Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives

December 23, 2015

Source:  American Journal of Medical Quality 30/6 pp. 550-8

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Date of publication:  November 2015

Publication type:  Journal article

In a nutshell:  Although medical error reporting has been studied, under-reporting remains pervasive. The study aims were to identify the organisational factors with the greatest perceived effect on error reporting and to determine whether associations differ for management and clinical staff.

Error feedback was perceived as the most significant predictor, while organisational learning was another significant factor. It also was found that although management support for patient safety was significantly related to error reporting among clinical staff, this association was not significant among management. This difference is relevant because managers may not be aware that their failure to demonstrate support for safety leads to underreporting by frontline clinical staff. Findings from this study can inform hospitals’ efforts to increase error reporting.

Length of publication:  9 pages


Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety

November 25, 2015

Source:  Sociology of Health and Illness [Epub ahead of print]

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Date of publication: November 2015

Publication type:  Journal article

In a nutshell:  Drawing on 103 interviews with clinicians at one hospital in the United States this article examines how clinicians talk about speaking up or not in the face of breaches in infection prevention technique. Accounts are analysed using a microsociological lens as stories of interaction, through which respondents appeal to situational and organisational realities of medical work that serve to justify speaking up or remaining silent. Analysis of these accounts reveals three influences on the decision to speak up, shaped by background conditions in the organisation; mutual focus of attention, interactional path dependence and the presence of an audience.

Length of Publication: Unspecified

Some important notes:  Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library


Do large-scale hospital- and system-wide interventions improve patient outcomes: a systematic review

October 29, 2014

Source:  BMC Health Services Research 14/1 pp.369

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Date of publication:  September 2014

Publication type:  Journal article

In a nutshell: The authors of this review assessed the impact of hospital and system-wide interventions to improve patient safety. Studies which measured outcomes two years after implementation or more were more likely to show improved outcomes. It was difficult to assess the impact of organisational culture or other determinants. Effective leadership and clinical champions, adequate financial and educational resources and dedicated promotional activities may have a significant impact.

Length of Publication:  1 web page


Pursuing Zero – a winning approach to safety

June 25, 2014

Source:  The Health Foundation

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Date of publication:  May 2014

Publication type:  News item

In a nutshell: In May, a team from Great Ormond Street Hospital Foundation Trust was named Berwick Patient Safety Team of the Year at the BMJ Awards. The team have helped the Trust to develop a culture where every member of staff focuses on the importance of providing safe, high quality care for children. The ‘Zero harm, no waits, no waste’ programme was established by Great Ormond Street Hospital (GOSH) seven years ago, with the aim of eliminating all harm to children in their care. The programme aims to embed a culture of improvement and safety throughout the organisation and key to this has been developing strong leadership for change. Throughout the programme the team has also made a point of involving patients and carers.

Length of Publication:  1 web page


BMJ Quality & Safety: a collection of key articles

April 30, 2014

Source:  The Health Foundation

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Date of publication:  April 2014

Publication type:  News item

In a nutshell:  This page links to a special collection of the best articles published in BMJ Quality & Safety in 2013. The BMJ Quality and Safety journal is co-owned by the Health Foundation and the BMJ Group. The articles featured in this collection include: identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia; the global burden of unsafe medical care: analytic modelling of observational studies; systematic review of the application of the plan–do–study–act method to improve quality in healthcare; ‘care left undone’ during nursing shifts: associations with workload and perceived quality of care; culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study.

Length of Publication:  1 web page


Understanding patient safety culture, part 1.

August 29, 2011

Source: J Perianesthesia Nursing Volume 26 Issue 3 pp170-2

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Date of publication: June 2011

Publication type: Journal Article

In a nutshell: This is the first in a series exploring factors influencing patient safety in healthcare. The impact of the working environment on nurses’ perceptions of patient safety and the concept of a culture of patient safety are discussed.

Length of publication: 3 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library

Acknowledgement: British Nursing Index Database from NHS Evidence


Use of Patient Safety Culture – instruments and recommendations

June 9, 2010

Source:  European Union Network for Patient Safety

For full report click here

Date of publication:  March 2010

Publication type:  Report

In a nutshell:  A report into the culture of patient safety through a survey carried out by EU member states.

Length of publication:  35 pages