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Journal ArticleDOI

Cultures for improving patient safety through learning: the role of teamwork.

TLDR
The learning that can take place within organisations and the cultural change necessary to encourage it are discussed and teams and team leaders are focused on as potentially powerful forces for bringing about the management of patient safety and better quality of care.
Abstract
Improvements in patient safety result primarily from organisational and individual learning. This paper discusses the learning that can take place within organisations and the cultural change necessary to encourage it. It focuses on teams and team leaders as potentially powerful forces for bringing about the management of patient safety and better quality of care.

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Citations
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'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene.

TL;DR: 'My five moments for hand hygiene' describes the fundamental reference points for healthcare workers in a time-space framework and designates the moments when hand hygiene is required to effectively interrupt microbial transmission during the care sequence and provides a solid basis to understand, teach, monitor and report hand hygiene practices.
Journal ArticleDOI

Role understanding and effective communication as core competencies for collaborative practice

TL;DR: It is suggested that understanding and appreciating professional roles and responsibilities and communicating effectively emerged as the two perceived core competencies for patient-centred collaborative practice and should be the primary focus of student and staff education aimed at increasing collaborative practice skills.
Journal ArticleDOI

Interprofessional collaboration among nurses and physicians: making a difference in patient outcome.

TL;DR: The results of the fourteen RCTs included were mixed, but all but one study reported at least one statistically significant improvement in outcome following interventions based on interprofessional collaboration.
Journal ArticleDOI

Differences in safety climate between hospital personnel and naval aviators.

TL;DR: Hospitals may need to make substantial changes to achieve a safety climate consistent with the status of high-reliability organizations, according to results of safety climate survey questions from health care respondents with those from naval aviation, a high- Reliability organization.
Journal ArticleDOI

Illusions of team working in health care

TL;DR: It is argued that the prevalence of the term "team" in healthcare makes the synthesis and advancement of the scientific understanding of healthcare teams a challenge and future research needs to better define the fundamental characteristics of teams in studies in order to ensure that findings based on real teams, rather than pseudo-like groups, are accumulated.
References
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Journal ArticleDOI

The fifth discipline - the art and practice of the learning organization

TL;DR: Senge's Fifth Discipline is a set of principles for building a "learning organization" as discussed by the authors, where people expand their capacity to create the results they truly desire, where new and expansive patterns of thinking are nutured, where collective aspiration is set free, and where people are contually learning together.
Journal Article

Building a learning organization.

TL;DR: Three critical issues must be addressed before a company can truly become a learning organization, writes HBS Professor David Garvin, who defines learning organizations as skilled at five main activities: systematic problem solving, experimentation with new approaches,learning from past experience, learning from the best practices of others, and transferring knowledge quickly and efficiently throughout the organization.
Book

Shattered Assumptions: Towards a New Psychology of Trauma

TL;DR: The authors investigates the psychology of victimization and shows how fundamental assumptions about the world's meaningfulness and benevolence are shattered by traumatic events, and how victims become subject to self-blame in an attempt to accommodate brutality.
Book

Groupthink : psychological studies of policy decisions and fiascoes

TL;DR: In this article, the authors present five case studies of major fiascoes resulting from poor decisions made during the administrations of five American presidents' Franklin D. Roosevelt (failure to be prepared for the attack on Pearl Harbor), Harry S Truman (the invasion of North Korea), John F. Kennedy (the Bay of Pigs invasion), Lyndon B. Johnson (escalation of the Vietnam War), and Richard M. Nixon (the Watergate cover-up).
Journal ArticleDOI

Categorization of action slips.

TL;DR: In this article, a theory of action is outlined in which an action sequence is represented by a parent schema and numerous child schemas, in which several action schemas can be active at any one time, and each schema has a set of triggering conditions and an activation value.
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