[No SPF Record] [IMPROVEDX] Culture
rjaffe at CHPSO.ORG
Mon Jun 11 19:03:32 UTC 2018
The other studies show a reasonably strong link.
Some of the problems in making an overall assessment is that culture is very local, varying broadly from department to department within an organization. Within-organization variability is generally much higher than between-organization vulnerability on safety culture surveys. So studies that look at "culture" in the organization as a whole tend to have weaker results. The specific papers do show a decent link.
Also backing this conclusion is that, in other industries, this has been studied and there is a definite link between culture and safety.
I think there is a consensus in health care that there's a link. Look at "to err is human" and subsequent publications from the National Academy of Medicine. These publications strongly presume that culture is important driver of safety.
From: ROBERT M BELL <rmsbell200 at yahoo.com>
Sent: Monday, June 11, 2018 10:47 AM
To: Society to Improve Diagnosis in Medicine <IMPROVEDX at list.improvediagnosis.org>; Rory Jaffe <rjaffe at chpso.org>
Subject: Re: [No SPF Record] [IMPROVEDX] Culture
Thanks Rory Jaffe,
Do you yourself have an overall opinion? I looked at the Weaver article which evaluated many studies. and, from my limited interpretation, that did not seem too positive.
Is there a general consensus amongst the medical profession as to whether culture is important in preventing errors?
Is to ERR more resistant to intervention than we think?
On Jun 11, 2018, at 9:58 AM, Rory Jaffe <rjaffe at chpso.org<mailto:rjaffe at chpso.org>> wrote:
Weaver SJ, Lubomksi LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Promoting a culture of safety as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):369-374. doi:10.7326/0003-4819-158-5-201303051-00002.
Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine
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