Collaborative cross-checking to enhance resilience

Cognition, Technology and Work

Volumn 9, Issue 3, 2007, Pages 155-162

  Patterson, Emily S ^a   Woods, David D ^a   Cook, Richard I ^b   Render, Marta L ^c  

^a OHIO STATE UNIVERSITY   (United States)

^b UNIVERSITY OF CHICAGO   (United States)

^c UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 34547472180     PISSN: 14355558     EISSN: 14355566     Source Type: Journal    
DOI: 10.1007/s10111-006-0054-8     Document Type: Article

References (30)

1. Behara R, Wears R, Perry S, Eisenberg E, Murphy L, Vanderhoef M, Shapiro M, Beach C, Croskerry P, Cosby K (2005) A conceptual framework for studying the safety of transitions in emergency care. Adv Patient Safety 2309-2321
2. Brown JP (2005) Ethical dilemmas in healthcare. In: Patankar M, Brown JP, Treadwell MD (eds) Ethics in safety. Cases from aviation, healthcare, and occupational and environmental health. Ashgate, Burlington VT
3. Carthy J, de Leval MR, Reason JT (2001) Institutional resilience in healthcare systems. Qual Health Care 10:29-32
4. Cook RI, Render ML, Woods DD (2000) Gaps in the continuity of care and progress on patient safety. Br Med J 320:791-794
5. Cook RI, Rasmussen J (2005) Going solid: a model of system dynamics and consequences for patient safety. Qual Safety Health Care 14:130-134
6. de Leval MR, Carthey J, Wright DJ, Farewell VT, Reason JT (2000). Human factors and cardiac surgery: a multicenter study. J Thorac Cardiovasc Surg 119(4 Pt 1):661-672
7. Cooper JB, Long CD, Newbower RS, et al (1982) Critical incidents associated with intraoperative exchanges of anesthesia personnel. Anesthesiology 56(6):456-461
8. Dekker SWA (2005) Ten questions about human error: a new view of human factors and system safety. Lawrence Erlbaum, Hillsdale, NJ
9. Erev I, Gopher D, Itkin R, Greenshpan Y (1995) Toward a generalization of signal detection theory to n-person games: the example of two person safety problem. J Math Psychol 39:360-376
10. Guerlain S, Smith PJ, Obradovich JH, Rudmann S, Strohm P, Smith J, Svirbely J (1996) Dealing with brittleness in the design of expert systems for immunohematology. Immunohematology 12:101-107
11. Hollnagel E (2004) Barriers and accident prevention. Ashgate Publishing, Aldershot
12. Hollnagel E, Woods DD, Leveson N (2006) Resilience engineering: concepts and precepts. Ashgate Publishing, Aldershot
13. Klein GA, Calderwood R, MacGregor D (1989) Critical decision method for eliciting knowledge. IEEE Trans Syst Man Cybern 19(3):462-472
14. Klein G (2006) The strengths and limitations of teams for detecting problems. Cogn Technol Work (in press)
15. Klein G, Pliske R, Crandall B, Woods D (2005) Problem detection. Cogn Technol Work 7(1):14-28
16. Leape L, Cullen DJ, Clapp MD, Burdick E, Demonaco HJ, Erickson JI, Bates DW (1999) Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. JAMA 282:267-270
17. Miller A, Xiao Y (2006) Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre. Cogn Technol Work (in press)
18. Patterson ES, Cook RI, Render ML (2002) Improving patient safety by identifying side effects from introducing bar coding in medication administration. J Am Med Inform Assoc 9(5):540-553
19. Patterson ES, Roth EM, Woods DD, Chow R, Gomes JO (2004) Handoff strategies in settings with high consequences for failure: lessons for health care operations. Int J Qual Health Care 16(2):125-132
20. Patterson ES, Cook RI, Woods DD, Render ML (2004) Examining the complexity behind a medication error: generic patterns in communication. IEEE Trans Syst Man Cybern Part A 34(6):749-756
21. Rasmussen J (1990) The role of error in organizing behavior. Ergonomics 33:1185-1199
22. Sarter N (2000) Error types and related error detection mechanisms in the aviation domain: an analysis of aviation safety reporting system incident reports. Int J Aviat Psychol 10(2):189-195
23. Sutcliffe K, Vogus T (2003) Organizing for resilience. In: Cameron KS, Dutton IE, Quinn RE (eds) Positive organizational scholarship. Berrett-Koehler, San Francisco, pp 94-110
24. Uhlig PN, Brown J, Nason AK, Camelio A, Kendall E (2002) System innovation: concord hospital. Jt Comm J Qual Improv 28(12):666-672
25. Weick KE, Sutcliffe KM, Obstfeld D (1999) Organizing for high reliability: processes of collective mindfulness. Res Org Behav 21:13-81
26. Westrum R (2006) A typology of resilience situations. In: Hollnagel E, Woods DD, Leveson N (eds) Resilience engineering. Ashgate, Aldershott, pp 55-67
27. Williams PS (1986) Processing demands, training, and the vigilance decrement. Hum Factors 28:567-579
28. Woods DD (2005) Creating foresight: lessons for resilience from Columbia. In: Starbuck WH, Farjoun M (eds) Organization at the limit: NASA and the Columbia disaster. Blackwell
29. Woods DD, Shattuck LG (2000) Distant supervision-local action given the potential for surprise. Cogn Technol Work 2:86-96
30. Woods DD, O'Brien J, Hanes LF (1987) Human factors challenges in process control: the case of nuclear power plants. In: Salvendy G (ed) Handbook of human factors/ergonomics. Wiley, New York