Creating safety by strengthening clinicians' capacity for reflexivity

BMJ Quality and Safety

Volumn 20, Issue SUPPL. 1, 2011, Pages

  Iedema, Rick ^a  

^a UNIVERSITY OF TECHNOLOGY SYDNEY   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ATTENTION; CLINICAL PRACTICE; FAMILY; FEEDBACK SYSTEM; HEALTH CARE; HUMAN; KNOWLEDGE; PATIENT CARE; PHYSICIAN; PHYSICIAN ATTITUDE; REFLEXIVITY; REVIEW; SAFETY; SIMULATION; VIDEORECORDING;

HEALTH FACILITIES; HEALTH PERSONNEL; HUMANS; INSERVICE TRAINING; PROFESSIONAL COMPETENCE; SAFETY MANAGEMENT; STAFF DEVELOPMENT;

EID: 79958015245     PISSN: 20445415     EISSN: None     Source Type: Journal    
DOI: 10.1136/bmjqs.2010.046714     Document Type: Review

References (28)

1. 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. Mahwah, NJ: Lawrence Erlbaum Associates, 2007:459-76.
2. Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355:2725-32. (Pubitemid 46021509)
3. Australian Commission on Safety and Quality in Health Care. The OSSIE Guide to Clinical Handover Improvement. Sydney: Australian Commission on Safety and Quality in Health Care, 2009.
4. Shepperd S, McClaran J, Phillips C, et al. Discharge planning from hospital to home. Cochrane Database Syst Rev 2010;(1):CD000313. doi:10.1002/14651858.CD000313.pub3.
5. Bosk CL, Dixon-Woods M, Goeschel C, et al. The art of medicine: reality check for checklists. Lancet 2009;374:444-5.
6. Hollnagel E. Resilience: the challenge of the unstable. In: Hollnagel E, Woods DD, Leveson N, eds. Resilience Engineering: Concepts and Precepts. Aldershot: Ashgate Publishing Ltd, 2006:9-18.
7. Suchman LA. Plans and Situated Actions: The Problem of Human - Machine Communication. Cambridge: Cambridge University Press, 1987.
8. Vincent CA. Patient Safety. 2nd edn. Oxford: Wiley-Blackwell, 2010.
9. Gherardi S, Nicolini D. Learning the trade: a culture of safety in practice. Organization 2002;9:191-223. (Pubitemid 36689026)
10. Reason J. Beyond the organizational accident: the need for 'error wisdom' on the frontline. J Qual Safety Health Care 2004;13:28-33.
11. Weick K. Reduction of medical errors through mindful interdependence. In: Sutcliffe K, Rosenthal M, eds. Medical Error. San Francisco: Jossey-Bass, 2004:177-99.
12. Wears RL, Perry SJ, Anders S, et al. Resilience in the emergency department. In: Hollnagel E, Nemeth CP, Dekker SWA, eds. Remaining Sensitive to the Possibility of Failure. Aldershot: Ashgate, 2008:193-210.
13. Turnbull E, Flabouris A, Iedema R. An outsider's perspective of the lifeworld of ICU. Aust Crit Care 2005;18:71-5.
14. Klein G. Sources of Power: How People Make Decisions. Cambridge, MA: MIT Press, 1999.
15. Schön D. The Reflective Practitioner: How Professionals Think in Action. New York: Basic Books, 1983.
16. Mackenzie CF, Xiao Y. Video techniques and data compared with observation in emergency trauma care. J Qual Saf Health Care 2003;12(Suppl II):ii51-7.
17. Forsyth R. Tricky Technology, Troubled Tribes: A Video Ethnographic Study of the Impact of Information Technology on Health Care Professionals' Practices and Relationships (unpublished PhD thesis). Sydney: The University of NSW, 2006.
18. Iedema R, Forsyth R, Georgiou A, et al. Video-research in health: visibilizing the effects of computerizing clinical care. Qual Res J 2007;6:15-30.
19. Carroll K. Unpredictable Predictables: Complexity Theory and the Construction of Order In Intensive Care (unpublished PhD Thesis). Centre for Health Communication, University of Technology Sydney, Sydney, 2009.
20. Iedema R, Long D, Forsyth R, et al. Visibilizing clinical work: video ethnography in the contemporary hospital. Health Sociol Rev 2006;15:156-68.
21. Iedema R, Merrick E, Kerridge R, et al. 'Handover - Enabling Learning in Communication for Safety' (HELiCS): a report on achievements at two hospital sites. Med J Aust 2009;190:S133-6.
22. Iedema R, Merrick E, Rajbhandari D, et al. Viewing the taken-for-granted from under a different aspect: a video-based method in pursuit of patient safety. Int J Mult Res Approach 2009;3:290-301.
23. Iedema R, Rhodes C. An ethics of mutual care in organizational surveillance. Organ Stud 2010;31:199-217.
24. Bate P, Robert G. Bringing User Experience to Healthcare Improvement: The Concepts, Methods and Practices of Experience-Based Design. Oxford: Radcliffe Publishing, 2007.
25. Iedema R, Merrick E, Piper D, et al. Co-design as discursive practice in emergency health services: the architecture of deliberation. J Appl Behav Sci 2010;46:73-91.
26. Iedema R, Sorensen R, Manias E, et al. Patients' and family members' experiences of open disclosure following adverse events. Int J Qual Health Care 2008;20:421-32.
27. Iedema R, Allen S, Britton K, et al. Final Report: The '100 Patient Stories' Project including Indicators of Effective Open Disclosure and Open Disclosure Fundamentals. Sydney: UTS Centre for Health Communication & Australian Commission for Safety and Quality in Health Care, 2010.
28. Iedema R, Braithwaite J, Sorensen R. The reification of numbers: statistics and the distance between self, work and others. BMJ 2003;326:771.