AHRQ Patient Safety Network

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 (25)

•Diagnostic Errors (8)

•Identification Errors (15)

•Discontinuities, Gaps, and Hand-Off Problems (35)

•Fatigue and Sleep Deprivation (6)

•Medication Safety (122)

•Medical Complications (86)

•Nonsurgical Procedural Complications (19)

•Surgical Complications (87)

•Transfusion Complications (1)

•Psychological and Social Complications (40)

Origin/Sponsor

•Africa (1)

•Asia (10)

•Australia and New Zealand (18)

•Central and South America (3)

Resource Types

•Clinical Guideline (1)

•Journal Article (586)

•Legislation/Regulation (7)

•Meeting/Conference (12)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (85)

•Press Release/Announcement (2)

•Special or Theme Issue (25)

•Tools/Toolkit (12)

•Web Resource (20)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (80)

•Active Errors (49)

•Latent Errors (55)

•Near Miss (11)

Approach to Improving Safety
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Culture of Safety

•Learning Organization (33)

•Red Rules (1)

•Institutional Patient Safety Plan (9)

•Just Culture (18)

Clinical Areas

•Allied Health Services (3)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (477)

•Health Care Executives and Administrators (739)

•Non-Health Care Professionals (410)

•Patients (47)

Setting of Care

•Hospitals (484)

•Psychiatric Facilities (3)

•Residential Facilities (22)

•Ambulatory Care (48)

•Outpatient Surgery (5)

•Patient Transport (7)

1 - 20 of 844

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STUDY

Organizational and cultural changes for providing safe patient care.

Odwazny R, Hasler S, Abrams R, McNutt R. Qual Manag Health Care. 2005;14:132-143.

STUDY

The effect of the fit between organizational culture and structure on medication errors in medical group practices.

Kaissi A, Kralewski J, Dowd B, Heaton A. Health Care Manage Rev. 2007;32:12-21.

NEWSPAPER/MAGAZINE ARTICLE

If safety is your yardstick, measuring culture from the top down must be a priority.

ISMP Medication Safety Alert! Acute Care Edition. March 22, 2007;12:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Naval aviation safety and its application to medicine.

Harmon KT. Patient Safety & Quality Healthcare. March/April 2006;3:20-26.

STUDY

The safety culture in a children's hospital.

Grant MJC, Donaldson AE, Larsen GY. J Nurs Care Qual. 2006;21:223-229.

COMMENTARY

Passing the "Yo' Mama" test.

Blair R. Health Manage Tech. June 2006;27:16.

NEWSPAPER/MAGAZINE ARTICLE

The dawn of the robo-docs.

Weber DO. Hosp Health Netw. March 14, 2006.

STUDY

Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation.

Rask K, Culler S, Scott T, et al. J Hosp Med. 2007;2:212-218.

STUDY

The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units.

Thomas EJ, Sexton JB, Neilands TB, Frankel A, Helmreich RL. BMC Health Serv Res. 2005;5:28.

BOOK/REPORT

Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report.

Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare Research and Quality; August 2011. AHRQ Publication No. 11-0071.

REVIEW

What is patient safety culture? A review of the literature.

Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. J Nurs Scholarsh. 2010;42:156-165.

STUDY

The impact of a tele-ICU on provider attitudes about teamwork and safety climate.

Chu-Weininger MYL, Wueste L, Lucke JF, Weavind L, Mazabob J, Thomas EJ. Qual Saf Health Care. 2010;19:e39.

COMMENTARY

The normalization of deviance: what are the perioperative risks?

McNamara SA. AORN J. 2011;93:796-801.

STUDY

A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals.

Jones KJ, Skinner AM, High R, Reiter-Palmon R. BMJ Qual Saf. 2013;22:394-404.