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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 (16)
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Diagnostic Errors (9)
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Identification Errors (9)
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Discontinuities, Gaps, and Hand-Off Problems (28)
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Fatigue and Sleep Deprivation (5)
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Medication Safety (91)
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Medical Complications (59)
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Epidemiology of Errors and Adverse Events (65)
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Approach to Improving Safety
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Culture of Safety
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Health Care Providers (330)
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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
Skilful anticipation: maternity nurses' perspectives on maintaining safety.
Lyndon A. Qual Saf Health Care. 2010;19:e8.
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.
STUDY
Impact of a comprehensive patient safety strategy on obstetric adverse events.
Pettker CM, Thung SF, Norwitz ER, et al. Am J Obstet Gynecol. 2009 May;200:492.e1-8.
STUDY
Supporting structures for team situation awareness and decision making: insights from four delivery suites.
Mackintosh N, Berridge EJ, Freeth D. J Eval Clin Pract. 2009;15:46-54.
COMMENTARY
Building a safety culture.
Milligan F, Dennis S. Nurs Stand. November 2005;20:48-52.
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.
STUDY
Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education.
Christiansen A, Robson L, Griffith-Evans C. J Nurs Manag. 2010;18:782-788.
SPECIAL OR THEME ISSUE
Positive Working Relationships Matter for Better Nurse and Patient Outcomes.
Spence Laschinger HK, ed. J Nurs Manag. 2010;18:875-1086.
GRANT RECIPIENT
Improving Patient Safety Through Simulation Research.
Rockville, MD: Agency for Healthcare Research and Quality; June 2008.
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.
SPECIAL OR THEME ISSUE
Safety.
Simmons D, ed. Crit Care Nurs Clin North Am. 2010;22:161-290.
STUDY
Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire.
Baker DP, Amodeo AM, Krokos KJ, Slonim A, Herrera H. Qual Saf Health Care. 2010;19:e49.
REVIEW
Communication and teamwork in patient care: how much can we learn from aviation?
Lyndon A. J Obset Gynol Neonatal Nurs. 2006;35:538-546.
COMMENTARY
Surgical team training: promoting high reliability with nontechnical skills.
Paige JT. Surg Clin North Am. 2010;90:569-581.
STUDY
Learning mechanisms to limit medication administration errors.
Drach-Zahavy A, Pud D. J Adv Nurs. 2010;66:794-805.
STUDY
Rural nurses' safeguarding work: reembodying patient safety.
MacKinnon K. ANS Adv Nurs Sci. 2011;34:119-129.
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
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
Safeguarding patients: complexity science, high reliability organizations, and implications for team training in healthcare.
McKeon LM, Oswaks JD, Cunningham PD. Clin Nurse Spec. 2006;20:298-304 (CE Test 305-306).
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