The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units

Journal of Nursing Administration

Volumn 41, Issue 7-8 SUPPL., 2011, Pages

  Vogus, Timothy J ^a   Sutcliffe, Kathleen M ^b  

^a VANDERBILT UNIVERSITY   (United States)

^b UNIVERSITY OF MICHIGAN   (United States)

Author keywords

high reliability; patient safety; reported medication errors; safety culture; safety organizing

Indexed keywords

ARTICLE; CLINICAL PATHWAY; CLINICAL TRIAL; CROSS-SECTIONAL STUDY; HEALTH CARE SURVEY; HOSPITAL ORGANIZATION; HUMAN; LEADERSHIP; MEDICATION ERROR; MULTICENTER STUDY; MULTIVARIATE ANALYSIS; NURSING STAFF; ORGANIZATION; ORGANIZATION AND MANAGEMENT; POISSON DISTRIBUTION; RISK MANAGEMENT; STATISTICS; TRUST; UNITED STATES;

CRITICAL PATHWAYS; CROSS-SECTIONAL STUDIES; HEALTH CARE SURVEYS; HUMANS; LEADERSHIP; MEDICATION ERRORS; MEDICATION SYSTEMS; MULTIVARIATE ANALYSIS; NURSING STAFF, HOSPITAL; ORGANIZATIONAL CULTURE; POISSON DISTRIBUTION; RISK MANAGEMENT; TRUST; UNITED STATES;

EID: 80051763232     PISSN: 00020443     EISSN: None     Source Type: Journal    
DOI: 10.1097/NNA.0b013e318221c368     Document Type: Article

References (46)

1. LaPorte TR, Consolini PM. Working in practice but not in theory: theoretical challenges of 'high reliability organizations'. J Public Adm Res Theor. 1991;1:19-47.
2. Schulman PR. The negotiated order of organizational reliability. Adm Soc. 1993;25:353-372.
3. Weick KE, Sutcliffe KM. Managing the Unexpected: Assuring High Performance in an Age of Complexity. San Francisco, CA: Jossey-Bass; 2001.
4. Weick KE, Sutcliffe KM, Obstfeld D. Organizing for high reliability: processes of collective mindfulness. In: Staw BM, Cummings LL, eds. Research in Organizational Behavior. Greenwich, CT: JAI Press, Inc.; 1999:81-123.
5. Roberts KH, Madsen P, Desai V, et al. A case of the birth and death of a high reliability healthcare organization. Qual Saf Health Care. 2005; 14:216-220. (Pubitemid 40834925)
6. Wilson KA, Burke CS, Priest HA, et al. Promoting health care safety through training high reliability teams. Qual Saf Health Care. 2005;14: 303-309. (Pubitemid 41133187)
7. Vogus TJ, Sutcliffe KM. The safety organizing scale: development and validation of a behavioral measure of safety culture in hospital nursing units. Med Care. 2007;45:46-54.
8. Tamuz M, Harrison MI. Improving patient safety in hospitals: contributions of high-reliability and normal accident theory. Health Serv Res. 2006;41:1654-1676. (Pubitemid 44114587)
9. MacDuffie JP. Human resource bundles and manufacturing performance: organizational logic and flexible production systems in the world auto industry. Ind Labor Relat Rev. 1995;48:147-169.
10. Ichniowski C, Shaw K, Prennushi G. The effects of human resource management practices on productivity: a study of steel finishing lines. Am Econ Rev. 1997;87:291-313.
11. Thomas EJ, Sexton JB, Neilands TB, et al. The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units. BMC Health Serv Res. 2005;5:28-36.
12. Edmondson AC. Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. J Appl Behav Sci. 1996;32:5-28. (Pubitemid 126035003)
13. Tucker AL, Spear SJ. Operational failures and interruptions in hospital nursing. Health Serv Res. 2006;41:643-662. (Pubitemid 43725342)
14. Gittell JH. Coordinating mechanisms in care provider groups: relational coordination as a mediator and input uncertainty as a moderator of performance effects. Manage Sci. 2002;48:408-426.
15. Edmondson AC. Psychological safety and learning behavior in work teams. Adm Sci Q. 1999;44:350-383.
16. Blatt R, Christianson M, Sutcliffe KM, et al. A sensemaking lens on reliability. J Organiz Behav. 2006;27:897-917. (Pubitemid 44598921)
17. Spear SJ. Fixing health care from the inside, today. Harv Bus Rev. 2005;83:78-91.
18. Adler PS, Borys B. Two types of bureaucracy: enabling and coercive. Adm Sci Q. 1996;41:61-89.
19. Frankel AS, Leonard MW, Denham CR. Fair and just culture, team behavior, and leadership engagement: the tools to achieve high reliability. Health Serv Res. 2006;41:1690-1709. (Pubitemid 44114589)
20. Feldman MS, Rafaeli A. Organizational routines as sources of connections and understandings. J Manage Stud. 2002;39:309-331.
21. Rivard PE, Rosen AK, Carroll JS. Enhancing patient safety through organizational learning: are patient safety indicators a step in the right direction? Health Serv Res. 2006;41:1633-1653. (Pubitemid 44114586)
22. Hofmann DA, Mark B. An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes. Personnal Psychol. 2006;59:847-870.
23. Asch DA, Jedrziewski MK, Christakis NA. Response rates to mail surveys published in medical journals. J Clin Epidemiol. 1997;50:1129-1136. (Pubitemid 27477990)
24. Aiken LH, Clarke SP, Cheung RB, et al. Educational levels of hospital nurses and surgical patient mortality. JAMA. 2003;290:1617-1623. (Pubitemid 37430386)
25. Aiken LH, Clarke SP, Sloane DM, et al. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002; 288:1987-1993. (Pubitemid 35204688)
26. Naveh E, Katz-Navon T, Stern Z. Treatment errors in healthcare: a safety climate approach. Manage Sci. 2005;51:948-960. (Pubitemid 41013684)
27. Katz-Navon T, Naveh E, Stern Z. Safety climate in healthcare organizations: a multidimensional approach. Acad Manage J. 2005;48:1073-1087.
28. Sexton JB, Helmreich RL, Neilands TB, et al. The safety attitudes questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res. 2006;6:44-53.
29. Zohar D. A group-level model of safety climate: testing the effect of group climate on microaccidents in manufacturing jobs. J Appl Psychol. 2000;85:587-596.
30. James LR, Demaree RG, Wolf G. Estimating within-group interrater reliability with and without response bias. J Appl Psychol. 1984;69: 85-98.
31. Bliese PD. Within-group agreement, non-independence, and reliability: implications for data aggregation and analysis. In: Klein KJ, Kozlowski SWJ, eds. Multilevel Theory, Research, and Methods in Organizations. San Francisco, CA: Jossey-Bass; 2000:349-381.
32. Cooil B. Using medical malpractice data to predict the frequency of claims: a study of Poisson process models with random effects. J Am Stat Assoc. 1991;86:285-295.
33. Rabe-Hesketh S, Skrondal A. Multilevel and Longitudinal Modeling Using Stata. College Station, TX: Stata Press; 2005.
34. Aiken L, West S. Multiple Regression: Testing and Interpreting Interactions. London, England: Sage; 1991.
35. Institute of Medicine. To Err Is Human: Building a Safer Health. Committee on Quality of Health Care in America, ed. Washington, DC: The National Academies Press; 1999.
36. Institute of Medicine. Keeping Patients Safe: Transforming the Work Environment of Nurses. Committee on the Work Environment for Nurses and Patient Safety Board on Health Care Services, ed. Washington, DC: The National Academies Press; 2004.
37. Singer SJ, Gaba DM, Geppert JJ, et al. The culture of safety: results of an organization-wide survey in 15 California hospitals. Qual Saf Health Care. 2003;12:112-118. (Pubitemid 36469265)
38. Naveh E, Katz-Navon T, Stern Z. Readiness to report treatment errors: the effects of safety procedures, safety information, and priority of safety. Med Care. 2006;44:117-123. (Pubitemid 43755462)
39. 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. (Pubitemid 43275524)
40. Classen DC, Pestonik SL, Evans RS, et al. Computerized surveillance of adverse drug events in hospital patients. JAMA. 1991;266:2847-2851.
41. Jha AK, Kuperman GJ, Teich JM, et al. Identifying adverse drug events: development of a computer-based monitor and comparison with chart review and stimulated voluntary report. JAMA. 1998;5:305-314. (Pubitemid 28222037)
42. Thomas EJ, Peterson LA. Measuring errors and adverse events in health care. J Gen Intern Med. 2003;18:61-67. (Pubitemid 36114967)
43. Arbuckle JL. AMOS 5. Chicago, IL: SmallWaters Corporation; 2003.
44. Bollen KA. Structural Equations WithLatent Variables. New York,NY: John Wiley & Sons; 1989.
45. Bentler PM. Comparative fit indexes in structural models. Psychol Bull. 1990;107:238-246.
46. Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equation Model. 1999;6:1-55.