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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 (12)
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Identification Errors (15)
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Discontinuities, Gaps, and Hand-Off Problems (38)
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Fatigue and Sleep Deprivation (7)
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Medication Safety (137)
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Medical Complications (100)
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Nonsurgical Procedural Complications (22)
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Surgical Complications (89)
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Epidemiology of Errors and Adverse Events (88)
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Active Errors (62)
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Latent Errors (61)
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Near Miss (11)
Approach to Improving Safety
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Culture of Safety
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Learning Organization (31)
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Just Culture (22)
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Health Care Providers (509)
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Non-Health Care Professionals (359)
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Patients (55)
Setting of Care
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Hospitals (549)
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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.
COMMENTARY
A plan for achieving significant improvement in patient safety.
Johnson K, Maultsby CC. J Nurs Care Qual. 2007;22:164-171.
COMMENTARY
Not again!
Berwick DM. BMJ. 2001;322:247-248.
STUDY
The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units.
Vogus TJ, Sutcliffe KM. Med Care. 2007;45:997-1002.
STUDY
Speaking up, being heard: registered nurses' perceptions of workplace communication.
Garon M. J Nurs Manag. 2012;20:361-371.
STUDY
Adoption of National Quality Forum safe practices by magnet hospitals.
Jayawardhana J, Welton JM, Lindrooth R. J Nurs Adm. 2011;41:350-356.
STUDY
Expanding what we know about off-peak mortality in hospitals.
Hamilton P, Mathur S, Gemeinhardt G, Eschiti V, Campbell M. J Nurs Admin. 2010;40:124-128.
STUDY
A secondary care nursing perspective on medication administration safety.
McBride-Henry K, Foureur M. J Adv Nurs. 2007;60:58-66.
STUDY
Reducing interruptions to improve medication safety.
Freeman R, McKee S, Lee-Lehner B, Pesenecker J. J Nurs Care Qual. 2013;28:176-185.
COMMENTARY
A model for developing high-reliability teams.
Riley W, Davis SE, Miller KK, McCullough M. J Nurs Manag. 2010;18:556-563.
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
Patient safety outcomes: the importance of understanding the organizational culture and safety climate.
Ross J. J Perianesth Nurs. 2011;26:347-348.
STUDY
Nurse decision making in the prearrest period.
Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.
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].
COMMENTARY
Failure mode and effect analysis: a technique to prevent chemotherapy errors.
Sheridan-Leos N, Schulmeister L, Hartranft S. Clin J Oncol Nurs. 2006;10:393-398.
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.
COMMENTARY
Is patient safety synonymous with quality nursing care? Should it be? A brief discourse.
Carroll VS. Qual Manag Health Care. 2005;14:229-233.
NEWSPAPER/MAGAZINE ARTICLE
Clear liquids may place patients at risk.
PA-PSRS Patient Saf Advis. December 2005;2:29-31.
COMMENTARY
Relationships among teams, culture, safety, and cost outcomes.
Brewer BB. West J Nurs Res. 2006;28:641-653.
BOOK/REPORT
The Nurse's Role in Medication Safety, Second Edition.
Cima L, Clarke S, eds. Oakbrook Terrace, IL: Joint Commission; 2012. ISBN: 9781599406183.
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