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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 (26)

•Diagnostic Errors (9)

•Identification Errors (17)

•Discontinuities, Gaps, and Hand-Off Problems (38)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (134)

•Medical Complications (95)

•Nonsurgical Procedural Complications (21)

•Surgical Complications (109)

•Transfusion Complications (2)

•Psychological and Social Complications (42)

Origin/Sponsor

•Australia and New Zealand (17)

•Central and South America (3)

•Europe (111)

•North America (721)

Resource Types

•Audiovisual (9)

•Book/Report (75)

•Clinical Guideline (1)

•Journal Article (618)

•Legislation/Regulation (7)

•Meeting/Conference (11)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (85)

•Press Release/Announcement (2)

•Special or Theme Issue (29)

•Tools/Toolkit (12)

•Web Resource (19)

Error Types

•Epidemiology of Errors and Adverse Events (87)

•Active Errors (53)

•Latent Errors (62)

•Near Miss (13)

Approach to Improving Safety
< All

Culture of Safety

•Learning Organization (34)

•Red Rules (2)

•Institutional Patient Safety Plan (11)

•Just Culture (23)

Clinical Areas

•Allied Health Services (4)

•Complementary and Alternative Medicine (1)

•Dentistry (4)

•Medicine (478)

•Nursing (117)

•Pharmacy (31)

Target Audience

•Health Care Providers (514)

•Health Care Executives and Administrators (767)

•Non-Health Care Professionals (420)

•Patients (49)

Setting of Care

•Hospitals (510)

•Psychiatric Facilities (3)

•Residential Facilities (23)

•Ambulatory Care (48)

•Outpatient Surgery (5)

•Patient Transport (7)

1 - 20 of 883

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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

"Managing up" can improve teamwork in the OR.

Smith SL. AORN J. 2010;91:576-582.

COMMENTARY

Creating a culture of safety by using checklists.

Huang L, Kim R, Berry W. AORN J. 2013;97:365-368.

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

classic

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.

MULTI-USE WEBSITE

Patient Safety First.

AORN, Inc., 2170 South Parker Rd, Suite 300, Denver, CO 80231-5711.

STUDY

Incorrect surgical counts: a qualitative analysis.

Rowlands A, Steeves R. AORN J. 2010;92:410-419.

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.

ORGANIZATIONAL POLICY/GUIDELINES

AORN guidance statement: creating a patient safety culture.

AORN J. 2006;83:936-942.

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

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

Haynes AB, Weiser TG, Berry WR, et al; Safe Surgery Saves Lives Study Group. BMJ Qual Saf. 2011;20:102-107.

STUDY

Perceptions of patient safety culture among physicians and RNs in the perioperative area.

Scherer D, Fitzpatrick JJ. AORN J. 2008;87:163-175.

COMMENTARY

Surgical team training: promoting high reliability with nontechnical skills.

Paige JT. Surg Clin North Am. 2010;90:569-581.

STUDY

Improving operating room safety.

Hurlbert SN, Garrett J. Patient Saf Surg. 2009;3:25.

COMMENTARY

The OR and a "just culture."

Hamlin L. AORN J. 2009;90:495-498.

NEWSPAPER/MAGAZINE ARTICLE

Do no harm: promoting patient safety.

Ellis K. Surgicenteronline.com [serial online]. May 1, 2006.

STUDY

Assessing the impact of teaching patient safety principles to medical students during surgical clerkships.

Stahl K, Augenstein J, Schulman CI, Wilson K, McKenney M, Livingstone A. J Surg Res. 2011;170:e29-e40.

REVIEW

Patient safety in the NICU: a comprehensive review.

Samra HA, McGrath JM, Rollins W. J Perinat Neonatal Nurs. 2011;25:123-132.

STUDY

Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety culture in a surgical inpatient unit.

Timmel J, Kent PS, Holzmueller CG, Paine L, Schulick RD, Pronovost PJ. Jt Comm J Qual Patient Saf. 2010:36;252-260.

STUDY

Can aviation-based team training elicit sustainable behavioral change?

Sax HC, Browne P, Mayewski RJ, et al. Arch Surg. 2009;144:1133-1137.

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