Barriers to the implementation of patient safety initiatives

Clinics in Laboratory Medicine

Volumn 24, Issue 4, 2004, Pages 901-911

  Grzybicki, Dana Marie ^a  

^a UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HEALTH CARE SYSTEM; HOSPITALIZATION; HUMAN; MEDICAL PRACTICE; MEDICAL RESEARCH; PATIENT CARE; PRIORITY JOURNAL; REVIEW; SAFETY;

COMMUNICATION BARRIERS; HUMANS; MEDICAL ERRORS; ORGANIZATIONAL INNOVATION; PATHOLOGY, CLINICAL; PATIENTS; QUALITY ASSURANCE, HEALTH CARE; SAFETY MANAGEMENT;

EID: 8844263133     PISSN: 02722712     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.cll.2004.05.016     Document Type: Review

References (40)

1. Institute of Medicine To err is human: building a safer health system 2000 National Academy Press Washington, DC
2. A.D. Oxman, M.A. Thomson, D.A. Davis, and R.B. Haynes No magic bullets: a systematic review of 102 trials of interventions to improve professional practice Can Med Assoc J 153 1995 1423 1431
3. R. Mortimer, and M. Ward What are the barriers to clinical practice improvement? Intern Med J 32 2002 322 324
4. D.H. Gustafson, and A. Schoofs Hundt Findings of innovation research applied to quality management principles for health care Health Care Manage Rev 20 1995 16 33
5. L.R. Fischer, L.I. Solberg, and T.E. Kottke Quality improvement in primary care clinics Jt Comm J Qual Improv 24 1998 361 370
6. S.M. Shortell, C.L. Bennett, and G.R. Byck Assessing the impact of continuous quality improvement on clinical practice: what it will take to accelerate progress Milbank Q 76 1998 593 624
7. D. Berwick Ten key lessons for quality improvement Curing health care 1990 Jossey-Bass San Francisco 144 158
8. L.L. Leape A systems analysis approach to medical error J Eval Clin Pract 3 1997 213 222
9. S. Flottorp, K. Havelsrud, and A.D. Oxman Process evaluation of a cluster randomized trial of tailored interventions to implement guidelines in primary care - why is it so hard to change practice? Fam Pract 20 2003 333 339
10. S.E. Andersen Implementing a new drug record system: a qualitative study of difficulties perceived by physicians and nurses Qual Saf Health Care 11 2002 19 24
11. J. Rycroft-Malone, A. Kitson, G. Harvey, B. McCormack, S.K. Seer, and A. Titchen Ingredients for change: revisiting a conceptual framework Qual Saf Health Care 11 2002 174 180
12. H. Geboers, H. Mokkink, P. Van Montfort, H. van den Hoogen, W. van den Bosch, and R. Gral Continuous quality improvement in small general medicine practices: the attitudes of general practitioners and other practice staff Int J Qual Health Care 13 2001 391 397
13. T.A. Sheldon Basing decisions on better quality routine clinical data Qual Saf Health Care 12 2003 237 238
14. D. Pilpel, R. Schor, and J. Benbassat Barriers to acceptance of medical error: the case for a teaching programme Med Educ 32 1998 3 7
15. W.G. Perry Forms of intellectual and ethical development in the college years 1968 Holt, Reinhart and Winston New York
16. D.E. Simpson, K.A. Dalgaard, and D.K. O'Brien Student and faculty assumptions about the nature of uncertainty in medicine and medical education J Fam Pract 23 1986 468 472
17. G. Geller, R.R. Faden, and D.M. Levine Tolerance for ambiguity among medical students: implications for their selection, training, and practice Soc Sci Med 31 1990 619 624
18. M.S. Gerrity, J.A.L. Earp, and R.F. DeVellis Uncertainty and professional work: perception of physicians in clinical practice Am J Sociol 97 1992 1022 1051
19. J. Benbassat, D. Pilpel, and R. Schor Physicians' attitudes toward litigation and defensive practice: development of a scale Behav Med 27 2001 52 60
20. A.W. Wu, S. Folkman, S.J. McPhee, and B. Lo Do house officers learn from their mistakes? JAMA 265 1991 2089 2094
21. E. Pierluissi, M.A. Fischer, A.R. Campbell, and C.S. Landefeld Discussion of medical errors in morbidity and mortality conferences JAMA 290 2003 2838 2842
22. A.R. Robinson, K.B. Hohmann, J.I. Rifkin, D. Topp, C.M. Gilroy, and J.A. Pickard Physician and public opinions on quality of health care and the problem of medical errors Arch Intern Med 162 2002 2186 2190
23. D.P. Stevens Finding safety in medical education Qual Saf Health Care 11 2002 109 110
24. L.L. Leape Reporting of medical errors: time for a reality check Qual Saf Health Care 9 2000 144 145
25. J. Gladstone Drug administration errors: a study into the factors underlying the occurrence and reporting of drug errors in a district general hospital J Adv Nurs 22 1995 628 637
26. Z.R. Wolf, J.F. Serembus, J. Smetzer, H. Cohen, and M. Cohen Responses and concerns of healthcare providers to medication errors Clin Nurse Spec 14 2000 278 287
27. C. Vincent, S. Taylor-Adams, E. Chapman, D. Hewett, S. Prior, and P. Strange How to investigate and analyse clinical incidents: Clinical Risk Unit and Association of Litigation and Risk Management protocol BMJ 320 2000 777 781
28. C.A. Vincent, S. Taylor-Adams, and E.J. Chapman A protocol for the investigation and analysis of clinical incidents 1999 University College London/Association of Litigation and Risk Management London
29. K. Jarvi, R. Sultan, A. Lee, R. Lussing, and R. Bhat Multi-professional mortality review: supporting a culture of teamwork on the absence of error finding and blame-placing Hosp Q 5 2002 58 62
30. R.B. Womer, E. Tracy, W. Soo-Hoo, B. Bickert, S. DiTaranto, and J.H. Barnsteiner Multidisciplinary systems approach to chemotherapy safety: rebuilding processes and holding the gains J Clin Oncol 20 2002 4705 4712
31. P.M. McNeill, and M. Walton Medical harm and the consequences of error for doctors Med J Aust 176 2002 222 225
32. P. Davis, R. Lay-Yee, J. Fitzjohn, P. Hider, R. Briant, and S. Schug Compensation for medical injury in New Zealand: does "no-fault" increase the level of claims making and reduce social and clinical selectivity? J Health Polit Policy Law 27 2002 833 854
33. B.A. Liang A system of medical error disclosure Qual Saf Health Care 11 2002 64 68
34. E. West Management matters: the link between hospital organization and quality of patient care Qual Saf Health Care 10 2001 40 48
35. E. West Organisational sources of safety and danger: sociological contributions to the study of adverse events Qual Saf Health Care 9 2000 120 126
36. A. Hutchinson, and P. Barach What is the role of healthcare managers in delivering safe care? Qual Saf Health Care 12 2003 161 162
37. S.J. Perry Profiles in patient safety: organizational barriers to patient safety Acad Emerg Med 9 2002 848 850
38. P.J. Pronovost, B. Weast, C.G. Holzmueller, B.J. Rosenstein, R.P. Kidwell, and K.B. Haller Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center Qual Saf Health Care 12 2003 405 410
39. S.J. Singer, D.M. Gaba, and J.J. Geppert The culture of safety: results of an organization-wide survey in 15 California hospitals Qual Saf Health Care 12 2003 112 118
40. G.R. Baker, H. King, and J.L. MacDonald Using organizational assessment surveys for improvement in neonatal intensive care Pediatrics 111 2003 419 425