Errors and the Burden of Errors: Attitudes, Perceptions, and the Culture of Safety in Pediatric Cardiac Surgical Teams

Annals of Thoracic Surgery

Volumn 85, Issue 4, 2008, Pages 1374-1381

  Bognár, Agnes ^a,d   Barach, Paul ^b   Johnson, Julie K ^c   Duncan, Robert C ^d   Birnbach, David ^d   Woods, Donna ^e   Holl, Jane L ^f   Bacha, Emile A ^g  

^a UNIVERSITY OF SZEGED   (Hungary)

^b UNIVERSITY OF SOUTH FLORIDA   (United States)

^c UNIVERSITY OF CHICAGO   (United States)

^d UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE   (United States)

^e NORTHWESTERN UNIVERSITY   (United States)

^f NORTHWESTERN UNIVERSITY   (United States)

^g BOSTON CHILDREN S HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ATTITUDE; CLINICAL PRACTICE; CULTURAL ANTHROPOLOGY; HEALTH CARE POLICY; HEALTH SURVEY; HEART SURGERY; HUMAN; MEDICAL ERROR; MEDICAL INSTRUMENTATION; MEDICAL STAFF; OUTCOME ASSESSMENT; PATIENT CARE; PATIENT SAFETY; PEDIATRIC CARDIOLOGY; PERCEPTION; PERFORMANCE; PRACTICE GUIDELINE; PRIORITY JOURNAL; PSYCHOMETRY; STRESS; TEAMWORK; VIGNETTE; WORK ENVIRONMENT; WORKING TIME;

ADULT; ATTITUDE OF HEALTH PERSONNEL; CARDIAC SURGICAL PROCEDURES; CLINICAL COMPETENCE; FEMALE; HEALTH SERVICES RESEARCH; HUMANS; MALE; MEDICAL ERRORS; MIDDLE AGED; ORGANIZATIONAL CULTURE; PATIENT CARE TEAM; PEDIATRICS; PHYSICIANS; PREOPERATIVE CARE; PSYCHOMETRICS; QUESTIONNAIRES; SAFETY MANAGEMENT; TOTAL QUALITY MANAGEMENT; TREATMENT OUTCOME;

EID: 40849088215     PISSN: 00034975     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.athoracsur.2007.11.024     Document Type: Article

References (25)

1. Nieva V.F., and Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care 12 Suppl 2 (2003) ii17-ii23
2. Thomas E.J., Sherwood G.D., Mulhollem J.L., Sexton J.B., and Helmreich R.L. Working together in the neonatal intensive care unit: provider perspectives. J Perinatol 24 (2004) 552-559
3. Flin R., Fletcher G., McGeorge P., Sutherland A., and Patey R. Anaesthetists' attitudes to teamwork and safety. Anaesthesia 58 (2003) 233-242
4. Sexton J.B., Thomas E.J., and Helmreich R.L. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ 320 (2000) 745-749
5. Edmondson A., Bohmer R., and Pisano G. Speeding up team learning. Harv Bus Rev (2001) 5-11 Oct
6. Mohr J., Batalden P., and Barach P. Integrating patient safety into the clinical microsystem. Qual Saf Health Care 13 Suppl 2 (2004) ii34-ii38
7. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century (2001), National Academy Press, Washington, DC
8. Schein E. Organizational culture. Am Psychol 45 (1996) 109-119
9. Health and Safety Commission (HSC). Organizing for safety; third report of the human factors study group of ACSNI (1993), HSE Books, Sudbury
10. Schneider B., and Goldstein H. The ASA framework: an update. Pers Psychol 40 (1995) 747-773
11. Helmreich R.L., and Merritt A.C. Culture at work in aviation and medicine (2001), Ashgate, Burlington
12. Pronovost P.J., Weast B., Holzmueller C.G., et al. Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. Qual Saf Health Care 12 (2003) 405-410
13. Vincent C. Understanding and responding to adverse events. N Engl J Med 348 (2003) 1051-1056
14. de Leval M.R., Carthey J., Wright D.J., Farewell V.T., and Reason J.T. Human factors and cardiac surgery: a multicenter study. J Thorac Cardiovasc Surg 119 (2000) 661-672
15. Galvan C., Bacha E.A., Mohr J., and Barach P. A human factors approach to understanding patient safety during pediatric cardiac surgery. Progr Pediatr Cardiol 20 (2005) 13-20
16. Woods D.M., Holl J.L., Shonkoff J.P., et al. Child-specific risk factors and patient safety. J Patient Saf 1 (2005) 17-22
17. Sexton J.B., Helmreich R.L., Nellands T.B., et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res 6 (2006) 44
18. Small SD, Barach P. Statewide survey of Massachusetts physician attitudes towards policy and workplace issues of patient safety. American Society of Anesthesiology, Annual Meeting, 2000, San Francisco, CA.
19. Ulleberg P., and Rundmo T. Risk-taking attitudes among young drivers: the psychometric qualities and dimensionality of an instrument to measure young drivers' risk-taking attitudes. Scand J Psychol 43 (2002) 227-237
20. Fleming M. Patient safety culture measurement and improvement: a "how to" guide. Healthc Q 8 Spec No (2005) 14-19
21. Singer S.J., Gaba D.M., Geppert J.J., Sinaiko A.D., Howard S.K., and Park K.C. The culture of safety: results of an organization-wide survey in 15 California hospitals. Qual Saf Health Care 12 (2003) 112-118
22. Gaba D.M., Singer S.J., Sinaiko A.D., Bowen J.D., and Ciavarelli A.P. Differences in safety climate between hospital personnel and naval aviators. Hum Factors 45 (2003) 173-185
23. Vincent C., Taylor-Adams S., and Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ 316 (1998) 1154-1157
24. Kaldjian L.C., Jones E.W., Rosenthal G.E., Tripp-Reimer T., and Hillis S.L. An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors. J Gen Intern Med 21 (2006) 942-948
25. Katzenbach J.R., and Smith D.K. The wisdom of teams: creating the high performance organization (1993), Harvard Business School Press, Cambridge, MA