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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 (25)
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Diagnostic Errors (17)
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Identification Errors (16)
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Discontinuities, Gaps, and Hand-Off Problems (34)
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Fatigue and Sleep Deprivation (5)
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Medication Safety (134)
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Medical Complications (94)
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Epidemiology of Errors and Adverse Events (107)
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Active Errors (57)
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Approach to Improving Safety
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Culture of Safety
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Learning Organization (37)
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Just Culture (20)
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Health Care Providers (404)
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Setting of Care
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Hospitals (526)
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STUDY
Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study.
Hartnell N, MacKinnon N, Sketris I, Fleming M. BMJ Qual Saf. 2012;21:361-368.
STUDY
Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation.
Benning A, Ghaleb M, Suokas A, et al. BMJ. 2011;342:d195.
STUDY
Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.
Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.
STUDY
Getting doctors to clean their hands: lead the followers.
Haessler S, Bhagavan A, Kleppel R, Hinchey K, Visintainer P. BMJ Qual Saf. 2012;21:499-502.
STUDY
Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation.
Rask K, Culler S, Scott T, et al. J Hosp Med. 2007;2:212-218.
REVIEW
Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness.
Ko HCH, Turner TJ, Finnigan MA. BMC Health Serv Res. 2011;11:211.
STUDY
He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices.
Phipps E, Turkel M, Mackenzie ER, Urrea C. Jt Comm J Qual Patient Saf. 2012;38:127-134.
STUDY
Variations in hospital worker perceptions of safety culture.
Listyowardojo TA, Nap RE, Johnson A. Int J Qual Health Care. 2012;24:9-15.
STUDY
Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.
Taylor JA, Dominici F, Agnew J, Gerwin D, Morlock L, Miller MR. BMJ Qual Saf. 2012;21:101-111.
STUDY
A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals.
Jones KJ, Skinner AM, High R, Reiter-Palmon R. BMJ Qual Saf. 2013;22:394-404.
STUDY
Exploring relationships between hospital patient safety culture and adverse events.
Mardon RE, Khanna K, Sorra J, Dyer N, Famolaro T. J Patient Saf. 2010;6:226-232.
FACT SHEET/FAQS
10 Patient Safety Tips for Hospitals.
Rockville, MD: Agency for Healthcare Research and Quality; Revised December 2009. AHRQ Publication No. 10-M008.
NEWSPAPER/MAGAZINE ARTICLE
5 sure-fire methods: complying with NPSG.03.04.01.
Joint Commission: The Source. January 2012;10:5-6.
STUDY
Effects of learning climate and registered nurse staffing on medication errors.
Chang Y, Mark B. Nurs Res. 2011;60:32-39.
STUDY
Psychometric properties of the Hospital Survey on Patient Safety Culture: findings from the UK.
Waterson P, Griffiths P, Stride C, Murphy J, Hignett S. Qual Saf Health Care. 2010;19:e2.
STUDY
Eradicating medical student mistreatment: a longitudinal study of one institution's efforts.
Fried JM, Vermillion M, Parker NH, Uijtdehaage S. Acad Med. 2012;87:1191-1198.
STUDY
Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase.
Benning A, Dixon-Woods M, Nwulu U, et al. BMJ. 2011;342:d199.
STUDY
Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative.
Benn J, Burnett S, Parand A, Pinto A, Iskander S, Vincent C. J Eval Clin Pract. 2009;15:524-540.
NEWSPAPER/MAGAZINE ARTICLE
Fear of punitive response to hospital errors lingers.
O'Reilly KB. American Medical News. February 20, 2012.
STUDY
Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety.
Etchegaray JM, Thomas EJ. BMJ Qual Saf. 2012;21:490-498.
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