMMENTARY
Patient safety at ten: unmistakable progress, troubling gaps.
Wachter RM. Health Aff (Millwood). 2010;29:165-173.
STUDY
Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork.
Vogelsmeier A, Scott-Cawiezell J. J Nurs Care Qual. 2011;26:236-242.
COMMENTARY
Patient safety: moving the bar in prison health care standards.
Stern MF, Greifinger RB, Mellow J. Am J Public Health. 2010;100:2103-2110.
BOOK/REPORT
Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance.
Dublin, Ireland: Department of Health & Children, Commission on Patient Safety and Quality Assurance; 2008. ISBN: 9781406421835.
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