Prepared by:
Oregon Health & Science University Evidence-based Practice Center
Portland, Oregon
David H. Hickam, M.D., M.P.H.
Principal Investigator
Susan Severance, M.P.H.
Adrianne Feldstein, M.D., M.S.
Leslie Ray, Ph.D., R.N.
Paul Gorman, M.D.
Sherrie Schuldheis, Ph.D., R.N.
William R. Hersh, M.D.
Kathryn Pyle Krages, A.M.L.S., M.A.
Mark Helfand, M.D., M.S.
EPC Director
File Name Description Software Version File Size ________________________________________________________________________________________________ 01front.doc Microsoft Word® Document MS Word® 2002 52KB 6 pages Contents: Cover, Title Page, Preface, Acknowledgments ________________________________________________________________________________________________ 02abstr.doc Microsoft Word® Document MS Word® 2002 23KB 1 page Contents: Structured Abstract ________________________________________________________________________________________________ 03conts.doc Microsoft Word® Document MS Word® 2002 39KB 3 pages Contents: Table of Contents ________________________________________________________________________________________________ 04summ.doc Microsoft Word® Document MS Word® 2002 61KB 4 pages Contents: Summary: Overview, Reporting the Evidence, Methodology, Findings, Future Research ________________________________________________________________________________________________ 05chap1.doc Microsoft Word® Document MS Word® 2002 96KB 9 pages Contents: Chapter 1. Introduction: Patient Safety and Medical Errors, Purpose and Scope of this Report, Definitions of Working Conditions, Analytic Framework, Key Questions, The Evidence-based Approach, Previous Systematic Reviews ________________________________________________________________________________________________ 06fig1.ppt Microsoft PowerPoint® Presentation MS PowerPoint® 2002 59KB 1 page Contents: Figure 1. Analytic framework ________________________________________________________________________________________________ 07fig2.doc Microsoft PowerPoint® Presentation MS PowerPoint® 2002 187KB 1 page Contents: Figure 2. Model of patient safety ________________________________________________________________________________________________ 08chap2.doc Microsoft Word® Document MS Word® 2002 115KB 6 pages Contents: Chapter 2. Methodology: Literature Search and Selection Methods, Data Abstraction and Synthesis ________________________________________________________________________________________________ 09chap3.doc Microsoft Word® Document MS Word® 2002 673KB 32 pages Contents: Chapter 3. Results: Evidence on the Effects of Working Conditions, Workforce Staffing, Workflow Design, Personal/Social Working Conditions, Physical Environment, Organizational Factors ________________________________________________________________________________________________ 10chap4.doc Microsoft Word® Document MS Word® 2002 60KB 4 pages Contents: Chapter 4. Conclusions: Evidence About the Effects of Healthcare Working Conditions, Key Question 1. Do Working Conditions Affect Patient Outcomes that are Related to Patient Safety? Key Question 2. Do Working Conditions Affect the Rate of Medical Errors? Key Question 3. Do Working Conditions Affect the Rate of Recognition of Medical Errors after They Occur? Key Question 4. Do Working Conditions Affect the Probability that Adverse Events Will Occur Following Detected or Undetected Medical Errors? Key Question 5. Does the Complexity of the Plan of Care Affect Whether Working Conditions Affect Patient Outcomes that are Related to Patient Safety? Key Question 6. Do Working Conditions Affect Measures of Service Quality in Industries Other than Health Care? Clinical and Health Policy Implications of the Findings on the Effects of Healthcare Working Conditions ________________________________________________________________________________________________ 11chap5.doc Microsoft Word® Document MS Word® 2002 58KB 2 pages Contents: Chapter 5. Future Research ________________________________________________________________________________________________ 12refs.doc Microsoft Word® Document MS Word® 2002 166KB 12 pages Contents: References ________________________________________________________________________________________________ 13etbl1.xls Microsoft Excel® Worksheet MS Excel® 2002 41KB 12 pages Contents: Evidence Table 1. Nurse staffing ________________________________________________________________________________________________ 14etbl2.xls Microsoft Excel® Worksheet MS Excel® 2002 20KB 2 pages Contents: Evidence Table 2. Physician volume ________________________________________________________________________________________________ 15etbl3.xls Microsoft Excel® Worksheet MS Excel® 2002 21KB 3 pages Contents: Evidence Table 3. Physician specialty ________________________________________________________________________________________________ 16etbl4.xls Microsoft Excel® Worksheet MS Excel® 2002 26KB 6 pages Contents: Evidence Table 4. Staff experience ________________________________________________________________________________________________ 17etbl5.xls Microsoft Excel® Worksheet MS Excel® 2002 22KB 3 pages Contents: Evidence Table 5. Temporal factors ________________________________________________________________________________________________ 18etbl6.xls Microsoft Excel® Worksheet MS Excel® 2002 27KB 6 pages Contents: Evidence Table 6. Interruptions ________________________________________________________________________________________________ 19etbl7.xls Microsoft Excel® Worksheet MS Excel® 2002 28KB 9 pages Contents: Evidence Table 7. Transitions ________________________________________________________________________________________________ 20etbl8.xls Microsoft Excel® Worksheet MS Excel® 2002 20KB 3 pages Contents: Evidence Table 8. Stress ________________________________________________________________________________________________ 21etbl9.xls Microsoft Excel® Worksheet MS Excel® 2002 21KB 3 pages Contents: Evidence Table 9. Job satisfaction ________________________________________________________________________________________________ 22etbl10.xls Microsoft Excel® Worksheet MS Excel® 2002 23KB 4 pages Contents: Evidence Table 10. Physical environment ________________________________________________________________________________________________ 23etbl11.xls Microsoft Excel® Worksheet MS Excel® 2002 37KB 10 pages Contents: Evidence Table 11. Organizational factors ________________________________________________________________________________________________ 24biblio.doc Microsoft Word® Document MS Word® 2002 304KB 42 pages Contents: Bibliography ________________________________________________________________________________________________ 25appa.doc Microsoft Word® Document MS Word® 2002 61KB 7 pages Contents: Appendix A. Research Team, Expert Panel, Technical Advisory Panel, and Peer Reviewers ________________________________________________________________________________________________ 26appb.doc Microsoft Word® Document MS Word® 2002 78KB 14 pages Contents: Appendix B. Search Strategies ________________________________________________________________________________________________ 27appc.doc Microsoft Word® Document MS Word® 2002 23KB 1 page Contents: Appendix C. Search Results ________________________________________________________________________________________________ 28appd.doc Microsoft Word® Document MS Word® 2002 39KB 3 pages Contents: Appendix D. Data Abstraction Guidelines ________________________________________________________________________________________________
AHRQ Publication No. 03-E031
Current as of May 2003
Internet Citation:
The Effect of Health Care Working Conditions on Patient Safety. File Inventory, Evidence Report/Technology Assessment Number 74. AHRQ Publication No. 03-E031, May 2003. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/clinic/workinv.htm
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