The authors noted increasing use of Patient Safety Indicators (PSIs), and evaluated whether analysis of PSIs contributes to improved patient safety. PSIs are calculated through administrative data, and the authors suggested that without organizational learning, PSIs and other measurements may not be as effective. They describe a process for using PSIs to improve organizational learning. […]
Organizational Learning
Creating High Reliability in Health Care Organizations
This article describes the creation of a patient safety model, and the results of the model’s test in intensive care units. The model was developed using elements of HRO theory, including development of standard processes, and improved communication. Emphasis was placed on improving organizational learning through application of lessons learned, so that future errors could […]
Organizing for High Reliability: Process of Collective Mindfulness
HRO enables adaptive learning and reliability simultaneously. The article includes a history of HRO theory and provides an explanation for where HRO fits in modern organizational development. The article includes a description of collective mindfulness, a theme recurring in HRO literature. Weick, K., Sutcliffe, K., & Obstfeld, D. (2008). Organizing for High Reliability: Process of Collective […]
Patient Involvement in Patient Safety: Protocol for Developing an Intervention Using Patient Reports of Organisational Safety and Patient Incident Reporting
This article was designed to develop a plan for testing the validity and reliability of a new Patient Measure of Organisational Safety (PMOS) and the Patient Incident Reporting Tool (PIRT) in an effort to improve organizational safety in hospitals in the United Kingdom. The authors outlined an intensive, multi-year study in order to validate each […]
Taking Personal Change Seriously: The Impact of Organizational Learning on Management Practice
To detect an error is to acknowledge incompetence. Doing so publicly in a work setting is often seen as ‘career limiting,’ discouragement enough even if it wasn’t also personally threatening. This article is a review of the impact the book, Organizational Learning, has had on management practice since its publication. Though there are flaws in the traditional […]