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PATIENT SAFETY PRIMERS
Safety Culture

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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 (22)

•Diagnostic Errors (4)

•Identification Errors (10)

•Discontinuities, Gaps, and Hand-Off Problems (20)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (86)

•Medical Complications (64)

•Nonsurgical Procedural Complications (17)

•Surgical Complications (61)

•Transfusion Complications (1)

•Psychological and Social Complications (27)

Origin/Sponsor

•Australia and New Zealand (3)

•North America (610)

Resource Types

•Audiovisual (9)

•Book/Report (57)

•Clinical Guideline (1)

•Journal Article (416)

•Legislation/Regulation (6)

•Meeting/Conference (8)

•Newspaper/Magazine Article (75)

•Press Release/Announcement (2)

•Special or Theme Issue (19)

•Tools/Toolkit (7)

•Web Resource (14)

Error Types

•Epidemiology of Errors and Adverse Events (58)

•Active Errors (34)

•Latent Errors (40)

•Near Miss (7)

Approach to Improving Safety
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Culture of Safety

•Learning Organization (9)

•Institutional Patient Safety Plan (1)

•Just Culture (3)

Clinical Areas

•Allied Health Services (2)

•Dentistry (4)

•Medicine (343)

•Nursing (74)

•Pharmacy (17)

Target Audience

•Health Care Providers (379)

•Health Care Executives and Administrators (536)

•Non-Health Care Professionals (290)

•Patients (45)

Setting of Care

•Hospitals (370)

•Psychiatric Facilities (2)

•Residential Facilities (17)

•Ambulatory Care (32)

•Outpatient Surgery (4)

•Patient Transport (5)

1 - 20 of 629

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STUDY

Can teaching medical students to investigate medication errors change their attitudes towards patient safety?

Dudas RA, Bundy DG, Miller MR, Barone M. BMJ Qual Saf. 2011;20:319-325.

STUDY

Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture.

Bowman C, Neeman N, Sehgal NL. Acad Med. 2013 Apr 24; [Epub ahead of print].

COURSE MATERIAL/CURRICULUM

Medical Errors and Patient Safety: A Curriculum Guide for Teaching Medical Students and Family Practice Residents.

Halbach JL, Sullivan L. Yonkers, NY: New York Medical College; 2003.

STUDY

Patient safety attitudes and behaviors of graduating medical students.

Wetzel AP, Dow AW, Mazmanian PE. Eval Health Prof. 2012;35:221-238.

STUDY

Effectiveness of patient safety training in equipping medical students to recognise safety hazards and propose robust interventions.

Hall LW, Scott SD, Cox KR, et al. Qual Saf Health Care. 2010;19:3-8.

STUDY

Assessing the impact of teaching patient safety principles to medical students during surgical clerkships.

Stahl K, Augenstein J, Schulman CI, Wilson K, McKenney M, Livingstone A. J Surg Res. 2011;170:e29-e40.

STUDY

Trainees' perceptions of patient safety practices: recounting failures of supervision.

Ross PT, McMyler ET, Anderson SG, et al. Jt Comm J Qual Patient Saf. 2011;37:88-95.

COMMENTARY

Description and evaluation of an interprofessional patient safety course for health professions and related sciences students.

Galt KA, Paschal KA, O'Brien RL, et al. J Patient Saf. 2006;2:207-216.

COMMENTARY

Cups of Error

Blegen MA, Pepper GA. AHRQ WebM&M [serial online]. May 2006.

GRANT RECIPIENT

Improving Patient Safety Through Simulation Research.

Rockville, MD: Agency for Healthcare Research and Quality; June 2008.

COMMENTARY

Beyond "see one, do one, teach one": toward a different training paradigm.

Rodriguez-Paz JM, Kennedy M, Salas E, et al. Qual Saf Health Care. 2009;18:63-68.

STUDY

Communication practices on 4 Harvard surgical services: a surgical safety collaborative.

ElBardissi AW, Regenbogen SE, Greenberg CC, et al. Ann Surg. 2009;250:861-865.

STUDY

Patient safety climate among orthopaedic surgery residents.

Kadzielski J, McCormick F, Zurakowski D, Herndon JH. J Bone Joint Surg Am. 2011;93:e621-e626.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

REVIEW

Reducing hospital errors: interventions that build safety culture.

Singer SJ, Vogus TJ. Annu Rev Public Health. 2013;34:373-396.

STUDY

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.

Nurok M, Evans LA, Lipsitz S, Satwicz P, Kelly A, Frankel A. BMJ Qual Saf. 2011;20:237-242.

STUDY

Patient safety attitudes of paediatric trainee physicians.

Parry G, Horowitz L, Goldmann D. Qual Saf Health Care. 2009;18:462-466.

COMMENTARY

A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies.

Singh R, Naughton B, Taylor JS, et al. Med Educ. 2005;39:1195-1204.

STUDY

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.

COMMENTARY

Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety

Alldredge BK, Koda-Kimble MA. AHRQ WebM&M [serial online]. April 2006.

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