Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: A study of intensive care units

Health Care Management Review

Volumn 38, Issue 4, 2013, Pages 306-316

  Steyrer, Johannes ^a   Schiffinger, Michael ^a   Huber, Clemens ^a   Valentin, Andreas ^b   Strunk, Guido ^c,d  

^a VIENNA UNIVERSITY OF ECONOMICS AND BUSINESS   (Austria)

^b KRANKENANSTALT RUDOLFSTIFTUNG   (Austria)

^c Founder of Complexity Research   (Austria)

^d TU DORTMUND UNIVERSITY   (Germany)

Author keywords

Intensive care units; medical error; patient safety; safety climate; safety tools; workload

Indexed keywords

CROSS-SECTIONAL STUDY; FEMALE; HEALTH PERSONNEL ATTITUDE; HUMAN; INTENSIVE CARE UNIT; MALE; MANPOWER; MEDICAL ERROR; MIDDLE AGED; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PATIENT SAFETY; PREVENTION AND CONTROL; PROSPECTIVE STUDY; SAFETY; STANDARDS; STATISTICS AND NUMERICAL DATA; WORKLOAD; ARTICLE; STANDARD; STATISTICS;

ATTITUDE OF HEALTH PERSONNEL; CROSS-SECTIONAL STUDIES; FEMALE; HUMANS; INTENSIVE CARE UNITS; MALE; MEDICAL ERRORS; MIDDLE AGED; ORGANIZATIONAL CULTURE; PATIENT SAFETY; PROSPECTIVE STUDIES; SAFETY MANAGEMENT; WORKLOAD;

EID: 84884902209     PISSN: 03616274     EISSN: 15505030     Source Type: Journal    
DOI: 10.1097/HMR.0b013e318272935a     Document Type: Article

References (58)

1. Argyris, C. (1982). Reasoning, learning, and action: Individual and organizational. San Francisco.CA: Jossey-Bass.
2. Bliese, P. D. (2000). Within-group agreement, non-independence, and reliability: Implications for data aggregation and analysis. In K. J. Klein & S. W. Kozlowski (Eds.), Multilevel theory, research, and methods in organizations: Foundations, extensions, and new directions (pp. 349-381). San Francisco.CA: Jossey-Bass.
3. Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing equation model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136-162). Newbury Park, CA: Sage.
4. Burke, M. J., Sarpy, S. A., Tesluk, P. E., & Smith-Crowe, K. (2002). General safety performance: A test of a grounded theoretical model. Personnel Psychology, 55, 429-457.
5. Catchpole, K. R., de Leval, M. R., McEwan, A., Pigott, N., Elliott, M. J., McQuillan, A., I Goldman, A. J. (2007). Patient handover from surgery to intensive care: Using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatric Anaesthesia, 17(5), 470-478. (Pubitemid 46633402)
6. Clarke, S. (2006). The relationship between safety climate and safety performance: A meta-analytic review. Journal of Occupational Health Psychology, 11(4), 315-327. (Pubitemid 44629927)
7. Colla, J. B., Bracken, A. C., Kinney, L. M., & Weeks, W. B. (2005). Measuring patient safety climate: A review of surveys. Quality and Safety in Health Care, 14(5), 364-366. (Pubitemid 41495124)
8. Dekker, S. (2006). The field guide to understanding human error. Farnham, UK: Ashgate.
9. Flin, R., Burns, C., Mearns, K., Yule, S., & Robertson, E. M. (2006). Measuring safety climate in health care. Quality and Safety in Health Care, 15(2), 109-115.
10. Gaba, D. M. (2000). Structural and organizational issues in patient safety: A comparison of health care to other high-hazard industries. California Management Review, 43(1), 83-102. (Pubitemid 33223016)
11. Grove, A. L., Meredith, J. O., MacIntyre, M., Angelis, J., & Neailey, K. (2006). UK health visiting: Challenges faced during lean implementation. Leadership in Health Services, 23(3), 204-218.
12. Hambleton, R. K., Merenda, P. F., & Spielberger, C. D. (2005). Adapting educational and psychological tests for crosscultural assessment. Mahwah, NJ: Lawrence Erlbaum.
13. Hansez, I., & Chmiel, N. (2010). Safety behavior: Job demands, job resources, and perceived management commitment to safety. Journal of Occupational Health Psychology, 15(3), 267-278.
14. 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, 847-869. (Pubitemid 44728911)
15. Hsieh, H. M., Clement, D. G., & Bazzoli, G. J. (2010). Impacts of market and organizational characteristics on hospital efficiency and uncompensated care. Health Care Management Review, 35(1), 77-87.
16. Huang, D. T., Clermont, G., Kong, L., Weissfeld, L. A., Sexton, J. B., Rowan, K. M., & Angus, D. C. (2010). Intensive care unit safety culture and outcomes: A US multicenter study. International Journal for Quality in Healthcare, 22(3), 151-161.
17. International Safety Advisory Group. (1991). Safety culture. Vienna, Austria: International Atomic Energy Agency.
18. James, L. R., Demaree, R. G., & Wolf, G. (1993). An assessment of within-group interrater agreement. Journal of Applied Psychology, 78, 306-309.
19. Katz-Navon, T., Naveh, E., & Stern, Z. (2005). Safety climate in health care organizations: A multidimensional approach. Academy of Management Journal, 48(6), 1075-1089. (Pubitemid 43247057)
20. Khatri, N., Baveja, A., Boren, S. A., & Mammo, A. (2006). Medical errors and quality of care: From control to commitment. California Management Review, 48(3), 115-141.
21. Khatri, N., Brown, G. D., & Hicks, L. L. (2009). From a blame culture to a just culture in health care. Health Care Management Review, 34(4), 312-322.
22. Khatri, N., Halbesleben, J. R., Petroski, G. F., & Meyer, W. (2007). Relationship between management philosophy and clinical outcomes. Health Care Management Review, 32(2), 128-139. (Pubitemid 46626031)
23. Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (2000). To err is human: Building a safer health system. Washington, DC: National Academy Press.
24. LeBreton, J. M., & Senter, J. L. (2008). Answers to 20 questions about interrater reliability and interrater agreement. Organizational Research Methods, 11(4), 815-852.
25. McGraw, K. O., Kenneth, O., & Wong, S. P. (1996). Forming inferences about some intraclass correlation coefficients. Psychological Methods, 1(1), 30-46. (Pubitemid 126421252)
26. Mehri, D. (2006). The darker side of lean: An insider's perspective on the realities of the Toyota production system. Academy of Management Perspectives, 20(2), 21-42.
27. Mun? iz J., & Bartram D. (2007). Improving international tests and testing. European Psychologist 12(3)206-219.
28. Naveh, E., Katz-Navon, T., & Stern, Z. (2005). Treatment errors in healthcare: A safety climate approach. Management Science, 51(6), 948-960. (Pubitemid 41013684)
29. 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. (Pubitemid 44128216)
30. Neal, A., Griffin, M. A., & Hart, P. M. (2000). The impact of organizational climate on safety climate and individual behavior. Safety Science, 34, 99-109. (Pubitemid 30331098)
31. 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: Industrial and organizational psychology (Vol. 12, pp. 565-593). New York, NY: Wiley.
32. Ovretveit, J. (1999). Total quality management in European healthcare. International Journal of Health Care Quality Assurance, 13, 74-79.
33. Podgórski, D. (2010). The use of tacit knowledge in occupational safety and health management systems. International Journal of Occupational Safety and Ergonomics, 16(3), 283-310.
34. Radnor, Z. J. (2011). Implementing lean in health care: Making the link between the approach, readiness, and sustainability. International Journal of Industrial Engineering and Management, 2(1), 1-12.
35. Radnor, Z. J., Holweg, M., & Waring, J. J. (2012). Lean in healthcare: The unfilled promise? Social Science and Medicine, 74, 364-371.
36. Rasmussen, J. (1997). Risk management in a dynamic society: A modelling problem. Safety Science, 27(2-3), 183-213. (Pubitemid 28020542)
37. Reason, J. T. (1997). Managing the risks of organizational accidents. Farnham, UK: Ashgate.
38. Reis Miranda, D., Moreno, R., & Iapichino, G. (1997). Nine equivalents of nursing manpower use score (NEMS). Intensive Care Medicine, 23(7), 760-765. (Pubitemid 27379924)
39. Scho?n, K., Bergquist, B., & Klefsjo?, B. (2010). The consequences of Six Sigma on job satisfaction: A study at three companies in Sweden. International Journal of Lean Six Sigma, 1(2), 99-118.
40. Schutz, A. L., Counte, M. A., & Meurer, S. (2007). Development of a patient safety culture measurement tool for ambulatory health care settings: Analysis of content validity. Health Care Management Science, 10, 139-149.
41. Sexton, J. B., Helmreich, R. L., Neilands, T. B., Rowan, K., Vella, K., Boyden, J., I Thomas, E. J. (2006). The Safety Attitudes Questionnaire: Psychometric properties, benchmarking data, and emerging research. BMC Health Services Research, 6, 44-54.
42. Shojania, K. G., Duncan, B. W., McDonald, K. M., & Wachter, R. M. (2002). Safe but sound: Patient safety meets evidence-based medicine. Journal of the American Medical Association, 288(4), 508-513. (Pubitemid 34787486)
43. Singer, S. J., Lin, S., Falwell, A., Gaba, D. M., & Baker, L. (2009). Relationship of safety climate and safety performance in hospitals. Health Services Research, 44(2 Pt. 1), 399-421.
44. Singer, S. J., Meterko, M., Baker, L., Gaba, D., 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. (Pubitemid 47397186)
45. Steiger, J. H. (1980). Tests for comparing elements of a correlation matrix. Psychological Bulletin, 87, 245-251.
46. Stern, Z., Katz-Navon, T., & Naveh, E. (2011). The effect of safety management systems on continuous improvement of patient safety: The moderating role of safety climate and autonomy. Quality Management Journal, 18(1), 54-67.
47. Steyrer, J., Latzke, M., Pils, K., Vetter, E., & Strunk, G. (2011). Development and validation of a patient safety culture questionnaire in acute geriatric units. Gerontology, 57(6), 481-489.
48. Stolzer, A. J., Halford, C. D., & Goglia, J. J. (2011). Implementing safety management systems in aviation. Farnham, UK:Ashgate.
49. Thomas, E. J., Studdert, D. M., Burstin, H. R., Orav, E. J., Zeena, T., Williams, E. J., I Brennan, T. A. (2000). Incidence and types of adverse events and negligent care in Utah and Colorado. Medical Care, 38(3), 261-271.
50. Valentin, A., Capuzzo, M., Guidet, B., Moreno, R. P., Dolanski, L., Bauer, P., I Sentinel Events Evaluation Study Investigators. (2006). Patient safety in intensive care units: Results from the multinational Sentinel Events Evaluation (SEE) study. Intensive Care Medicine, 32(10), 1591-1598. (Pubitemid 44484350)
51. Valentin, A.,Capuzzo, M.,Guidet, B.,Moreno, R. P.,Metnitz, B., Bauer, P., I Sentinel Events Evaluation Study Investigators. (2009). Errors in administration of parenteral drugs in intensive care units: Multinational prospective study. British Medical Journal, 338, b814.
52. van den Bos, J., Rustagi, K., Gray, T., Halford, M., Ziemkiewicz, E., & Shreve, J. (2011). The $17.1 billion problem: The annual cost of measurable medical errors. Health Affairs, 30(4), 596-603.
53. Vogus, T. J., & Sutcliffe, K. M. (2007). The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units. Medical Care, 45(10), 997-1002.
54. Waring, J. J. (2009). Constructing and re-constructing narratives of patient safety. Social Science and Medicine, 69, 1722-1731.
55. Waterman, R. H. Jr., Peters, T. J., & Phillips, J. R. (1980). Structure is not organization. Business Horizons, 23(3), 14-26.
56. Weingart, S. N., Farbstein, K., Davis, R. B., & Phillips, R. S. (2004). Using a multihospital survey to examine the safety culture. Joint Commission Journal on Quality and Patient Safety, 30(3), 125-132.
57. Wilkinson, A., Redman, T., Snape, E., & Marchington, M. (1998). Managing with total quality management. Basingstoke, UK: Macmillan.
58. Zohar, D. (2000). A group-level model of safety climate: Testing the effect of group climate on microaccidents in manufacturing jobs. Journal of Applied Psychology, 85(4), 587-596.