The Effect of Health Care Working Conditions on Patient Safety. Evidence Report/Technology Assessment.

Book/Report

The Effect of Health Care Working Conditions on Patient Safety. Evidence Report/Technology Assessment.

March 6, 2005

Rockville, MD: Agency for Healthcare Research and Quality; March 2003. AHRQ Publication No. 03-E024.

This report summarizes existing scientific evidence on the role health care working conditions play in patient safety efforts.

Summary

Related Resources From the Same Author(s)

Choosing a Patient Safety Organization

March 1, 2020

Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs.

March 6, 2005

Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection: Final Contract Report.

October 10, 2012

Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report.

April 6, 2022

Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report.

April 1, 2009

Your Medicine, Be Smart, Be Safe.

March 6, 2005

Making Healthcare Safer III.

March 18, 2020

Hospital Survey on Patient Safety Culture: 2018 User Database Report.

April 4, 2018

Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report.

April 23, 2014

Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions.

March 27, 2019

Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report.

May 19, 2010

Improving Education—A Key to Better Diagnostic Outcomes.

March 30, 2022

Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report.

April 16, 2008

Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals.

October 17, 2012

Health Care Simulation to Advance Safety: Responding to Ebola and Other Threats.

April 15, 2015

Taking Care of Myself: A Guide for When I Leave the Hospital.

June 2, 2010

Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events.

July 27, 2022

Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005.

December 15, 2021

10 Patient Safety Tips for Hospitals.

November 29, 2006

Blood Thinner Pills: Your Guide to Using Them Safely.

September 21, 2015

Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance.

March 16, 2016

AHRQ Health Information Technology Division's 2017 Annual Report.

May 30, 2018

Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013.

December 10, 2014

Findings and Lessons From the Enabling Patient-Centered Care Through Health IT Grant Initiative.

February 27, 2013

Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative.

November 27, 2013

Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative.

October 9, 2013

Health IT Hazard Manager.

July 11, 2012

AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011.

November 16, 2011

Saving Lives and Saving Money: Hospital-Acquired Conditions Update.

December 9, 2015

2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013.

November 18, 2015

Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program.

December 18, 2013

Advancing Patient Safety: A Decade of Evidence, Design, and Implementation.

December 9, 2009

Findings and Lessons From the Improving Quality Through Clinician Use of Health IT Grant Initiative.

August 28, 2013

Patient and Family Engagement in Primary Care: Case Studies.

June 15, 2016

Physician Burnout.

August 2, 2017

Transitioning Newborns From NICU to Home: A Resource Toolkit.

January 15, 2014

Improved Diagnostic Accuracy Through Probability-Based Diagnosis.

September 28, 2022

Toolkit for Engaging Patients to Improve Diagnostic Safety.

September 8, 2021

Patient Safety and Quality: An Evidence-Based Handbook for Nurses.

April 30, 2008

Eliminating CLABSI: A National Patient Safety Imperative.

May 4, 2011

Mistake-Proofing the Design of Health Care Processes.

May 23, 2007

SOPS Health Information Technology Patient Safety Supplemental Item Set for the Hospital Survey.

March 28, 2018

TeamSTEPPS® for Diagnosis Improvement.

March 23, 2022

Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report.

May 11, 2016

AHRQ Safety Program for Surgery.

January 24, 2018

Calibrate Dx: A Resource to Improve Diagnostic Decisions.

October 19, 2022

National Healthcare Quality and Disparities Report Chartbook on Patient Safety.

March 22, 2023

Medical Office Survey: 2020 User Database Report.

April 28, 2021

Health Literacy Interventions and Outcomes: An Updated Systematic Review.

April 13, 2011

Improving Patient Safety in Long-Term Care Facilities: Training Modules.

August 8, 2012

Reducing Errors in Health Care: Translating Research Into Practice.

March 6, 2005

Advances in Patient Safety: New Directions and Alternative Approaches.

October 8, 2008

Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship.

October 31, 2012

AHRQ's Safety Program for Ambulatory Surgery.

May 1, 2017

Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction.

September 30, 2020

Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives.

August 25, 2010

Costs and Benefits of Health Information Technology.

May 3, 2006

Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings.

January 10, 2018

Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report.

September 22, 2010

Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis.

August 19, 2020

Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report.

March 18, 2020

Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report.

April 17, 2019

Action Planning Tool for the AHRQ Surveys on Patient Safety Culture.

December 5, 2022

National Healthcare Quality and Disparities Report: Chartbook on Patient Safety.

February 17, 2021

Burnout in Primary Care: Assessing and Addressing It in Your Practice.

May 3, 2023

Surveys on Patient Safety Culture Nursing Home Survey: 2023 User Database Report.

February 8, 2023

2022 Updated Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Diagnostic Safety Supplemental Items.

June 1, 2022

AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report.

May 18, 2022

Becoming a High Reliability Organization: Operational Advice for Hospital Leaders.

April 9, 2008

Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report.

April 6, 2011

Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation.

December 14, 2011

Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide.

November 14, 2007

Operational Measurement of Diagnostic Safety: State of the Science.

April 22, 2020

Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments.

February 17, 2021

Malnutrition in Hospitalized Adults: A Systematic Review.

October 27, 2021

AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report.

February 20, 2019

Medical Office Survey on Patient Safety Culture: 2018 User Database Report.

May 2, 2018

Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final Report.

May 25, 2016

Advances in Patient Safety and Medical Liability.

September 6, 2017

Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance.

October 2, 2013

Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign.

September 2, 2015

Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report.

July 22, 2015

Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions.

September 3, 2016

Advances in the Prevention and Control of HAIs.

August 20, 2014

Hospital Survey on Patient Safety Culture: 2009 Comparative Database Report.

June 10, 2009

Surveys on Patient Safety Culture™ (SOPS®) Ambulatory Surgery Center Survey: 2021 User Database Report.

January 12, 2022

Making Health Care Safer: A Critical Analysis of Patient Safety Practices.

March 27, 2005

AHRQ Health Literacy Universal Precautions Toolkit. 2nd edition.

July 1, 2015

Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit.

August 1, 2012

The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science.

October 6, 2021

Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report.

September 14, 2011

Improving the Emergency Department Discharge Process.

January 7, 2015

Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators.

October 5, 2022

Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department.

August 17, 2022

Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report.

November 17, 2010

Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety.

August 16, 2023

Pediatric Diagnostic Safety: State of the Science and Future Directions.

September 13, 2023

Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action.

June 28, 2023

Diagnostic Errors in the Emergency Department: A Systematic Review.

December 21, 2022

Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary.

April 1, 2020

Related Resources

Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action.

June 28, 2023

National Healthcare Quality and Disparities Report Chartbook on Patient Safety.

March 22, 2023

National Healthcare Quality and Disparities Reports.

November 7, 2022

Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department.

August 17, 2022

Malnutrition in Hospitalized Adults: A Systematic Review.

October 27, 2021

The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science.

October 6, 2021

Surveys on Patient Safety Culture(TM) (SOPS®) Hospital Survey 2021 User Database Reports.

March 31, 2021

National Healthcare Quality and Disparities Report: Chartbook on Patient Safety.

February 17, 2021

Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments.

February 17, 2021

Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction.

September 30, 2020

Network of Patient Safety Databases Chartbook, 2020.

September 30, 2020

Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis.

August 19, 2020

Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary.

April 1, 2020

Making Healthcare Safer III.

March 18, 2020

Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report.

March 18, 2020

Network of Patient Safety Databases Chartbook, 2019

February 5, 2020

Patient Safety Organizations: Hospital Participation, Value, and Challenges.

October 16, 2019

Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report.

April 17, 2019

Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions.

March 27, 2019

AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report.

February 20, 2019

AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017.

February 6, 2019

Guidance on Safe Medical Staffing: Report of a Working Party.

August 1, 2018

AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016.

June 13, 2018

AHRQ Health Information Technology Division's 2017 Annual Report.

May 30, 2018

Medical Office Survey on Patient Safety Culture: 2018 User Database Report.

May 2, 2018

Hospital Survey on Patient Safety Culture: 2018 User Database Report.

April 4, 2018

Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014.

March 14, 2018

AHRQ Safety Program for Surgery.

January 24, 2018

Toolkit to Promote Safe Surgery.

January 17, 2018

Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings.

January 10, 2018

See More About The Topic

Health Care Providers

Logistical Approaches

The Effect of Health Care Working Conditions on Patient Safety. Evidence Report/Technology Assessment.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The Effect of Health Care Working Conditions on Patient Safety. Evidence Report/Technology Assessment.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site