Resilience in healthcare and clinical handover

Quality and Safety in Health Care

Volumn 18, Issue 4, 2009, Pages 256-260

  Jeffcott, S A ^a   Ibrahim, J E ^a   Cameron, P A ^a  

^a MONASH UNIVERSITY   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

DOCTOR PATIENT RELATION; HEALTH CARE PERSONNEL; HEALTH CARE PRACTICE; HEALTH CARE QUALITY; PATIENT CARE; PATIENT REFERRAL; PATIENT SAFETY; REVIEW;

HEALTH SERVICES RESEARCH; HUMANS; ORGANIZATIONAL CULTURE; PATIENT TRANSFER; QUALITY ASSURANCE, HEALTH CARE; SAFETY MANAGEMENT;

EID: 69449095524     PISSN: 14753898     EISSN: 14753901     Source Type: Journal    
DOI: 10.1136/qshc.2008.030163     Document Type: Review

References (31)

1. Hollnagel E, Woods, Leveson NG. Resilience engineering. Abingdon: Ashgate, 2006.
2. Alberti KG. Medical errors: a common problem. BMJ 2001;322:501-502
3. Leape LL, Bates DW, Cullen DJ, et al. Systems analysis of adverse drug events. ADE Prevention Study Group. J Am Med Assoc 1995;274:2314-2316
4. Rogers AE, Dean GE, Hwang W-T, et al. Role of registered nurses in error prevention, discovery and correction. Qual Saf Health Care 2008;17:117-121
5. Cook RI, Render M, Woods DD. Gaps: learning how practitioners create safety. BMJ 2000;320:791-794
6. Dekker S. The field guide to understanding human error. London: Ashgate, 2006.
7. Carthey J, DeLeval MR, Reason J. Institutional resilience in healthcare systems. Qual Saf Health Care 2001;10:29-32.
8. Weick KE. Organisational culture as a source of high reliability. Calif Manage Rev 1987;29:112-127
9. Roberts K. Managing high reliability organizations. Calif Manage Rev 1990;32:101-113
10. Shapiro MJ, Jay GD. High reliability organisational change for hospitals: translating tenets for medical professionals. Qual Saf Health Care 2003;12:238-239
11. Hudson P. Applying the lessons of high risk industries to health care. Qual Saf Health Care 2003;12(1 Suppl):i7-12S. (Pubitemid 37533152)
12. Beyea S. High reliability theory and highly reliable organizations. AORN 2005;81:1319-1322
13. Bogner MS. Human error and medicine. Hove: Erlbaum, 1994.
14. Nemeth CP, Cook RI. Reliability versus resilience: what does healthcare really need? In: Dominguez C (chair), ed. Symposium on High Reliability in Healthcare. Proceedings of the Human Factors and Ergonomics Society Annual Meeting, Baltimore, 2007:621-625
15. Weick KE, Sutcliffe KM. Managing the unexpected: assuring high performance in an age of complexity. San Francisco: Jossey-Bass, 2001.
16. Pidgeon NF. Safety culture and risk management in organisation. J Cross-Cult Psychol 1991;22:129-140
17. Reason JT. Managing the risks of organisational accidents. Aldershot: Ashgate, 1997.
18. Clarke S. Safety culture on the UK railway network. Work Stress 1998;12:285-292
19. Weick K, Sutcliffe K, Obstfeld D. Organising for high reliability: processes of collective mindfulness. Res Organ Behav 1999;21:81-123.
20. Petersen LA, Brennan TA, O'Neil AC, et al. Does housestaff discontinuity of care increase the risk for preventable adverse events? Ann Intern Med 1994;121:866-872
21. Arora VJ, Johnson J, et al. Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. Qual Saf Health Care 2005;14:401-407 (Pubitemid 41820063)
22. Jeffcott S, Evans S, et al. Improving measurement in clinical handover. Qual Saf Health Care. In press.
23. Wears RL, Perry SJ, Shapiro M, et al. Shift changes among emergency physicians: best of times, worst of times. Proceedings of the human factors and ergonomics Society 47th Annual Meeting. Denver: Human Factors and Ergonomics Society, 2003:1420-1423
24. Bomba DT, Prakash R. A description of handover processes in an Australian public hospital. Aust Health Rev 2005;29:68-79
25. Wreathall J. Properties of resilient organizations: an initial view. In: Hollnagel E, Woods DD, Leveson N, eds. Resilience engineering: concepts and precepts. Aldershot: Ashgate, 2006:275-285
26. Rasmussen J. Risk management in a dynamic society: a modeling problem. Saf Sci 1997;27:183-213. (Pubitemid 28020542)
27. Woods DD, Patterson ES, Cook RI. Behind human error: Taming complexity to improve patient safety. In: Carayon P, ed. Handbook of human factors and ergonomics in health care and patient safety. Hillsdale: Erlbaum, 2006.
28. Morel G, Amalberti R, Chauvin C. Articulating the differences between safety and resilience: the decision-making process of professional sea-fishing skippers. Human Factors 2008;50:1. (Pubitemid 351346100)
29. Hollnagel E, Nemeth CP, Dekker S, eds. Resilience engineering perspectives: volume 1: remaining sensitive to the possibility of failure. Ashgate studies in resilience engineering. Abingdon: Ashgate, 2008.
30. Meyer J, Batehup L. Action research in health-care practice: nature, present concerns and future possibilities. J Res Nurs 1997;2:175-184
31. Patterson ES, Cook RI, Woods DD, et al. Gaps and resilience. In: Bogner M, ed. Human error in medicine. 2nd edn. Hillsdale: Erlbaum. In press.