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 (15)
Identification Errors (17)
Discontinuities, Gaps, and Hand-Off Problems (52)
Fatigue and Sleep Deprivation (8)
Medication Safety (158)
Medical Complications (104)
Nonsurgical Procedural Complications (20)
Surgical Complications (111)
Transfusion Complications (3)
Psychological and Social Complications (49)
Australia and New Zealand (13)
Central and South America (3)
North America (786)
Clinical Guideline (1)
Journal Article (670)
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Special or Theme Issue (32)
Web Resource (22)
Epidemiology of Errors and Adverse Events (99)
Active Errors (85)
Latent Errors (99)
Near Miss (18)
Approach to Improving Safety
Culture of Safety
Learning Organization (32)
Red Rules (2)
Institutional Patient Safety Plan (19)
Just Culture (24)
Allied Health Services (5)
Complementary and Alternative Medicine (1)
Health Care Providers (578)
Health Care Executives and Administrators (840)
Non-Health Care Professionals (450)
Setting of Care
Psychiatric Facilities (4)
Residential Facilities (26)
Ambulatory Care (64)
Outpatient Surgery (5)
Patient Transport (10)
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Creating a culture of safety by using checklists.
Huang L, Kim R, Berry W. AORN J. 2013;97:365-368.
Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.
Espin S, Levinson W, Regehr G, Baker GR, Lingard L. Surgery. 2006;139:6-14.
Communication practices on 4 Harvard surgical services: a surgical safety collaborative.
ElBardissi AW, Regenbogen SE, Greenberg CC, et al. Ann Surg. 2009;250:861-865.
Patient safety in the dialysis facility.
Kliger AS. Blood Purif. 2006;24:19-21.
A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies.
Singh R, Naughton B, Taylor JS, et al. Med Educ. 2005;39:1195-1204.
Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education.
Clayman MA, Clayman SM, Steele MH, Seagle MB. Ann Plastic Surg. 2007;58:288-291.
Chasing Zero: Winning the War on Healthcare Harm.
Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.
The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units.
Thomas EJ, Sexton JB, Neilands TB, Frankel A, Helmreich RL. BMC Health Serv Res. 2005;5:28.
Medication safety infrastructure in critical-access hospitals in Florida.
Winterstein AG, Hartzema AG, Johns TE, et al. Am J Health Syst Pharm. 2006;63:442-450.
The normalization of deviance: what are the perioperative risks?
McNamara SA. AORN J. 2011;93:796-801.
Passing the "Yo' Mama" test.
Blair R. Health Manage Tech. June 2006;27:16.
Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation.
Rask K, Culler S, Scott T, et al. J Hosp Med. 2007;2:212-218.
Patient Safety First.
AORN, Inc., 2170 South Parker Rd, Suite 300, Denver, CO 80231-5711.
SPECIAL OR THEME ISSUE
Plastic Surg Nurs. 2006;26:111-170.
Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.
Oakbrook Terrace, IL: The Joint Commission; November 2008.
Bridging the communication gap in the operating room with medical team training.
Awad SS, Fagan SP, Bellows C, et al. Am J Surg. 2005;190:770-774.
Trends influencing the cost of care and patient safety.
Clark R. Health Manage Tech. July 2006:18, 20-21.
SPECIAL OR THEME ISSUE
Quality of Anesthesia Care.
Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.
Patient safety climate among orthopaedic surgery residents.
Kadzielski J, McCormick F, Zurakowski D, Herndon JH. J Bone Joint Surg Am. 2011;93:e621-e626.
Implementing and validating a comprehensive unit-based safety program.
Pronovost P, Weast B, Rosenstein B. J Patient Saf. 2005;1:33-40.
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