A positive safety culture is associated with more robust error reporting.
Am J Med Qual. 2014 Jul 28; [Epub ahead of print].
Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives.
Richter JP, McAlearney AS, Pennell ML. Am J Med Qual. 2014 Jul 28; [Epub ahead of print].
Voluntary error reporting is a critical mechanism for identifying patient safety issues in an organization. However, the process is dependent on a culture of safety that enables providers to report mistakes and near misses. This study used the AHRQ Hospital Survey on Patient Safety Culture comparative database to test organizational factors that may predict more robust error reporting. Error feedback and organizational learning were most associated with perceptions of frequent error reporting, supporting the importance of hospitals demonstrating that reports are seriously considered and acted upon. Some manager respondents did not seem to recognize the significance of perceived management support in enabling error reporting. A prior AHRQ WebM&M perspective discussed the establishment of a safety culture in health care organizations.
Technological methods used to prevent errors aren't infallible.
Santell JP. Mater Manage Health Care. December 19, 2006;15:26-28, 30.
Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence.
Keers RN, Williams SD, Cooke J, Ashcroft DM. Ann Pharmacother. 2013;47:237-256.
Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011.
Vaida AJ, Lamis RL, Smetzer JL, Kenward K, Cohen MR. Jt Comm J Qual Patient Saf. 2014;40:51-67.
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Hospital patient safety grades may misrepresent hospital performance.
Hwang W, Derk J, LaClair M, Paz H. J Hosp Med. 2014;9:111-115.
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