[No SPF Record] [IMPROVEDX] Culture

Tom Benzoni benzonit at GMAIL.COM
Tue Jun 12 14:18:36 UTC 2018


There is a similar precept in business:
If you fire the bottom 10% performers, the curve will regenerate, not shift
leftward.
tom

On Tue, Jun 12, 2018 at 9:03 AM Bob Latino <blatino at reliability.com> wrote:

> Along this thread I thought this article may be of interest.  Declarations
> of 'zero' metrics, often has unintended consequences.  While on the surface
> they seem logical and admirable, they can suppress feedback loops for fear
> of affecting the zero metric (such as zero harm).
>
>
>
> The article is authored by noted safety researcher Sidney Dekker.
>
>
>
> Does this 'zero' mentality fall into the realm of how success in reducing
> Dx error is measured?  Is it applicable?
>
>
>
> Regards
>
> Bob Latino
>
>
>
> *Robert J. Latino, CEO*
>
> Reliability Center, Inc.
>
> 1.800.457.0645
>
> blatino at reliability.com
>
> www.reliability.com
>
> [image: linkedin logo signature file]
> <https://www.linkedin.com/company/958495?trk=tyah&trkInfo=clickedVertical%3Acompany%2CclickedEntityId%3A958495%2Cidx%3A1-1-1%2CtarId%3A1464096807851%2Ctas%3Areliability%20center%2C%20inc.>
>
>
>
> *From:* Rory Jaffe [mailto:rjaffe at CHPSO.ORG]
> *Sent:* Monday, June 11, 2018 3:04 PM
> *To:* IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> *Subject:* Re: [IMPROVEDX] [No SPF Record] [IMPROVEDX] Culture
>
>
>
> 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,
>
>
>
> Very kind.
>
>
>
> 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?
>
>
>
> Rob Bell
>
>
>
>
>
> On Jun 11, 2018, at 9:58 AM, Rory Jaffe <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.
>
>
>
>
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> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in
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>
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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