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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 (31)
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Diagnostic Errors (19)
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Discontinuities, Gaps, and Hand-Off Problems (43)
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Fatigue and Sleep Deprivation (7)
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Medication Safety (138)
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Approach to Improving Safety
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Culture of Safety
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Learning Organization (58)
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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.
STUDY
Identifying organizational cultures that promote patient safety.
Singer SJ, Falwell A, Gaba DM, et al. Health Care Manage Rev. 2009;34:300-311.
STUDY
A case for safety leadership team training of hospital managers.
Singer SJ, Hayes J, Cooper JB, et al. Health Care Manage Rev. 2011;36:1-13.
NEWSPAPER/MAGAZINE ARTICLE
That’s the way we do things around here!
ISMP Medication Safety Alert! Acute Care Edition. February 24, 2011;16:1-2.
STUDY
Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project.
Auerbach AD, Sehgal NL, Blegen MA, et al. BMJ Qual Saf. 2012;22:118-126.
REVIEW
Reducing hospital errors: interventions that build safety culture.
Singer SJ, Vogus TJ. Annu Rev Public Health. 2013;34:373-396.
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.
STUDY
Eradicating medical student mistreatment: a longitudinal study of one institution's efforts.
Fried JM, Vermillion M, Parker NH, Uijtdehaage S. Acad Med. 2012;87:1191-1198.
STUDY
How event reporting by US hospitals has changed from 2005 to 2009.
Farley DO, Haviland A, Haas A, Pham C, Munier WB, Battles JB. BMJ Qual Saf. 2012;21:70-77.
BOOK/REPORT
Why Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality Care.
Nance JJ. Boseman, MT: Second River Healthcare Press; 2008. ISBN: 9780974386058.
NEWSPAPER/MAGAZINE ARTICLE
Are we finally getting serious about medical errors?
Burns J. Managed Care Magazine. May 2011;20:23-28.
COMMENTARY
Implementing patient safety initiatives in rural hospitals.
Klingner J, Moscovice I, Tupper J, Coburn A, Wakefield M. J Rural Health. 2009;25:352-357.
STUDY
Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign.
Sinkowitz-Cochran RL, Garcia-Williams A, Hackbarth AD, et al. Infect Control Hosp Epidemiol. 2012;33:135-143.
COMMENTARY
Frontline hospital workers and the worker safety/patient safety nexus.
Sokas R, Braun B, Chenven L, et al. Jt Comm J Qual Patient Saf. 2013;39:185-192.
MEETING/CONFERENCE PROCEEDINGS
The Role of HR in Quality and Patient Safety.
The American Society for Healthcare Human Resources Administration. San Diego, CA: July 24, 2008.
COMMENTARY
How to develop a second victim support program: a toolkit for health care organizations.
Pratt S, Kenney L, Scott SD, Wu AW. Jt Comm J Qual Patient Saf. 2012;38:235-240.
NEWSPAPER/MAGAZINE ARTICLE
Case study: sustaining a culture of safety in the U.S. Department of Veterans Affairs Health Care System.
Chase D, McCarthy D. Quality Matters. April/May 2010.
STUDY
Exploring relationships between patient safety culture and patients' assessments of hospital care.
Sorra J, Khanna K, Dyer N, Mardon R, Famolaro T. J Patient Saf. 2012;8:131-139.
STUDY
Comparing safety climate between two populations of hospitals in the United States.
Singer SJ, Hartmann CW, Hanchate A, et al. Health Serv Res. 2009;44:1563-1583.
STUDY
Patient safety climate in US hospitals: variation by management level.
Singer SJ, Falwell A, Gaba DM, Baker LC. Med Care. 2008;46:1149-1156.
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