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Structural and Organizational Issues in Patient Safety: A Comparison of Health Care to other High-Hazard Industries
Abstract
A recent report from the Institute of Medicine has focused attention anew on the incidence of medical errors in the health care industry. While there is a relatively large body of research on how organizations can operate in a highly reliable manner, and thus avoid such errors, little of that work has been done in the health care field. This article discusses the ways in which the health care industry has failed to meet systematically the standards for achieving high reliability, based in part on two existing theories about the management of high-hazard environments-High Reliability Organization Theory (HROT) and Normal Accidents Theory (NAT).
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Citations
Cited by
Developing design propositions through research synthesis
Denyer, D., Tranfield, D., & van Aken, J. E. (2008) · Organization Studies · doi:10.1177/0170840607088020 · Cited by 1,057
Five System Barriers to Achieving Ultrasafe Health Care
Amalberti, R., Auroy, Y., Berwick, D., & Barach, P. (2005) · Annals of Internal Medicine · doi:10.7326/0003-4819-142-9-200505030-00012 · Cited by 599
The culture of safety: results of an organization-wide survey in 15 California hospitals
Singer, S. J. (2003) · Quality and Safety in Health Care · doi:10.1136/qhc.12.2.112 · Cited by 502
The Future Vision of Simulation in Healthcare
Gaba, D. M. (2007) · Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare · doi:10.1097/01.sih.0000258411.38212.32 · Cited by 465
Self-citationThe role of non-technical skills in anaesthesia: a review of current literature
Fletcher, G. C. L., McGeorge, P., Flin, R. H., Glavin, R. J., & Maran, N. J. (2002) · British Journal of Anaesthesia · doi:10.1093/bja/88.3.418 · Cited by 423
Metadata
- Authors
- Gaba, D. M.
- Venue
- California Management Review
- Publisher
- SAGE Publications
- Published
- 2000-10
- Volume
- 43
- Issue
- 1
- Pages
- 83-102
- ISSN
- 0008-1256 (ISSN-L)
- 2162-8564
- OpenAlex
- W2320271564
- Cited by
- 246
- References
- 0
- FWCI
- 6.09
- Type
- journal article
- Language
- en
- Open access
- closed
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- Gaba, D. M. (2000). Structural and Organizational Issues in Patient Safety: A Comparison of Health Care to other High-Hazard Industries. California Management Review. https://doi.org/10.2307/41166067
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
