Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness.
Anderson JE, Kodate N. Safety Sci. 2015;80:105-114.
This observational study of incident report review meetings found that high workload, lack of organizational support, and an autocratic leadership style were barriers to effective analysis of safety events. Safety leadership and participatory interactions facilitated event analysis. This work suggests that analyses of adverse events vary in their effectiveness and should be optimized in order to improve safety.
Learning Not Blaming.
Department of Health. London, England: Crown Publishing; July 2015. ISBN: 9781474123716.
Associations between perceived crisis mode work climate and poor information exchange within hospitals.
Patterson ME, Bogart MS, Starr KR. J Hosp Med. 2015;10:152-159.
Equipped: overcoming barriers to change to improve quality of care (theories of change).
Lachman P, Runnacles J, Dudley J; RCPCH Clinical Standards Committee. Arch Dis Child Educ Pract Ed. 2015;100:13-18.
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Organisational reporting and learning systems: innovating inside and outside of the box.
Sujan M, Furniss D. Clin Risk. 2015;21:7-12.