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 (30)

•Diagnostic Errors (19)

•Identification Errors (17)

•Discontinuities, Gaps, and Hand-Off Problems (50)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (148)

•Medical Complications (105)

•Nonsurgical Procedural Complications (22)

•Surgical Complications (99)

•Transfusion Complications (2)

•Psychological and Social Complications (37)

Origin/Sponsor

•Africa (1)

•Asia (8)

•Australia and New Zealand (17)

•Central and South America (3)

Resource Types

•Clinical Guideline (1)

•Journal Article (575)

•Legislation/Regulation (11)

•Meeting/Conference (16)

•Newspaper/Magazine Article (93)

•Press Release/Announcement (4)

•Special or Theme Issue (30)

•Tools/Toolkit (19)

•Web Resource (30)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (106)

•Active Errors (67)

•Latent Errors (74)

•Near Miss (16)

Approach to Improving Safety
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Culture of Safety

•Learning Organization (30)

•Red Rules (3)

•Institutional Patient Safety Plan (14)

•Just Culture (23)

Clinical Areas

•Allied Health Services (5)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (588)

•Health Care Executives and Administrators (760)

•Non-Health Care Professionals (396)

•Patients (58)

Setting of Care

•Hospitals (524)

•Psychiatric Facilities (3)

•Residential Facilities (28)

•Ambulatory Care (61)

•Outpatient Surgery (5)

•Patient Transport (8)

1 - 20 of 898

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STUDY

Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety.

Castle NG, Wagner LM, Perera S, Ferguson JC, Handler SM. J Patient Saf. 2010;6:59-67.

STUDY

Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.

Barber ND, Alldred DP, Raynor DK, et al. Qual Saf Health Care. 2009;18:341-346.

STUDY

Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork.

Vogelsmeier A, Scott-Cawiezell J. J Nurs Care Qual. 2011;26:236-242.

STUDY

Nursing home administrators' opinions of the resident safety culture in nursing homes.

Castle NG, Handler S, Engberg J, Sonon K. Health Care Manage Rev. 2007;32:66-76.

STUDY

Nurse–physician communication in the long-term care setting: perceived barriers and impact on patient safety.

Tjia J, Mazor KM, Field T, Meterko V, Spenard A, Gurwitz JH. J Patient Saf. 2009;5:145-152.

STUDY

Team safety and innovation by learning from errors in long-term care settings.

Buljac-Samardžić M, van Woerkom M, Paauwe J. Health Care Manag Rev. 2012;37:280-291.

COMMENTARY classic

Fixing healthcare from the inside, today.

Spear SJ. Harv Bus Rev. September 2005;83:78-91.

SPECIAL OR THEME ISSUE

Safety in EMS.

Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.

STUDY

The association between EMS workplace safety culture and safety outcomes.

Weaver MD, Wang HE, Fairbanks RJ, Patterson D. Prehosp Emerg Care. 2012;16:43-52.

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.

MEETING/CONFERENCE PROCEEDINGS

2005 Annual Patient Safety and Health Information Technology Conference: Making the Health Care System Safer through Implementation and Innovation.

Agency for Healthcare Research and Quality. June 6-10, 2005.

STUDY

A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference?

Lee P, Allen K, Daly M. BMJ Qual Saf. 2012;21:84-88.

BOOK/REPORT

Order from Chaos: Accelerating Care Integration.

Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; October 2012.

STUDY

Safety culture of nursing homes: opinions of top managers.

Castle NG, Wagner LM, Ferguson JC, Handler SM. Health Care Manage Rev. 2011;36:175-187.