Based on AHRQ patient safety culture survey data, clinicians at hospitals in "crisis mode" often felt care transitions were unsafe.J Hosp Med. 2014 Dec 10; [Epub ahead of print].
Associations between perceived crisis mode work climate and poor information exchange within hospitals.
Patterson ME, Bogart MS, Starr KR. J Hosp Med. 2014 Dec 10; [Epub ahead of print].
Production pressure—the pressure to continue work at maximum capacity—is a known threat to patient safety. This study analyzed the effect of production pressures by examining the relationship between two components of safety culture. Using data from the 2010 AHRQ Hospital Survey on Patient Safety Culture, the investigators found that respondents at hospitals that worked in crisis mode more frequently also were more likely to perceive care transitions as unsafe. As emergency department overcrowding has also been linked to safety issues, the results of this study argue for efforts to manage bed capacity and patient flow as a patient safety strategy. A recent AHRQ WebM&M commentary explores how communication breakdowns and production pressure can cause adverse outcomes and highlights how checklists can help prevent mistakes.
Restoring trust in VA health care.
Kizer KW, Jha AK. N Engl J Med. 2014;371:295-297.
Disruptive clinician behavior: a persistent threat to patient safety.
Porto G, Lauve R. Patient Safety Qual Healthc. July/August 2006;3:16-24.
No hidden patient: a safety design model.
Hardy J. Trustee. February 2007;60:32-33.
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Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.
Singh H, Sittig DF. BMJ Qual Saf. 2015;24:103-110.