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 (30)
Diagnostic Errors (19)
Identification Errors (15)
Discontinuities, Gaps, and Hand-Off Problems (43)
Fatigue and Sleep Deprivation (8)
Medication Safety (140)
Medical Complications (105)
Nonsurgical Procedural Complications (20)
Surgical Complications (87)
Transfusion Complications (3)
Psychological and Social Complications (50)
Australia and New Zealand (19)
Central and South America (2)
North America (851)
Clinical Guideline (1)
Journal Article (697)
Newspaper/Magazine Article (93)
Press Release/Announcement (4)
Special or Theme Issue (33)
Web Resource (28)
Epidemiology of Errors and Adverse Events (101)
Active Errors (85)
Latent Errors (116)
Near Miss (16)
Approach to Improving Safety
Culture of Safety
Learning Organization (56)
Red Rules (2)
Institutional Patient Safety Plan (28)
Just Culture (28)
Allied Health Services (3)
Health Care Providers (590)
Health Care Executives and Administrators (915)
Non-Health Care Professionals (512)
Setting of Care
Psychiatric Facilities (4)
Residential Facilities (26)
Ambulatory Care (68)
Outpatient Surgery (5)
Patient Transport (8)
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Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.
Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.
A case for safety leadership team training of hospital managers.
Singer SJ, Hayes J, Cooper JB, et al. Health Care Manage Rev. 2011;36:1-13.
Identifying organizational cultures that promote patient safety.
Singer SJ, Falwell A, Gaba DM, et al. Health Care Manage Rev. 2009;34:300-311.
That’s the way we do things around here!
ISMP Medication Safety Alert! Acute Care Edition. February 24, 2011;16:1-2.
Trainees' perceptions of patient safety practices: recounting failures of supervision.
Ross PT, McMyler ET, Anderson SG, et al. Jt Comm J Qual Patient Saf. 2011;37:88-95.
Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project.
Auerbach AD, Sehgal NL, Blegen MA, et al. BMJ Qual Saf. 2012;22:118-126.
Reducing hospital errors: interventions that build safety culture.
Singer SJ, Vogus TJ. Annu Rev Public Health. 2013;34:373-396.
High-reliability health care: getting there from here.
Chassin MR, Loeb JM. Milbank Q. 2013;91:459-490.
Creating a Culture of Patient Safety Workshop.
Virginia Mason Institute.
October 15-17, 2014
; Seattle, WA.
Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study.
Jessee MA, Mion LC. Am J Infect Control. 2013;41:965-970.
Creating a culture of safety.
Bush H. Trustee Magazine. July 2013.
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.
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.
The 2014 Eighth International High Reliability Organizing Conference.
IHRO Institute for High Reliability Organizing. March 28–30, 2014; University of North Texas Health Science Center, Fort Worth, TX.
Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership.
Zaheer S, Ginsburg L, Chuang YT, Grace SL. Health Care Manage Rev. 2013 Dec 30; [Epub ahead of print].
"Second victim" casualties and how physician leaders can help.
MacLeod L. Physician Exec. Jan-Feb 2014;40:8-12.
The relationship between patient safety culture and patient outcomes: a systematic review.
DiCuccio MH. J Patient Saf. 2014 Feb 27; [Epub ahead of print].
Charting the Course: Launching Patient-Centric Healthcare.
Nance JJ, Bartholomew KM. Boseman, MT: Second River Healthcare Press; 2012. ISBN: 9781936406128.
A multidisciplinary approach to reduce central line–associated bloodstream infections.
McMullan C, Propper G, Schuhmacher C, et al. Jt Comm J Qual Patient Saf. 2013;39:61-69.
Promoting a culture of safety as a patient safety strategy: a systematic review.
Weaver SJ, Lubomski LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Ann Intern Med. 2013;158(5 Pt 2):369-374.
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