Patient safety organisations

A number of programmes managed by US Patient Safety Organisations. 

Agency for Healthcare Research and QuaMty. Patient safety organisation programme. Common formats. [OnMne]. Available from HYPERLINK http //www.pso.ahrq.gov/common http //... 

Nevertheless, clinical risk is clearly a major contributor to the potential impact of a fault. Irrespective of other possible outcomes, an adverse effect on patient safety is likely to promote the priority level significantly. Healthcare organisations and manufacturers therefore need to assess reported faults to determine whether or not they are safety-related and, where they are, determine the level of clinical risk. This can be a challenge where large numbers of faults are reported and it may be necessary for filters to be put in place such that service desk staff can escalate faults of greatest concern for a formal risk assessment. 

Reason, J.T. (1997) Managing the Risks of Organisational Accidents, Ashgate, Aldershot. Reason, J.T. (2001) Understanding adverse events the human factor. Clinical Risk Management Enhancing Patient Safety, 2nd edn (ed. C. Vincent), BMJ Books, London. RedmiU, R. and Rajan, J. (1997) Human Factors in Safety Critical Systems, Butterworth Heinemann, Oxford. 

Burnett, S., Berm, J., Pinto, A. et al. (2010) Organisational readiness exploring the preconditions for success in organisation-wide patient safety improvement programmes. Quality and Safety in Health Care (in press). 

Patient safety culture is a reasonably new development of the organisational safety culture constmct. As with other types of culture, the addition patient safety serves as a qualifler for the general concept of organisational culture. By using this qualifier the proposition is made that an organisational culture can be conducive, or uirfavourable, to patient safety. 

Patient Safety Culture and Organisational Behaviour Integrating Error, Leadership and the Work Environment... 

Leadership is another important determinant of patient safety culture and patient safety outcomes (Katz-Navon et al. 2009 Wong and Cummings 2007). This is because leaders are often the drivers of safety culture within the organisation. They set the example for employees through their behaviours (Maierhofer et al. 2000). They also shape subordinate behaviour through the provision of rewards or punishments (Hinze 2002). When leaders take time to discuss safety with employees, employees demonstrate less unsafe behaviour (Zohar and Luria 2003). Similarly, if leaders do not make safety a priority among their team, this will be... 

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