Risk mitigation in large scale systems: lessons from high reliability organizations.
Grabowski M, Roberts KH. Calif Manage Rev. 1997;39:152-162.
The authors examine
, such as aviation and nuclear power, which actively strive to minimize
and accidents. They describe effective techniques in risk mitigation that can be employed in other large-scale systems like health care. Specifically, the authors stress the need to maintain effective and varied communication within a system. They also discuss how, in order to manage all intended and unintended consequences, decision making in complex systems must be variable, flexible, and shared. Finally, large-scale systems need to maintain strong
and norms that reinforce common organizational missions and goals.
Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries.
Gaba DM. Calif Manage Rev. 2000;43:1-20.
Organizational culture as a source of high reliability.
Weick KE. Calif Manage Rev. 1987;29:112-127.
Minnesota Hospital Association Statewide Project: SAFE from FALLS.
Apold J, Quigley PA. J Nurs Care Qual. 2012;27:299-306.
Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships?
Philibert I, Nasca T, Brigham T, Shapiro J. Annu Rev Med. 2013;64:467-483.
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