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Organization Culture

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Leadership involvement in patient safety

The Common Wealth Fund: Patient Safety Publications
Commit to Patient Safety by Creating a Patient Safety Program
Strategies for Building a Hospitalwide Culture of Safety: Building and Sustaining a Systemwide Culture of Safety
Joint Commission Journal: Patient Safety Leadership WalkRoundsTM
The World Medical Association Declaration On Patient Safety
Creating an Integrated Patient Safety Team
Sentara Norfolk General Hospital: Accelerating Improvement by Focusing on Building a Culture of Safety
Senior Executive Adopt-a-Work Unit: A Model for Safety Improvement
Leadership Guide to Patient Safety
Strategies for Leadership: Hospital Executives and Their Role in Patient Safety
IHI: Patient Safety Leadership WalkRounds
Senior Executive Adopt-a-Work Unit
Culture of Safety, ECRI Healthcare Risk Control
Chapter 40 Promoting a Culture of Safety, Making Health Care Safer, AHRQ
Interventions to Improve Safety Culture, GA Hosp.Assoc/Emory Center
Discipline-Specific Role in Safety: Engaging Physicians in Safety Initiatives
Leadership Walkrounds™ Enhance Culture of Patient Safety
Patient Safety Committees: The Foundation of a Safety Culture

Assessment of organization culture

Physician Practice Patient Safety Assessment (PPPSA)
Hospital Survey on Patient Safety Culture
Safety Culture Assessment : A tool for improving Patient Safety
Premier Customized Data Tool for Using AHRQ Survey

Managing Hierarchy/intimidation

Intimidation: Practitioners Speak Up About This Unresolved Problem
Problem Doctors: Is There a System-Level Solution?

Reporting/learning from adverse events

JCR: Near Miss Procedure and Report
JCR: Occurrence Reporting
Consistently Reporting Sentinel Events
What Every Health Care Organization Should Know about Sentinel Events
Communication to Reduce and Respond to Medical Errors
Committee of Experts on Management of Safety and Quality in Health Care (SP-SQS) Expert Group on Safe Medication Practices Glossary of terms related to patient and medication safety
UK: A safer place for patients: learning to improve patient safety
WHO Draft Guidelines for Adverse Event Reporting & Learning Systems
When Things Go Wrong:  Responding to Adverse Events: A Consensus Statement of the Harvard Hospitals
Voluntary Anonymous Reporting of Medical Errors for Neonatal Intensive Care

Proactive risk assessment/risk reduction

Infection Control in Medication Storage Bins
Physician Practice Patient Safety Assessment (PPPSA)
Taking a Patient Safety Approach to an Integration of Two Hospitals
Featured Form: Improving the Use of Infusion Pumps
Using Health Care Failure Mode and Effect Analysis(HFMEA)
Basics of Healthcare FMEA
VA NCPS HFMEA Worksheets Step 1 & 2
HFMEA Worksheets Steps 4 & 5
Leadership Walkrounds™ Enhance Culture of Patient Safety
Patient Safety Committees: The Foundation of a Safety Culture
Failure Mode, Effect, Criticality Analysis Resources, JCAHO

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