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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 (11)

•Identification Errors (13)

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

•Fatigue and Sleep Deprivation (7)

•Medication Safety (140)

•Medical Complications (98)

•Nonsurgical Procedural Complications (21)

•Surgical Complications (88)

•Transfusion Complications (3)

•Psychological and Social Complications (41)

Origin/Sponsor

•Australia and New Zealand (19)

•Central and South America (1)

•Europe (106)

•North America (775)

Resource Types

•Audiovisual (12)

•Book/Report (107)

•Clinical Guideline (1)

•Journal Article (599)

•Legislation/Regulation (9)

•Meeting/Conference (16)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (90)

•Press Release/Announcement (4)

•Special or Theme Issue (36)

•Tools/Toolkit (14)

•Web Resource (28)

Error Types

•Epidemiology of Errors and Adverse Events (84)

•Active Errors (60)

•Latent Errors (60)

•Near Miss (11)

Approach to Improving Safety
< All

Culture of Safety

•Learning Organization (46)

•Red Rules (3)

•Institutional Patient Safety Plan (16)

•Just Culture (25)

Clinical Areas

•Allied Health Services (4)

•Dentistry (4)

•Medicine (490)

•Nursing (120)

•Pharmacy (34)

Target Audience

•Health Care Providers (564)

•Health Care Executives and Administrators (827)

•Non-Health Care Professionals (423)

•Patients (60)

Setting of Care

•Hospitals (525)

•Psychiatric Facilities (3)

•Residential Facilities (25)

•Ambulatory Care (55)

•Outpatient Surgery (4)

•Patient Transport (7)

1 - 20 of 937

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NEWSPAPER/MAGAZINE ARTICLE

Bringing surgeons down to earth.

Landro L. Wall Street Journal (Eastern edition). November 16, 2005:D1.

BOOK/REPORT

Recommendations for Safe Use of Insulin in Hospitals.

Bethesda, MD: American Society of Health-System Pharmacists; 2006.

COMMENTARY

Creating high reliability in health care organizations.

Pronovost PJ, Berenholtz SM, Goeschel CA, et al. Health Serv Res. 2006;41:1599-1617.

COMMENTARY

Berwick DM. BMJ. 2001;322:247-248.

NEWSPAPER/MAGAZINE ARTICLE

Don't underestimate the impact of change on risk potential.

ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.

COMMENTARY

Effective strategies to increase reporting of medication errors in hospitals.

Force MV, Deering L, Hubbe J, et al. J Nurs Adm. 2006;36:34-41.

NEWSPAPER/MAGAZINE ARTICLE

Wrong-site surgery.

Butcher L. Hosp Health Netw. November 2011.

COMMENTARY

Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b.

Laselle TJ,May SK. Hosp Pharm. 2006;41:82-87.

STUDY

The influence of the structure and culture of medical group practices on prescription drug errors.

Kralewski JE, Dowd BE, Heaton A, Kaissi A. Med Care. 2005;43:817-825.

STUDY

Implementing and validating a comprehensive unit-based safety program.

Pronovost P, Weast B, Rosenstein B. J Patient Saf. 2005;1:33-40.

STUDY

Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program.

Warren DK, Yokoe DS, Climo MW, et al. Infect Control Hosp Epidemiol. 2006;27:8-13.

COMMENTARY

Disruptive clinician behavior: a persistent threat to patient safety.

Porto G, Lauve R. Patient Safety Qual Healthc. July/August 2006;3:16-24.

BOOK/REPORT

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.

Toft B. London, England: Department of Health; 2001.

NEWSPAPER/MAGAZINE ARTICLE

Physician leadership is key to creating a safer, more reliable health care system.

Silbaugh BR, Leider HL. Physician Exec. Sept-Oct 2009;35:12, 14-16.

STUDY

classic

Error, stress, and teamwork in medicine and aviation: cross sectional surveys.

Sexton JB, Thomas EJ, Helmreich RL. BMJ. 2000;320:745-749.

REVIEW

How to avoid paediatric medication errors: a user's guide to the literature.

Walsh KE, Kaushal R, Chessare JB. Arch Dis Child. 2005;90:698-702.

COMMENTARY

A model of chemotherapy education for novice oncology nurses that supports a culture of safety.

Sheridan-Leos N. Clin J Oncol Nurs. 2007;11:545-551.

COMMENTARY

Wrong Route for Nutrients

Scott-Cawiezell JR, AHRQ WebM&M [serial online]. July 2008.

BOOK/REPORT

Addressing the quality and safety gap—parts I-II.

Princeton, NJ: Robert Wood Johnson Foundation; July 2009.

COMMENTARY

Changing the work environment in ICUs to achieve patient-focused care: the time has come.

McCauley K, Irwin RS. Chest. 2006;130:1571-1578.

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