@article{1212,
  keywords = {latent error, leadership, patient safety, risk assessment},
  author = {Lori A. Paine and Christine G. Holzmueller and Robert Elliott and Eileen Kasda and Peter Pronovost and Sallie J. Weaver and Kathleen Sutcliffe and Simon C. Mathews},
  title = {Latent risk assessment tool for health care leaders.},
  abstract = {<p>Efforts to improve quality of care and patient safety have concentrated on provider practice and frontline care processes. Little attention has focused on understanding the role that leadership decisions play in creating risk within a health care system. The framework and tool described in this article builds on Reason's construct of latent organizational failure, by assessing the latent risks of leadership decisions, and identifying appropriate mitigation strategies before the implementation of a change. Stakeholders who will be involved in or impacted by the change are engaged in the assessment to more thoroughly explore both technical and cultural risks.</p>},
  year = {2018},
  journal = {J Healthc Risk Manag},
  volume = {38},
  pages = {36-46},
  month = {10/2018},
  issn = {2040-0861},
  doi = {10.1002/jhrm.21316},
  language = {eng},
}