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Volumn 19, Issue 6, 2010, Pages

The relationship between external and local governance systems: The case of Health Care Associated Infections and medication errors in one NHS trust

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CROSS INFECTION; HEALTH SERVICES RESEARCH; HUMAN; INTERVIEW; MEDICATION ERROR; NATIONAL HEALTH SERVICE; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PUBLIC HOSPITAL; SAFETY; UNITED KINGDOM;

EID: 78650375293     PISSN: 14753898     EISSN: 14753901     Source Type: Journal    
DOI: 10.1136/qshc.2009.037473     Document Type: Article
Times cited : (9)

References (58)
  • 1
    • 1642392483 scopus 로고    scopus 로고
    • From corporate governance to hospital governance authority, transparency and accountability of Belgian non-profit hospitals' board and management
    • Eeckloo K, Van Herck G, Van Hulle C, et al. From Corporate Governance to Hospital Governance. Authority, transparency and accountability of Belgian non-profit hospitals' board and management. Health Policy 2004;68:1-15.
    • (2004) Health Policy , vol.68 , pp. 1-15
    • Eeckloo, K.1    Van Herck, G.2    Van Hulle, C.3
  • 4
    • 0032482716 scopus 로고    scopus 로고
    • Looking forward: Clinical governance and the drive for quality improvement in the new NHS in England
    • Scally G, Donaldson LJ. Looking forward: Clinical governance and the drive for quality improvement in the new NHS in England. BMJ 1998;317:61-5.
    • (1998) BMJ , vol.317 , pp. 61-5
    • Scally, G.1    Donaldson, L.J.2
  • 5
    • 37148998827 scopus 로고    scopus 로고
    • What makes an outstanding chairman? Findings from the UK non-executive director of the year awards, 2006
    • Dulewicz V, Gay K, Taylor B. What makes an outstanding chairman? Findings from the UK non-executive director of the year awards, 2006. Corporate Governance: An International Review 2007;15:1056-69.
    • (2007) Corporate Governance: An International Review , vol.15 , pp. 1056-69
    • Dulewicz, V.1    Gay, K.2    Taylor, B.3
  • 6
    • 78650388940 scopus 로고    scopus 로고
    • Department of Health. High quality care for all: NHS next stage review report. London: Crown
    • Department of Health. High quality care for all: NHS next stage review report. London: Crown, 2008.
    • (2008)
  • 7
    • 78650342577 scopus 로고    scopus 로고
    • Department of Health. World class commissioning: Competencies. London: Crown
    • Department of Health. World class commissioning: Competencies. London: Crown, 2008.
    • (2008)
  • 8
    • 78650377801 scopus 로고    scopus 로고
    • Department of Health. The statement of NHS accountability. London: Crown
    • Department of Health. The statement of NHS accountability. London: Crown, 2009.
    • (2009)
  • 11
    • 0004225223 scopus 로고    scopus 로고
    • Department of Health, London: Department of Health
    • Department of Health. An organisation with a memory. London: Department of Health, 2000.
    • (2000) An Organisation with a Memory
  • 12
    • 36048990146 scopus 로고    scopus 로고
    • Dr Foster Intelligence, Dr Foster Intelligence
    • Dr Foster Intelligence. The intelligent board. Dr Foster Intelligence, 2006.
    • (2006) The Intelligent Board
  • 14
    • 78650348112 scopus 로고    scopus 로고
    • Research Priority Setting Working Group of the World Alliance for Patient Safety. Summary of the evidence on patient safety: Implications for research. Geneva: World Health Organization
    • Research Priority Setting Working Group of the World Alliance for Patient Safety. Summary of the evidence on patient safety: Implications for research. Geneva: World Health Organization, 2008.
    • (2008)
  • 16
    • 33947584812 scopus 로고    scopus 로고
    • Adaptive regulation or governmentality: Patient safety and the changing regulation of medicine
    • Waring J. Adaptive regulation or governmentality: Patient safety and the changing regulation of medicine. Sociol Health Illn 2007;29:163-79.
    • (2007) Sociol Health Illn , vol.29 , pp. 163-79
    • Waring, J.1
  • 18
    • 77949478210 scopus 로고    scopus 로고
    • Hospital governance and the quality of care
    • Jha AK, Epstein AM. Hospital governance and the quality of care. Health Affairs. 2010;29(1).
    • (2010) Health Affairs , vol.29 , pp. 1
    • Jha, A.K.1    Epstein, A.M.2
  • 21
    • 23944441983 scopus 로고    scopus 로고
    • An international comparison of information in adverse events
    • Gillies A, Howard J. An international comparison of information in adverse events. Int J Health Care Qual Assur 2005;18:343-52.
    • (2005) Int J Health Care Qual Assur , vol.18 , pp. 343-352
    • Gillies, A.1    Howard, J.2
  • 23
    • 84986019111 scopus 로고    scopus 로고
    • Facts, myths and monsters: Understanding the principles of good governance
    • Taylor D. Facts, myths and monsters: Understanding the principles of good governance. Int J Public Sector Manage 2000;13:108-24.
    • (2000) Int J Public Sector Manage , vol.13 , pp. 108-24
    • Taylor, D.1
  • 25
    • 63049093159 scopus 로고    scopus 로고
    • Board oversight of quality: Any differences in process of care and mortality?
    • Jiang H, Lockee C, Bass K, et al. Board oversight of quality: Any differences in process of care and mortality? J Healthc Manage 2009;54:15-30.
    • (2009) J Healthc Manage , vol.54 , pp. 15-30
    • Jiang, H.1    Lockee, C.2    Bass, K.3
  • 26
    • 0037250651 scopus 로고    scopus 로고
    • The roles of senior management in quality improvement efforts: What are the key components?
    • Bradley E, Holmboe E, Mattera J, et al. The roles of senior management in quality improvement efforts: What are the key components? J Healthc Manage 2003;48: 15-28.
    • (2003) J Healthc Manage , vol.48 , pp. 15-28
    • Bradley, E.1    Holmboe, E.2    Mattera, J.3
  • 29
    • 33846048299 scopus 로고    scopus 로고
    • Exploring the relationship between senior management team culture and hospital performance
    • Davies HTO, Mannion R, Jacobs R, et al. Exploring the relationship between senior management team culture and hospital performance. Med Care Res Rev 2007;64: 46-65.
    • (2007) Med Care Res Rev , vol.64 , pp. 46-65
    • Davies, H.T.O.1    Mannion, R.2    Jacobs, R.3
  • 30
    • 27944484837 scopus 로고    scopus 로고
    • Cultural characteristics of 'high' and 'low' performing hospitals
    • Mannion R, Davies H, Marshall M. Cultural characteristics of 'high' and 'low' performing hospitals. J Health Organ Manage 2005;19:431-9.
    • (2005) J Health Organ Manage , vol.19 , pp. 431-439
    • Mannion, R.1    Davies, H.2    Marshall, M.3
  • 33
    • 78650370289 scopus 로고    scopus 로고
    • Office for National Statistics. Fall in deaths linked to C. difficile and MRSA. Newport: Crown
    • Office for National Statistics. Fall in deaths linked to C. difficile and MRSA. Newport: Crown, 2009.
    • (2009)
  • 34
    • 78650329579 scopus 로고    scopus 로고
    • Health Protection Agency, (accessed 2 Sep 2009)
    • Health Protection Agency. Results for quarterly reporting of mandatory surveillance data. 2009. http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/ HPAweb-C/1244763936373 (accessed 2 Sep 2009).
    • (2009) Results for Quarterly Reporting of Mandatory Surveillance Data
  • 35
    • 33846921827 scopus 로고    scopus 로고
    • Epic2: National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England
    • Pratt R, Pellowe C, Wilson J, et al. epic2: National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. J Hosp Infect 2007;65(Suppl 1):s1-s59.
    • (2007) J Hosp Infect , vol.65 , Issue.SUPPL. 1
    • Pratt, R.1    Pellowe, C.2    Wilson, J.3
  • 36
    • 78650324167 scopus 로고    scopus 로고
    • National Patient Safety Agency. Safety in Doses. London: National Patient Safety Agency
    • National Patient Safety Agency. Safety in Doses. London: National Patient Safety Agency, 2007.
    • (2007)
  • 37
    • 0008728138 scopus 로고    scopus 로고
    • Audit Commission, London: Audit Commission
    • Audit Commission. A Spoonful of Sugar. London: Audit Commission, 2001.
    • (2001) A Spoonful of Sugar
  • 38
    • 1242274356 scopus 로고    scopus 로고
    • A review of the literature examining linkages between organizational factors, medical errors, and patient safety
    • Hoff T, Jameson L, Hannan E, et al. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. Med Care Res Rev 2004;61:3-37.
    • (2004) Med Care Res Rev , vol.61 , pp. 3-37
    • Hoff, T.1    Jameson, L.2    Hannan, E.3
  • 39
    • 0037364536 scopus 로고    scopus 로고
    • Adverse events in drug administration: A literature review
    • Armitage G, Knapman H. Adverse events in drug administration: A literature review. J Nurs Manage 2003;11:130-40.
    • (2003) J Nurs Manage , vol.11 , pp. 130-140
    • Armitage, G.1    Knapman, H.2
  • 40
    • 33845907101 scopus 로고    scopus 로고
    • Medication errors in mental healthcare: A systematic review
    • Maidment ID, Lelliott P, Paton C. Medication errors in mental healthcare: A systematic review. Qual Saf Health Care 2006;15:409-13.
    • (2006) Qual Saf Health Care , vol.15 , pp. 409-413
    • Maidment, I.D.1    Lelliott, P.2    Paton, C.3
  • 41
    • 0033187306 scopus 로고    scopus 로고
    • Factors contributing to medication errors: A literature review
    • O'shea E. Factors contributing to medication errors: A literature review. J Clin Nurs 1999;8:496-504.
    • (1999) J Clin Nurs , vol.8 , pp. 496-504
    • O'shea, E.1
  • 42
    • 39749132844 scopus 로고    scopus 로고
    • Raising the awareness of inpatient nursing staff about medication errors
    • Elnour A, Ellahham N, Al Qassas H. Raising the awareness of inpatient nursing staff about medication errors. Pharm World Sci 2008;30:182-190.
    • (2008) Pharm World Sci , vol.30 , pp. 182-190
    • Elnour, A.1    Ellahham, N.2    Al Qassas, H.3
  • 43
    • 33244493122 scopus 로고    scopus 로고
    • Attitudes and barriers to incident reporting: A collaborative hospital study
    • Evans SM, Berry JG, Smith BJ, et al. Attitudes and barriers to incident reporting: A collaborative hospital study. Qual Saf Health Care 2006;15:39-43.
    • (2006) Qual Saf Health Care , vol.15 , pp. 39-43
    • Evans, S.M.1    Berry, J.G.2    Smith, B.J.3
  • 44
    • 34249905609 scopus 로고    scopus 로고
    • Providing feedback to hospital doctors about prescribing errors; a pilot study
    • Franklin BD, O'Grady K, Paschalides C, et al. Providing feedback to hospital doctors about prescribing errors; a pilot study. Pharm World Sci 2007;29:213-20.
    • (2007) Pharm World Sci , vol.29 , pp. 213-220
    • Franklin, B.D.1    O'Grady, K.2    Paschalides, C.3
  • 45
    • 42949116497 scopus 로고    scopus 로고
    • Learning from error: Identifying contributory causes of medication errors in an Australian hospital
    • Nichols P, Copeland T-S, Craib IA, et al. Learning from error: Identifying contributory causes of medication errors in an Australian hospital. Med J Aust 2008;188:276-9.
    • (2008) Med J Aust , vol.188 , pp. 276-279
    • Nichols, P.1    Copeland, T-.S.2    Craib, I.A.3
  • 46
    • 33845288335 scopus 로고    scopus 로고
    • The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK Intensive care unit
    • Sanghera IS, Franklin BD, Dhillon S. The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK Intensive care unit. Anaesthesia 2007;62:53-61.
    • (2007) Anaesthesia , vol.62 , pp. 53-61
    • Sanghera, I.S.1    Franklin, B.D.2    Dhillon, S.3
  • 47
    • 14744284873 scopus 로고    scopus 로고
    • Creating an organizational culture for medication safety
    • Dennison RD. Creating an organizational culture for medication safety. Nurs Clin North Am 2005;40:1-23.
    • (2005) Nurs Clin North Am , vol.40 , pp. 1-23
    • Dennison, R.D.1
  • 48
    • 0035408394 scopus 로고    scopus 로고
    • A systems approach to the reduction of medication error on the hospital ward
    • Anderson DJ, Webster CS. A systems approach to the reduction of medication error on the hospital ward. J Adv Nurs 2001;35:34-41.
    • (2001) J Adv Nurs , vol.35 , pp. 34-41
    • Anderson, D.J.1    Webster, C.S.2
  • 49
    • 33748336878 scopus 로고    scopus 로고
    • Communication and teamwork in patient care: How much can we learn from aviation?
    • Lyndon A. Communication and teamwork in patient care: How much can we learn from aviation? J Obstet Gynecol Neonatal Nurs 2006;35:538-46.
    • (2006) J Obstet Gynecol Neonatal Nurs , vol.35 , pp. 538-546
    • Lyndon, A.1
  • 50
    • 33745250092 scopus 로고    scopus 로고
    • Understanding diagnostic errors in medicine: A lesson from aviation
    • Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: A lesson from aviation. Qual Saf Health Care 2006;15:159-64.
    • (2006) Qual Saf Health Care , vol.15 , pp. 159-164
    • Singh, H.1    Petersen, L.A.2    Thomas, E.J.3
  • 52
    • 78650398582 scopus 로고    scopus 로고
    • Department of Health. The health act 2006: Code of practice for the prevention and control of healthcare associated infections London: Department of Health
    • Department of Health. The health act 2006: Code of practice for the prevention and control of healthcare associated infections. London: Department of Health, 2006.
    • (2006)
  • 53
    • 78650379463 scopus 로고    scopus 로고
    • Department of Health The NHS in England: The operating framework for 2007/2008. London: Department of Health
    • Department of Health. The NHS in England: The operating framework for 2007/ 2008. London: Department of Health, 2006.
    • (2006)
  • 54
    • 78650318950 scopus 로고    scopus 로고
    • Department of Health Building a safer NHS for patients. Improving medication safety. London: Department of Health
    • Department of Health. Building a safer NHS for patients. Improving medication safety. London: Department of Health, 2004.
    • (2004)
  • 55
    • 78650362247 scopus 로고    scopus 로고
    • Royal College of Paediatrics and Child Health. Safer and better medicines for children. Developing the clinical and research base of paediatric pharmacology in the United Kingdom. London: RCPCH
    • Royal College of Paediatrics and Child Health. Safer and better medicines for children. Developing the clinical and research base of paediatric pharmacology in the United Kingdom. London: RCPCH, 2004.
    • (2004)
  • 56
    • 0032521041 scopus 로고    scopus 로고
    • Building measurement and data collection into medical practice
    • Nelson EC, Splaine ME, Batalden PB, et al. Building measurement and data collection into medical practice. Ann Intern Med 1998;128:460-6.
    • (1998) Ann Intern Med , vol.128 , pp. 460-466
    • Nelson, E.C.1    Splaine, M.E.2    Batalden, P.B.3
  • 57
    • 0036793157 scopus 로고    scopus 로고
    • Clinical performance measurement: Part 1dgetting the best out of it
    • Goddard M, Davies H, Dawson D, et al. Clinical performance measurement: Part 1dgetting the best out of it. Royal Soc Med 2002;95:508-10.
    • (2002) Royal Soc Med , vol.95 , pp. 508-510
    • Goddard, M.1    Davies, H.2    Dawson, D.3
  • 58
    • 0037699987 scopus 로고    scopus 로고
    • Adverse drug event trigger tool: A practical methodology for measuring medication related harm
    • Rozich JD, Haraden CR, Resar RK. Adverse drug event trigger tool: A practical methodology for measuring medication related harm. Qual Saf Health Care 2003;12:194-200.
    • (2003) Qual Saf Health Care , vol.12 , pp. 194-200
    • Rozich, J.D.1    Haraden, C.R.2    Resar, R.K.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.