AHRQ Patient Safety Network

Skip Navigation

The Collection > Culture of Safety

Patient Safety Primers icon

PATIENT SAFETY PRIMERS
Safety Culture

Glossary >
Safety Culture: High-reliability organizations consistently minimize adverse events despite carrying out intrinsically hazardous work... Read Full Glossary Entry >

Narrow By

clear selections

Safety Target

•Device-related Complications (31)

•Diagnostic Errors (9)

•Identification Errors (16)

•Discontinuities, Gaps, and Hand-Off Problems (33)

•Fatigue and Sleep Deprivation (6)

•Medication Safety (137)

•Medical Complications (109)

•Nonsurgical Procedural Complications (24)

•Surgical Complications (96)

•Transfusion Complications (3)

•Psychological and Social Complications (34)

Origin/Sponsor

•Australia and New Zealand (15)

•Central and South America (3)

•Europe (111)

•North America (707)

Resource Types

•Audiovisual (11)

•Book/Report (76)

•Clinical Guideline (1)

•Journal Article (579)

•Legislation/Regulation (7)

•Meeting/Conference (12)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (85)

•Press Release/Announcement (3)

•Special or Theme Issue (30)

•Tools/Toolkit (11)

•Web Resource (22)

Error Types

•Epidemiology of Errors and Adverse Events (104)

•Active Errors (56)

•Latent Errors (57)

•Near Miss (14)

Approach to Improving Safety
< All

Culture of Safety

•Learning Organization (28)

•Red Rules (2)

•Institutional Patient Safety Plan (14)

•Just Culture (17)

Clinical Areas

•Allied Health Services (6)

•Complementary and Alternative Medicine (1)

•Dentistry (4)

•Medicine (483)

•Nursing (100)

•Pharmacy (31)

Target Audience

•Health Care Providers (499)

•Health Care Executives and Administrators (751)

•Non-Health Care Professionals (372)

•Patients (50)

Setting of Care

•Hospitals (505)

•Psychiatric Facilities (3)

•Residential Facilities (23)

•Ambulatory Care (48)

•Outpatient Surgery (5)

•Patient Transport (8)

1 - 20 of 856

Show ExcerptDon't Show Excerpt

dropdown

STUDY

classic

An intervention to decrease catheter-related bloodstream infections in the ICU.

Pronovost P, Needham D, Berenholtz S, et al. N Engl J Med. 2006;355:2725-2732.

STUDY

Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists.

Schulman J, Stricof R, Stevens TP, et al; New York State Regional Perinatal Care Centers. Pediatrics. 2011;127:436-444.

STUDY

Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.

Sawyer M, Weeks K, Goeschel CA, et al. Crit Care Med. 2010;38(suppl 8):S292-S298.

STUDY

Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans.

Vigorito MC, McNicoll L, Adams L, Sexton B. Jt Comm J Qual Patient Saf. 2011;37:509-514.

STUDY

Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii.

Lin DM, Weeks K, Holzmueller CG, Pronovost PJ, Pham JC. Jt Comm J Qual Patient Saf. 2013;39:51-60.

COMMENTARY

What went right: lessons for the intensivist from the crew of US Airways Flight 1549.

Eisen LA, Savel RH. Chest. 2009;136:910-917.

PRESS RELEASE/ANNOUNCEMENT classic

classic

AHRQ Patient Safety Project Reduces Bloodstream Infections by 40 Percent.

Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.

STUDY

Implementing and validating a comprehensive unit-based safety program.

Pronovost P, Weast B, Rosenstein B. J Patient Saf. 2005;1:33-40.

STUDY

Real time patient safety audits: improving safety every day.

Ursprung R, Gray JE, Edwards WH, et al. Qual Saf Health Care. 2005;14:284-289.

STUDY

Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program.

Warren DK, Yokoe DS, Climo MW, et al. Infect Control Hosp Epidemiol. 2006;27:8-13.

STUDY

Educational strategy to reduce medication errors in a neonatal intensive care unit.

Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, Valls-i-Soler A. Acta Paediatr. 2009;98:782-785.

STUDY

Eradicating central line–associated bloodstream infections statewide: the Hawaii experience.

Lin DM, Weeks K, Bauer L, et al. Am J Med Qual. 2012;27:124-129.

STUDY

Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit.

Berenholtz SM, Pham JC, Thompson DA, et al. Infect Control Hosp Epidemiol. 2011;32:305-314.

STUDY

Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists.

Bauer P, Hoffmann RG, Bragg D, Scanlon MC. Safety Sci. 2013;53:160-167.

COMMENTARY

Patient safety in the context of neonatal intensive care: research and educational opportunities.

Raju TN, Suresh G, Higgins RD. Pediatr Res. 2011;70:109-115.

COMMENTARY

Creating high reliability in health care organizations.

Pronovost PJ, Berenholtz SM, Goeschel CA, et al. Health Serv Res. 2006;41:1599-1617.

STUDY

Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety.

Etchegaray JM, Thomas EJ. BMJ Qual Saf. 2012;21:490-498.

STUDY

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. J Hosp Med. 2011;6:448-456.

STUDY

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.

STUDY

Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study.

Ballangrud R, Hedelin B, Hall-Lord ML. Intensive Crit Care Nurs. 2012;28:344-354.

1 2 3 4 5 6 7 8 9 10 11 Next >