While much has been written about clinician silence in the face of safety hazards, editorial argues that institutional silence is also a major problem.BMJ Qual Saf. 2014 Jul 11; [Epub ahead of print].
Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong.
Jones A, Kelly D. BMJ Qual Saf. 2014 Jul 11; [Epub ahead of print].
This commentary explores the differences between individuals failing to raise concerns and organizationsdisregarding problems that have been reported. Several organizational failures in the National Health Service provide context for this comparison and illustrate the need to build systems that reliably record and respond to shortcomings raised by staff.
The Measurement and Monitoring of Safety.
Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447.
Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study.
Dixon-Woods M, Baker R, Charles K, et al. BMJ Qual Saf. 2014;23:106-115.
Between surveillance and subjectification: professionals and the governance of quality and patient safety in English hospitals.
Martin GP, Leslie M, Minion J, Willars J, Dixon-Woods M. Soc Sci Med. 2013;99:80-88.
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Burnout in the NICU setting and its relation to safety culture.
Profit J, Sharek PJ, Amspoker AB, et al. BMJ Qual Saf. 2014 Apr 17; [Epub ahead of print].