Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program

Anesthesia and Analgesia

Volumn 106, Issue 2, 2008, Pages 574-584

  Cooper, Jeffrey B ^a,b   Blum, Richard H ^b,c   Carroll, John S ^d   Dershwitz, Mark ^e   Feinstein, David M ^b,f   Gaba, David M ^g   Morey, John C ^h   Singla, Aneesh K ^a,b  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c BOSTON CHILDREN S HOSPITAL   (United States)

^d MASSACHUSETTS INSTITUTE OF TECHNOLOGY   (United States)

^e UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

^f BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

^g STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^h RSL 335 ^*

Author keywords

[No Author keywords available]

Indexed keywords

ANESTHESIA; ANESTHESIST; ARTICLE; EDUCATION PROGRAM; FACTORIAL ANALYSIS; HUMAN; MEDICAL EDUCATION; MEDICAL PRACTICE; PATIENT SAFETY; PRIORITY JOURNAL; RATING SCALE; RESIDENT; SIMULATION; TEACHING HOSPITAL;

EID: 38549139501     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ane.0000296462.39953.d3     Document Type: Article

References (27)

1. Carroll JS, Quijada MA. Redirecting traditional professional values to support safety: changing organisational culture in health care. Qual Saf Health Care 2004;13 Suppl 2:ii16-21
2. Schein EH. Organizational culture and leadership. 2nd ed. San Francisco: Jossey-Bass, 1992
3. Flin R, Mearns K, O-Connor P, Bryden R. Measuring safety climate: identifying the common features. Saf Sci 2000;1-3:177-92
4. Singla AK, Kitch BT, Weissman JS, Campbell EG. Assessing patient safety culture: a review and synthesis of the measurement tools. J Patient Saf 2006;2:105-15
5. Singer SJ, Gaba DM, Geppert JJ, Sinaiko AD, Howard SK, Park KC. The culture of safety: results of an organization-wide survey in 15 California hospitals. Qual Saf Health Care 2003;12:112-8
6. Gershon RR, Stone PW, Bakken S, Larson E. Measurement of organizational culture and climate in healthcare. J Nurs Adm 2004;34:33-40
7. Makary MA, Sexton JB, Freischlag JA, Millman EA, Pryor D, Holzmueller C, Pronovost PJ. Patient safety in surgery. Ann Surg 2006;243:628-32, discussion 32-5
8. Colla JB, Bracken AC, Kinney LM, Weeks WB. Measuring patient safety climate: a review of surveys. Qual Saf Health Care 2005;14:364-6
9. Sexton JB, Helmreich RL, Neilands TB, Rowan K, Vella K, Boyden J, Roberts PR, Thomas EJ. The safety attitudes questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res 2006;6:44
10. Sexton JB, Holzmueller CG, Pronovost PJ, Thomas E J, McFerran S, Nunes J, Thompson DA, Knight AP, Penning DH, Fox HE. Variation in caregiver perceptions of teamwork climate in labor and delivery units. J Perinatol 2006;26:463-70
11. Sexton JB, Makary MA, Tersigni AR, Pryor D, Hendrich A, Thomas EJ, Holzmueller CG, Knight AP, Wu Y, Pronovost PJ. Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Anesthesiology 2006;105:877-84
12. Flin R, Fletcher G, McGeorge P, Sutherland A, Patey R. Anaesthetists' attitudes to teamwork and safety. Anaesthesia 2003;58:233-42
13. Howard S, Gaba D, Fish K, Yang G, Sarnquist FH. Anesthesia crisis resource management training: teaching anesthesiologists to handle critical incidents. Aviat Space Environ Med 1992;63:763-70
14. Blum RH, Raemer DB, Carroll JS, Sunder N, Feinstein DM, Cooper JB. Crises resource management training for anaesthesia faculty: a new approach to continuing education. Med Educ 2004;38:45-55
15. Holzman R, Cooper J, Gaba D, Philip JH, Small SD, Feinstein D. Anesthesia crisis resource management: real-life simulation training in operating room crises. J Clin Anesth 1995;7:675-87
16. Nunnally JC. Psychometric theory. 2nd ed. New York: McGraw-Hill, 1978
17. Olejnik S, Algina J. Generalized eta and omega squared statistics: measures of effect size for some common research designs. Psychol Meth 2003;3:434-47
18. Sexton JB, Thomas EJ, Helmreich RL. Error, stress, and team-work in medicine and aviation: cross sectional surveys. BMJ 2000;320:745-9
19. Nieva VF, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care 2003;12 Suppl 2:ii17-23
20. Alvarado CJ, Carayon P, Hundt AS. Patient safety climate (PSC) in outpatient surgery centers - Part Two, Proceedings of the Human Factors and Ergonomics Society 49th Meeting, 2005, Orlando, FL
21. Kotter JP. Leading change. Boston: Harvard Business School Press, 1996
22. Pronovost PJ, Weast B, Holzmueller CG, Rosenstein BJ, Kidwell RP, Haller KB, Feroli ER, Sexton JB, Rubin HR. Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. Qual Saf Health Care 2003;12:405-10
23. Makary MA, Sexton JB, Freischlag JA, Holzmueller CG, Millman EA, Rowen L, Pronovost PJ. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Coll Surg 2006;202:746-52
24. Kho ME, Carbone JM, Lucas J, Cook DJ. Safety climate survey: reliability of results from a multicenter ICU survey. Qual Saf Health Care 2005;14:273-8
25. Thomas EJ, Sexton JB, Helmreich, RL. Discrepant attitudes about teamwork among critical care nurses and physicians. Crit Care Med 2003;31:956-9
26. Gaba DM, Singer SJ, Sinaiko AD, Bowen JD, Ciavarelli AP. Differences in safety climate between hospital personnel and naval aviators. Hum Factors 2003;45:173-85
27. Gaba D, Fish K, Howard S. Crisis Management in Anesthesiology. Philadelphia: Churchill Livingstone, 1994