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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 (27)
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Diagnostic Errors (17)
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Identification Errors (12)
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Discontinuities, Gaps, and Hand-Off Problems (45)
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Fatigue and Sleep Deprivation (8)
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Medication Safety (128)
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Medical Complications (99)
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Nonsurgical Procedural Complications (22)
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Surgical Complications (73)
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Psychological and Social Complications (37)
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Epidemiology of Errors and Adverse Events (90)
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Active Errors (62)
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Latent Errors (70)
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Near Miss (16)
Approach to Improving Safety
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Culture of Safety
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Learning Organization (47)
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Red Rules (2)
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Institutional Patient Safety Plan (22)
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Just Culture (22)
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Allied Health Services (3)
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Health Care Providers (533)
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Health Care Executives and Administrators (792)
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Non-Health Care Professionals (434)
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Patients (51)
Setting of Care
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Hospitals (540)
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BOOK/REPORT
Advances in Patient Safety: From Research to Implementation.
Rockville, MD: Agency for Healthcare Research and Quality; February 2005. AHRQ Publication Nos. 050021 (1-4).
MEETING/CONFERENCE PROCEEDINGS
AHRQ 2009 Annual Conference.
Rockville, MD: Agency for Healthcare Research and Quality; December 2009.
MEETING/CONFERENCE PROCEEDINGS
AHRQ 2008 Annual Conference.
Rockville, MD: Agency for Healthcare Research and Quality; February 2009.
BOOK/REPORT
Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III.
Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2007. ISBN: 9780833042170
BOOK/REPORT
Advancing Patient Safety: A Decade of Evidence, Design, and Implementation.
Rockville, MD; Agency for Healthcare Research and Quality; November 2009. AHRQ Publication No. 09(10)-0084.
BOOK/REPORT
Tennessee Center for Patient Safety Annual Report 2010.
Nashville, TN: Tennessee Center for Patient Safety; August 2011.
MEETING/CONFERENCE PROCEEDINGS
2005 Annual Patient Safety and Health Information Technology Conference: Making the Health Care System Safer through Implementation and Innovation.
Agency for Healthcare Research and Quality. June 6-10, 2005.
BOOK/REPORT
IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.
Geneva, Switzerland: World Health Organization; 2011.
BOOK/REPORT
Patient Safety, 2nd edition.
Vincent C. West Sussex, UK: Wiley-Blackwell; 2010. ISBN: 9781405192217.
SPECIAL OR THEME ISSUE
Patient Safety Papers 5.
Baker GR, ed. Healthc Q. 2010;13:1-136.
BOOK/REPORT
Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance.
Dublin, Ireland: Department of Health & Children, Commission on Patient Safety and Quality Assurance; 2008. ISBN: 9781406421835.
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.
MEETING/CONFERENCE PROCEEDINGS
AHRQ 2007 Annual Conference.
Rockville, MD: Agency for Healthcare Research and Quality; August 2008.
COMMENTARY
Patient safety: moving the bar in prison health care standards.
Stern MF, Greifinger RB, Mellow J. Am J Public Health. 2010;100:2103-2110.
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
Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement.
McCarthy D, Klein S. New York, NY: The Commonwealth Fund; March 15, 2011.
SPECIAL OR THEME ISSUE
Contributions by the Agency for Healthcare Research and Quality and Grantees.
Health Serv Res. 2009;44:623-776.
SPECIAL OR THEME ISSUE
Quality of Anesthesia Care.
Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.
BOOK/REPORT
Commission of Inquiry on Hormone Receptor Testing.
Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.
BOOK/REPORT
Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System.
Farley DO, Ridgely MS, Mendel P, et al. Santa Monica, CA: RAND Corporation; 2009. ISBN: 9780833047748.
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