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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 (27)

•Diagnostic Errors (9)

•Identification Errors (17)

•Discontinuities, Gaps, and Hand-Off Problems (30)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (124)

•Medical Complications (96)

•Nonsurgical Procedural Complications (20)

•Surgical Complications (108)

•Transfusion Complications (2)

•Psychological and Social Complications (32)

Origin/Sponsor

•Australia and New Zealand (10)

•Central and South America (3)

•North America (683)

Resource Types

•Audiovisual (9)

•Book/Report (70)

•Clinical Guideline (1)

•Journal Article (547)

•Legislation/Regulation (7)

•Meeting/Conference (11)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (86)

•Press Release/Announcement (2)

•Special or Theme Issue (28)

•Tools/Toolkit (11)

•Web Resource (19)

Error Types

•Epidemiology of Errors and Adverse Events (85)

•Active Errors (51)

•Latent Errors (54)

•Near Miss (13)

Approach to Improving Safety
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Culture of Safety

•Learning Organization (20)

•Red Rules (2)

•Institutional Patient Safety Plan (11)

•Just Culture (16)

Clinical Areas

•Allied Health Services (3)

•Complementary and Alternative Medicine (1)

•Dentistry (4)

•Medicine (452)

•Nursing (97)

•Pharmacy (28)

Target Audience

•Health Care Providers (471)

•Health Care Executives and Administrators (703)

•Non-Health Care Professionals (351)

•Patients (50)

Setting of Care

•Hospitals (483)

•Psychiatric Facilities (3)

•Residential Facilities (22)

•Ambulatory Care (46)

•Outpatient Surgery (5)

•Patient Transport (7)

1 - 20 of 806

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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.

STUDY

Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.

Espin S, Levinson W, Regehr G, Baker GR, Lingard L. Surgery. 2006;139:6-14.

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

Communication practices on 4 Harvard surgical services: a surgical safety collaborative.

ElBardissi AW, Regenbogen SE, Greenberg CC, et al. Ann Surg. 2009;250:861-865.

NEWSPAPER/MAGAZINE ARTICLE

How hospital design saves lives.

Blum A. Business Week. August 15, 2006.

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.

COMMENTARY

Fumbled Handoff.

Vidyarthi A. AHRQ WebM&M [serial online]. March 2004.

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.

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

Video technology to advance safety in the operating room and perioperative environment.

Xiao Y, Schimpff S, Mackenzie C, et al. Surg Innov. 2007;14:52-61.

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

Bridging the communication gap in the operating room with medical team training.

Awad SS, Fagan SP, Bellows C, et al. Am J Surg. 2005;190:770-774.

COMMENTARY

Surgical team training: promoting high reliability with nontechnical skills.

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

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.

COMMENTARY

The normalization of deviance: what are the perioperative risks?

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

STUDY

Improving operating room safety.

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

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