U.S. Department of Health & Human Services
Culture of Safety
PATIENT SAFETY PRIMERS
High-reliability organizations consistently minimize adverse events despite carrying out intrinsically hazardous work...
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Device-related Complications (29)
Diagnostic Errors (20)
Identification Errors (14)
Discontinuities, Gaps, and Hand-Off Problems (43)
Fatigue and Sleep Deprivation (7)
Medication Safety (139)
Medical Complications (103)
Nonsurgical Procedural Complications (21)
Surgical Complications (86)
Transfusion Complications (2)
Psychological and Social Complications (52)
Australia and New Zealand (18)
Central and South America (2)
North America (844)
Clinical Guideline (1)
Journal Article (687)
Newspaper/Magazine Article (97)
Press Release/Announcement (4)
Special or Theme Issue (32)
Web Resource (28)
Epidemiology of Errors and Adverse Events (98)
Active Errors (90)
Latent Errors (129)
Near Miss (16)
Approach to Improving Safety
Culture of Safety
Learning Organization (52)
Red Rules (2)
Institutional Patient Safety Plan (25)
Just Culture (31)
Allied Health Services (4)
Health Care Providers (582)
Health Care Executives and Administrators (907)
Non-Health Care Professionals (519)
Setting of Care
Psychiatric Facilities (5)
Residential Facilities (26)
Ambulatory Care (56)
Outpatient Surgery (5)
Patient Transport (8)
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Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries.
Gaba DM. Calif Manage Rev. 2000;43:1-20.
Organizational culture as a source of high reliability.
Weick KE. Calif Manage Rev. 1987;29:112-127.
Minnesota Hospital Association Statewide Project: SAFE from FALLS.
Apold J, Quigley PA. J Nurs Care Qual. 2012;27:299-306.
Creating a culture of safety.
Bush H. Trustee Magazine. July 2013.
Communication-and-resolution programs: the challenges and lessons learned from six early adopters.
Mello MM, Boothman RC, McDonald T, et al. Health Aff (Millwood). 2014;33:20-29.
Organizational culture and its implications for infection prevention and control in healthcare institutions.
De Bono S, Heling G, Borg MA. J Hosp Infect. 2014;86:1-6.
Patient safety culture transformation in a children's hospital: an interprofessional approach.
Nagelkerk J, Peterson T, Pawl BL, et al. J Interprof Care. 2014;28:358-364.
"Second victim" casualties and how physician leaders can help.
MacLeod L. Physician Exec. Jan-Feb 2014;40:8-12.
Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting.
Patterson ME, Pace HA, Fincham JE. J Patient Saf. 2013;9:129-133.
Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study.
Dixon-Woods M, Baker R, Charles K, et al. BMJ Qual Saf. 2014;23:106-115.
Instituting a culture of professionalism: the establishment of a Center for Professionalism and Peer Support.
Shapiro J, Whittemore A, Tsen LC. Jt Comm J Qual Patient Saf. 2014;40:168-177.
Governing board, C-suite, and clinical management perceptions of quality and safety structures, processes, and priorities in US hospitals.
Vaughn T, Koepke M, Levey S, et al. J Healthc Manag. 2014;59:111-128.
Changing our culture: adopting the military aviation safety system.
Kerber CW. J Neurointerv Surg. 2014;6:332-341
Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals?
Myers JS, Nash DB. Acad Med. 2014 Jul 22; [Epub ahead of print].
Safety organizing, emotional exhaustion, and turnover in hospital nursing units.
Vogus TJ, Cooil B, Sitterding M, Everett LQ. Med Care. 2014 Jun 25; [Epub ahead of print].
SPECIAL OR THEME ISSUE
Front-Line Ownership: Generating a Cure Mindset for Patient Safety.
Kitts J, ed. Healthcare Papers. 2013;13:1-82.
Creating a culture of safety in the emergency department: the value of teamwork training.
Jones F, Podila P, Powers C. J Nurs Adm. 2013;43:194-200.
The relationship between safety culture and patient outcomes: results from pilot meta-analyses.
Groves PS. West J Nurs Res. 2014;36:66-83.
Reducing hospital errors: interventions that build safety culture.
Singer SJ, Vogus TJ. Annu Rev Public Health. 2013;34:373-396.
Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care.
Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA: National Patient Safety Foundation; 2013.
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