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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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Safety Target
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Device-related Complications (32)
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Fatigue and Sleep Deprivation (6)
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Medication Safety (151)
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Approach to Improving Safety
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Culture of Safety
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Health Care Providers (606)
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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
Crew resource management improved perception of patient safety in the operating room.
Gore DC, Powell JM, Baer JG, et al. Am J Med Qual. 2010;25:60-63.
STUDY
The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases.
Wolf FA, Way LW, Stewart L. Ann Surg. 2010;252:477-485.
STUDY
Does teamwork improve performance in the operating room? A multilevel evaluation.
Weaver SJ, Rosen MA, DiazGranados D, et al. Jt Comm J Qual Patient Saf. 2010;36:133-142.
STUDY
The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre.
McCulloch P, Mishra A, Handa A, Dale T, Hirst G, Catchpole K. Qual Saf Health Care. 2009;18:109-115.
COMMENTARY
Surgical team training: promoting high reliability with nontechnical skills.
Paige JT. Surg Clin North Am. 2010;90:569-581.
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
Can aviation-based team training elicit sustainable behavioral change?
Sax HC, Browne P, Mayewski RJ, et al. Arch Surg. 2009;144:1133-1137.
STUDY
Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.
Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.
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
Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units.
Mayer CM, Cluff L, Lin WT, et al. Jt Comm J Qual Patient Saf. 2011;37:365-374.
COMMENTARY
Video technology to advance safety in the operating room and perioperative environment.
Xiao Y, Schimpff S, Mackenzie C, et al. Surg Innov. 2007;14:52-61.
STUDY
A comprehensive obstetrics patient safety program improves safety climate and culture.
Pettker CM, Thung SF, Raab CA, et al. Am J Obstet Gynecol. 2011;204:216.e1-e6.
STUDY
Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.
Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.
COMMENTARY
The collapse of sensemaking in organizations: the Mann Gulch disaster.
Weick KE. Adm Sci Q. 1993;38:628-652.
STUDY
Effect of a comprehensive surgical safety system on patient outcomes.
de Vries EN, Prins HA, Crolla RM, et al; SURPASS Collaborative Group. N Engl J Med. 2010;363:1928-1937.
STUDY
Association between implementation of a medical team training program and surgical mortality.
Neily J, Mills PD, Young-Xu Y, et al. JAMA
.
2010;304:1693-1700.
COMMENTARY
Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy.
Bellandi T, Albolino S, Tartaglia R, Filipponi F. Transplant Proc. 2010;42:2187-2189.
STUDY
Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital.
Riley W, Davis S, Miller K, Hansen H, Sainfort F, Sweet R. Jt Comm J Qual Patient Saf. 2011;37:357-364.
COMMENTARY
What went right: lessons for the intensivist from the crew of US Airways Flight 1549.
Eisen LA, Savel RH. Chest. 2009;136:910-917.
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