Comparing safety climate in naval aviation and hospitals: Implications for improving patient safety

Health Care Management Review

Volumn 35, Issue 2, 2010, Pages 134-146

  Singer, Sara J ^a,b   Rosen, Amy ^c   Zhao, Shibei ^d   Ciavarelli, Anthony P ^e   Gaba, David M ^b  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b STANFORD UNIVERSITY   (United States)

^c BOSTON UNIVERSITY SCHOOL OF PUBLIC HEALTH   (United States)

^d VETERANS AFFAIRS MEDICAL CENTER   (United States)

^e Human Factors Associates Inc   (United States)

Author keywords

Aviation; Hospitals; Industry comparison; Safety climate; Safety culture; Survey research

Indexed keywords

ARTICLE; AVIATION; COMPARATIVE STUDY; HEALTH PERSONNEL ATTITUDE; HOSPITAL MANAGEMENT; HOSPITAL PERSONNEL; HUMAN; MEDICINE; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PATIENT SAFETY; SAFETY; SOLDIER; UNITED STATES;

ATTITUDE OF HEALTH PERSONNEL; AVIATION; HOSPITAL ADMINISTRATION; HUMANS; MILITARY PERSONNEL; NAVAL MEDICINE; ORGANIZATIONAL CULTURE; PATIENT SAFETY; PERSONNEL, HOSPITAL; SAFETY; UNITED STATES;

EID: 77949640754     PISSN: 03616274     EISSN: None     Source Type: Journal    
DOI: 10.1097/HMR.0b013e3181c8b20c     Document Type: Article

References (44)

1. Adler, P. S., & Borys, B. (1996). Two types of bureaucracy: Enabling and coercive. Administrative Science Quarterly, 41(1), 61.
2. Bogner, M. (1994). Human error in medicine. Hillsdale, NJ: Lawrence Erlbaum Associates.
3. Castle, N. G., Handler, S., Engberg, J., & Sonon, K. (2007). Nursing home administrators' opinions of the resident safety culture in nursing homes. Health Care Management Review, 32(1), 66.
4. Ciavarelli, A. P. (2007). Assessing safety climate and organizational risk. Proceedings of the 51st Human Factors and Ergonomics Society Annual Meeting, Baltimore, MD.
5. Ciavarelli, A. P., & Crowson, J. (2004). Organizational factors in accident risk assessment. Proceedings of the 2nd Annual Conference on Safety in High-Hazard Industries, St Louis University.
6. Cooper, J., Newbower, R., Long, C., & McPeek, B. (1978). Preventable anesthesia mishaps: A study of human factors. Anesthesiology, 49, 399-406.
7. Flin, R., Burns, C., Mearns, K., Yule, S., & Robertson, E. M. (2006). Measuring safety climate in health care. Quality & Safety in Health Care, 15(2), 109-115.
8. Frankel, A., Grillo, S. P., Pittman, M., Thomas, E. J., Horowitz, L., Page, M., et al. (2008). Revealing and resolving patient safety defects: The impact of leadership walkrounds on frontline caregiver assessments of patient safety. Health Service Research, 43(6), 2050-2066.
9. Gaba, D. (1994). Human error in dynamic medical environments. In M. Bogner (Ed.), Human error in medicine. Hillsdale, NJ: Lawrence Erlbaum Associates.
10. Gaba, D. (2007). Out of this nettle, danger, we pluck this flower, safety: Healthcare vs. aviation and other high hazard industries. Simulation in Healthcare, 2, 213-217.
11. Gaba, D., Maxwell, M., & DeAnda, A. (1987). Anesthetic mishaps: Breaking the chain of accident evolution. Anesthesiology, 66, 670-676.
12. Gaba, D., Singer, S., Sinaiko, A., Bowen, J., & Ciavarelli, A. P. (2003). Differences in safety climate between hospital personnel and navy aviators. Human Factors, 45(2), 173-185.
13. Gaba, D. M. (2000). Structural and organizational issues in patient safety: A comparison of health care to other highhazard industries. California Management Review, 43(1), 83-102.
14. Gaba, D. M., Singer, S. J., & Rosen, A. K. (2007). Safety culture: Is the "unit" the right "unit of analysis?" Critical Care Medicine, 35(1), 314-316.
15. Gosbee, J. (2002). Human factors engineering and patient safety. Quality & Safety in Health Care, 11(4), 352-354.
16. Hartmann, C., Rosen, A., Meterko, M., Shokeen, P., Zhao, S., Singer, S., et al. (2008). An overview of patient safety climate in the VA. Health Services Research, 43(4), 1263-1284.
17. Helmreich, R. (2000). On error management: Lessons from aviation. BMJ, 320(7237), 781-785.
18. Hofmann, D. A., & Mark, B. (2006). An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes. Personnel Psychology, 59(4), 847-869.
19. Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.
20. Joint Commission. (2005). Joint Commission guide to improving staff communication. Oakbrook Terrace, IL: Author.
21. Leape, L. L. (1994). Error in medicine. JAMA, 272(23), 1851-1857.
22. Lin, L., Vicente, K. J., & Doyle, D. J. (2001). Patient safety, potential adverse drug events, and medical device design: A human factors engineering approach. Journal of Biomedical Informatics, 34, 274-284.
23. Naveh, E., Katz-Navon, T., & Stern, Z. (2005). Treatment errors in healthcare: A safety climate approach. Management Science, 51(6), 948-960.
24. Neal, A., & Griffin, M. A. (2006). A study of the lagged relationships among safety climate, safety motivation, safety behavior, and accidents at the individual and group levels. Journal of Applied Psychology, 91(4), 946-953.
25. Ostroff, C., Kinicki, A. J., & Tamkins, M. M. (2003). Organizational culture and climate. In W. C. Borman, D. R. Ilgen, R. J. Klimoski (Eds.), Handbook of psychology: Vol.12. Industrial and organizational psychology. Hoboken, NJ: John Wiley & Sons, Inc.
26. Pronovost, P. J., Berenholtz, S. M., Goeschel, C. A., Needham, D. M., Sexton, J. B., Thompson, D. A., et al. (2006). Creating high reliability in health care organizations. Health Services Research, 41(4 Pt 2), 1599-1617.
27. Pronovost, P. J., Weast, B., Bishop, K., Paine, L., Griffith, R., Rosenstein, B. J., et al. (2004). Senior executive adopta-work unit: A model for safety improvement. Joint Commission Journal on Quality and Safety, 30(2), 59-68.
28. Reason, J. (2000). Human error: Models and management. BMJ, 320(7237), 768-770.
29. Roberts, K. H., Madsen, P., Desai, V., & Van Stralen, D. (2005). A case of the birth and death of a high reliability healthcare organisation. Quality & Safety in Health Care, 14(3), 216-220.
30. Roberts, K. H., & Tadmor, C. T. (2002). Lessons learned from non-medical industries: The tragedy of the USS Greeneville. Quality & Safety in Health Care, 11(4), 355-357.
31. Sexton, J. B., Helmreich, R. L., Neilands, T. B., Rowan, K., Vella, K., Boyden, J., et al. (2006). The Safety Attitudes Questionnaire: Psychometric properties, benchmarking data, and emerging research. BMC Health Services Research, 6(44).
32. Singer, S., Hartmann, C., Hanchate, A., Zhao, S., Meterko, M., Shokeen, P., et al. (2009). Comparing safety climate between two populations of hospitals in the US. Health Services Research, 44(5, Part I), 1563-1584.
33. Singer, S. J., Falwell, A., Gaba, D., & Baker, L. C. (2008). Hospital patient safety climate: Variation by management level. Medical Care, 46(11), 1149-1156.
34. Singer, S. J., Gaba, D., Falwell, A., Lin, S., Hayes, J., & Baker, L. C. (2009). Patient safety climate in 92 US hospitals: Differences by work area and discipline. Medical Care, 47(1), 23-31.
35. Singer, S. J., Gaba, D. M., Geppert, J. J., Sinaiko, A. D., Howard, S. K., & Park, K. C. (2003). The culture of safety in California hospitals. Quality and Safety in Health Care, 12(2), 112-118.
36. Singer, S. J., Lin, S., Falwell, A., Gaba, D., & Baker, L. C. (2009). Relationship of safety climate and safety performance in hospitals. Health Services Research, 44(2, Part I), 399-421.
37. Singer, S. J., Meterko, M., Baker, L., Gaba, D. M., Falwell, A., & Rosen, A. (2007). Workforce perceptions of hospital safety culture: Development and validation of the Patient Safety Climate in Healthcare Organizations survey. Health Services Research, 42(5), 1999-2021.
38. Sorra, J., Famolaro, T., Dyer, N., Nelson, D., & Khanna, K. (2009). Hospital Survey on Patient Safety Culture: 2009 Comparative Database Report (Prepared by Westat, Rockville, MD, under contract No. HHSA 290200710024C; AHRQ Publication No. 09-0030). Rockville,MD: Agency for Healthcare Research and Quality.
39. Tamuz, M., & Harrison, M. I. (2006). Improving patient safety in hospitals: Contributions of high-reliability theory and normal accident theory. Health Services Research, 41(4 Pt 2), 1654-1676.
40. Tucker, A. L., Singer, S. J., Hayes, J. E., & Falwell, A. (2008). Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. Health Services Research, 43(5 Pt 2), 1807-1829.
41. Vogus, T. J., & Sutcliffe, K. M. (2007). The Safety Organizing Scale: Development and validation of a behavioral measure of safety culture in hospital nursing units. Medical Care, 45(1), 46-54.
42. Weick, K. E., & Sutcliffe, K. M. (2003). Hospitals as cultures of entrapment: A re-analysis of the Bristol Royal Infirmary. California Management Review, 45(2), 73.
43. Weinger, M., & Englund, C. (1990). Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. Anesthesiology, 73, 995-1021.
44. Xiao, Y., Hunter, W., Mackenzie, C. F., Jefferies, N. J., Horst, R. L., & Group, L. (1996). Task complexity in emergency medical care and its implications for team coordination. Human Factors, 38, 636-645.