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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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Diagnostic Errors (19)
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Identification Errors (20)
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Discontinuities, Gaps, and Hand-Off Problems (48)
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Fatigue and Sleep Deprivation (6)
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Medication Safety (145)
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Medical Complications (109)
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Nonsurgical Procedural Complications (23)
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Surgical Complications (109)
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Epidemiology of Errors and Adverse Events (95)
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Active Errors (68)
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Approach to Improving Safety
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Culture of Safety
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Learning Organization (42)
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Target Audience
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Health Care Providers (600)
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Non-Health Care Professionals (472)
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Patients (58)
Setting of Care
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Hospitals (551)
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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
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.
STUDY
Can aviation-based team training elicit sustainable behavioral change?
Sax HC, Browne P, Mayewski RJ, et al. Arch Surg. 2009;144:1133-1137.
NEWSPAPER/MAGAZINE ARTICLE
Doctor uses 'pre-flight' checklist.
Bernhard B. The Orange County Register. April 19, 2006.
STUDY
Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare.
Forsythe L. Simul Healthc. 2009;4:143-148.
STUDY
Improving operating room safety.
Hurlbert SN, Garrett J. Patient Saf Surg. 2009;3:25.
COMMENTARY
Surgical team training: promoting high reliability with nontechnical skills.
Paige JT. Surg Clin North Am. 2010;90:569-581.
COMMENTARY
The normalization of deviance: what are the perioperative risks?
McNamara SA. AORN J. 2011;93:796-801.
SPECIAL OR THEME ISSUE
Quality of Anesthesia Care.
Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.
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
Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel.
Sexton JB, Makary MA, Tersigni AR, et al. Anesthesiology. 2006;105:877-884.
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.
COMMENTARY
Retained surgical items and minimally invasive surgery.
Gibbs VC. World J Surg. 2011;35:1532-1539.
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.
NEWSPAPER/MAGAZINE ARTICLE
A hospital races to learn lessons of Ferrari pit stop.
Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].
STUDY
Patient safety in surgery.
Makary MA, Sexton JB, Freischlag JA, et al. Ann Surg. 2006;243:628-635.
STUDY
A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.
Nurok M, Lipsitz S, Satwicz P, Kelly A, Frankel A. Arch Surg. 2010;145:489-495.
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
Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre.
Bethune R, Sasirekha G, Sahu A, Cawthorn S, Pullyblank A. Postgrad Med J. 2011;87:331-334.
STUDY
The effect of facility complexity on perceptions of safety climate in the operating room: size matters.
Carney BT, West P, Neily J, Mills PD, Bagian JP. Am J Med Qual. 2010;25:457-461.
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