Re-examining high reliability: actively organising for safety

• Published in: BMJ quality & safety Vol. 26; no. 3; pp. 248 - 251
• Main Authors: Sutcliffe, Kathleen M, Paine, Lori, Pronovost, Peter J
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 01.03.2017
• Subjects: Checklist - standards; Clinical Protocols - standards; Employees; Health administration; Humans; Industrial safety; Inservice Training; Integrated approach; Interpersonal Relations; Mortality; Occupational safety; Organizational Culture; Patient Safety; Reproducibility of Results; Safety Management - organization & administration; Safety Management - standards; Trust; Patient safety; Healthcare quality improvement; Management

When employees make sense of discrepancies between what leaders say they want and how they act (eg, differences in declared organisational policy and informal supervisory practice), they discern the organisation's collective unconscious values, beliefs and assumptions. [...]culture is shaped th...