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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 (30)
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Diagnostic Errors (19)
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Identification Errors (18)
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Discontinuities, Gaps, and Hand-Off Problems (46)
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Fatigue and Sleep Deprivation (8)
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Medication Safety (154)
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Medical Complications (105)
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Nonsurgical Procedural Complications (24)
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Epidemiology of Errors and Adverse Events (105)
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Approach to Improving Safety
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Culture of Safety
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Learning Organization (36)
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Health Care Providers (556)
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STUDY
Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study.
Gustafsson M, Wennerholm S, Fridlund B. Intensive Crit Care Nurs. 2010;26:138-145.
STUDY
The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand.
Jirapaet V, Jirapaet K, Sopajaree C. J Obstet Gynecol Neonatal Nurs. 2006;35:746-754.
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.
REVIEW
Patient safety in the NICU: a comprehensive review.
Samra HA, McGrath JM, Rollins W. J Perinat Neonatal Nurs. 2011;25:123-132.
STUDY
A relational leadership perspective on unit-level safety climate.
Thompson DN, Hoffman LA, Sereika SM, et al. J Nurs Adm. 2011;41:479-487.
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.
STUDY
Structural empowerment and patient safety culture among registered nurses working in adult critical care units.
Armellino D, Quinn Griffin MT, Fitzpatrick JJ. J Nurs Manag. 2010;18:796-803.
STUDY
Developing and testing a tool to measure nurse/physician communication in the intensive care unit.
Manojlovich M, Saint S, Forman J, Fletcher CE, Keith R, Krein S. J Patient Saf. 2011;7:72-76.
SPECIAL OR THEME ISSUE
Safety.
Simmons D, ed. Crit Care Nurs Clin North Am. 2010;22:161-290.
STUDY
Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes.
Hughes CM, Lapane KL. Int J Qual Health Care. 2006;18:281-286.
ORGANIZATIONAL POLICY/GUIDELINES
AORN guidance statement: creating a patient safety culture.
AORN J. 2006;83:936-942.
STUDY
Reducing interruptions to improve medication safety.
Freeman R, McKee S, Lee-Lehner B, Pesenecker J. J Nurs Care Qual. 2013;28:176-185.
REVIEW
Communication and teamwork in patient care: how much can we learn from aviation?
Lyndon A. J Obset Gynol Neonatal Nurs. 2006;35:538-546.
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.
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.
COMMENTARY
A model for developing high-reliability teams.
Riley W, Davis SE, Miller KK, McCullough M. J Nurs Manag. 2010;18:556-563.
AUDIOVISUAL
Chasing Zero: Winning the War on Healthcare Harm.
Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.
STUDY
The impact of a tele-ICU on provider attitudes about teamwork and safety climate.
Chu-Weininger MYL, Wueste L, Lucke JF, Weavind L, Mazabob J, Thomas EJ. Qual Saf Health Care. 2010;19:e39.
STUDY
It's always something: hospital nurses managing risk.
Groves PS, Finfgeld-Connett D, Wakefield BJ. Clin Nurs Res. 2012 Dec 4; [Epub ahead of print].
SPECIAL OR THEME ISSUE
Safety in EMS.
Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.
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